Improvements in the delivery of resuscitation and newborn care after Helping Babies Breathe training

Kamath‐Rayne, Beena D.; Josyula, Srirama; Rule, Amy; Vásquez, Juan Carlos

doi:10.1038/jp.2017.110

Cited by 23 publications

(20 citation statements)

References 18 publications

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“…Ensuring the timeliness and quality of care during immediate postpartum period need filling up of the resource gap with adequate numbers of trained and skilled personnel especially for complicated newborn management [ 54 ]. An integrated package of training like ‘Helping Babies Breathe (HBB)’ by American Academy of Paediatrics can provide a timed step-wise algorithm for neonatal resuscitation that also showed evidence of improved immediate newborn care practices in low-resource settings [ 55 , 56 ]. In addition, periodic on job training and refresher training of the staff are mandatory for standardized implementation of the evidence based management guidelines.…”

Section: Discussionmentioning

confidence: 99%

Initiation of breastfeeding within one hour of birth and its determinants among normal vaginal deliveries at primary and secondary health facilities in Bangladesh: A case-observation study

et al. 2018

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BackgroundInitiation of breastfeeding within one hour of birth can avert 22% of newborn mortality. Several factors influence breastfeeding practice including mothers’ socio-demographic and obstetric characteristics, and factors related to time around child birth. This study explores breastfeeding initiation practices and associated influencing factors for initiating breastfeeding within one hour of birth in public health facilities of Bangladesh.MethodsIn this study, normal deliveries were observed in 15 public health facilities from 3 districts in Bangladesh. Study participants were selected by convenient sampling i.e. delivery cases attending health facilities during the study period were selected excluding caesarean section deliveries. Among 249 mothers, time of initiation of breastfeeding was observed and its association was measured with type of health facility, privacy in delivery room, presence of separate staff for newborn, spontaneous breathing, skin-to-skin contact and postnatal contact of mother or newborn with health care providers within one hour after delivery. Data was collected during August-September, 2016. Kruskal-Wallis test was used to measure equality of median duration of breastfeeding initiation time among two or more categories of independent variables. Series of simple logistic regressions were conducted followed by multiple logistic regression to identify the determinants for breastfeeding initiation within one hour.ResultsAmong 249 mothers observed, 67% initiated breastfeeding within one hour of birth at health facilities and median time to initiate breastfeeding was 38 minutes (Inter-quartile range: 20–56 minutes). After controlling for maternal age as potential confounder, the odds of initiating breastfeeding within one hour of birth was significantly higher if mothers gave birth in district hospitals (AOR 3.5: 95% CI 1.5, 6.4), visual privacy was well-maintained in delivery room (AOR 2.6: 95% CI 1.2, 4.8), newborns cried spontaneously (AOR 4.9: 95% CI 3.4, 17.2), were put to skin-to-skin contact with mothers (AOR 3.4: 95% CI 1.9, 10.4) or were examined by health care providers in the facilities (AOR 2.4: 95% CI 1.3, 12.9).ConclusionsIn health facilities, initiation of breastfeeding within one hour is associated with some critical practices and events around the time of birth. With the global push toward facility-based deliveries, it is very important to identify those key factors, within the landscape of maternal and newborn care, which significantly enable health care providers and parents to engage in the evidence-based newborn care activities including early initiation of breastfeeding that will, in turn, reduce global rates of newborn mortality.

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Section: Discussionmentioning

confidence: 99%

Initiation of breastfeeding within one hour of birth and its determinants among normal vaginal deliveries at primary and secondary health facilities in Bangladesh: A case-observation study

et al. 2018

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“… 28 In particular, attention to drying and stimulating the baby after birth resulted in fewer babies requiring bag-mask ventilation. 23 , 46 The second edition further deemphasized the use of oropharyngeal suctioning overall, and stated clearly that it was not needed for infants unless they failed to cry after thorough drying and secretions were seen in the airway. Given the strong evidence for delayed cord clamping, it continued to be incorporated into the second edition action plan ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival

Kamath‐Rayne

Thukral

Visick

et al. 2018

Glob Health Sci Pract

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“…The poor achievement of chest rise in all resuscitations suggests that effective ventilation was not reliably accomplished. Along with stimulation, highquality BMV is one of the most important interventions, but several studies reported that learning to provide BMV was more difficult than other aspects of newborn resuscitation for birth attendants [16,17].…”

Section: Discussionmentioning

confidence: 99%

Effect of a Low-Dose/High-Frequency Training on Real-Life Neonatal Resuscitation in a Low-Resource Setting

et al. 2018

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Background: As intrapartum-related events represent a quarter of all neonatal deaths, education on neonatal resuscitation is a critical priority. Objective: To assess the impact of a low-dose/high-frequency neonatal resuscitation training on clinical practice of midwives in a low-resource setting. Methods: Eight months after a modified Neonatal Resuscitation Program (NRP) course, we implemented a low-dose/high-frequency training for midwives at Beira Central Hospital, Mozambique. The training lasted 6 months and included weekly practice sessions. Fifty consecutive resuscitations after the low-dose/high-frequency training were compared with those registered before (n = 50) and after (n = 50) participation in the adapted NRP course using video recording. Results: All 150 neonates received the initial steps; 103 required bag-mask ventilation and 41 required chest compressions. The scores for initial steps, bag-mask ventilation and chest compressions improved after the course (p < 0.0001, p = 0.005 and p = 0.03) and did not change after the low-dose/high-frequency training (p = 0.34, p = 0.99 and p = 0.30). The low-dose/high-frequency training decreased the total time of the procedure (p < 0.0001) and anticipated start time of airway suctioning and tactile stimulation (p = 0.003 and p < 0.0001), but had no effect on the time of initiation of bag-mask ventilation (p = 0.30). Conclusions: In a low- income setting, a low-dose/high-frequency training after participation in an adapted NRP course contributed to improving the initiation and times of some procedures. However, many aspects of neonatal resuscitation remained poor. Low-dose/high-frequency training should focus on improving the prevention of thermal loss, face mask ventilation and heart rate assessment.

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Improvements in the delivery of resuscitation and newborn care after Helping Babies Breathe training

Cited by 23 publications

References 18 publications

Initiation of breastfeeding within one hour of birth and its determinants among normal vaginal deliveries at primary and secondary health facilities in Bangladesh: A case-observation study

Initiation of breastfeeding within one hour of birth and its determinants among normal vaginal deliveries at primary and secondary health facilities in Bangladesh: A case-observation study

Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival

Effect of a Low-Dose/High-Frequency Training on Real-Life Neonatal Resuscitation in a Low-Resource Setting

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