Does the Helping Babies Breathe Programme impact on neonatal resuscitation care practices? Results from systematic

Shyam Sundar Budhathoki1, Rejina Gurung2, Uwe Ewald3

  • 1School of Public Health and Community Medicine, B.P Koirala Institute of Health Sciences, Dharan, Nepal.

Insights

The Helping Babies Breathe (HBB) program improved neonatal resuscitation, specifically increasing timely bag-and-mask ventilation within the Golden Minute. This study analyzed changes in resuscitation practices following HBB implementation.

Area of Science:

  • Neonatal resuscitation
  • Global child health
  • Medical education and training

Background:

  • Neonatal resuscitation is critical for infant survival.
  • The Helping Babies Breathe (HBB) program aims to standardize and improve resuscitation practices globally.
  • Assessing the impact of HBB on clinical practices is essential for evaluating its effectiveness.

Purpose of the Study:

  • To examine changes in neonatal resuscitation practices after implementing the Helping Babies Breathe (HBB) program.
  • To systematically review and meta-analyze the impact of HBB on specific resuscitation techniques.

Main Methods:

  • Systematic review of studies reporting on HBB program impact.
  • Inclusion of randomized controlled trials, quasi-experimental, and cross-sectional studies.
  • Meta-analysis of extracted data on neonatal resuscitation practices using Review Manager.

Main Results:

  • Four studies were included, comparing practices before and after HBB training.
  • No significant changes were observed in the use of stimulation, suctioning, or overall bag-and-mask ventilation.
  • A significant increase (over 2.5 times) was noted in the proportion of babies receiving bag-and-mask ventilation within the Golden Minute.

Conclusions:

  • The HBB program effectively improves the timely initiation of bag-and-mask ventilation within the Golden Minute.
  • Implementation of HBB training enhances critical resuscitation timing for newborns.
  • Further research may explore long-term outcomes and broader practice changes.
Abstract

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