Abstract
Introduction: Helping Babies Breathe and Helping Babies Survive (HBS) programs are designed to develop basic neonatal resuscitation skills and knowledge aimed at the first minutes after birth. The programs were implemented at Scheer Memorial Adventist Hospital in Banepa, Kavre, Nepal. This study aimed to evaluate the success of training participants and maintaining their skills over time. Methods: The programs were implemented at SMAH over three years for staff and students involved in maternal / foetal medicine. Skills and knowledge of 119 participants were evaluated prior to training, after training, and again at five separate time intervals using standardised tests. Results: The training resulted in increased scores on knowledge testing from pre-test to post-test. Knowledge retention over time was shown to have a statistically significant decrease from post-test to retest. An objective structured clinical examination A performance did not show statistically significant decrease over time from post-test to retest. For the objective structured clinical examination B, there was a statistically significant decrease in scores over time from post-test to retest. Conclusions: The training resulted in a significant improvement in passing scores on knowledge and skills testing. While a statistically significant decrease in scores on testing was seen, the clinical significance of these decreases is questionable. This study shows that with implementation and continued practice, both knowledge and skills for basic neonatal resuscitation can be achieved and maintained.
Highlights
Helping Babies Breathe and Helping Babies Survive (HBS) programs are designed to develop basic neonatal resuscitation skills and knowledge aimed at the first minutes after birth
The training resulted in a significant improvement in passing scores on knowledge and skills testing
This study shows that with implementation and continued practice, both knowledge and skills for basic neonatal resuscitation can be achieved and maintained
Summary
Helping Babies Breathe and Helping Babies Survive (HBS) programs are designed to develop basic neonatal resuscitation skills and knowledge aimed at the first minutes after birth. Approximately 7000 newborn deaths occur daily, with nearly one-third of these occurring within the first day of life.[1] At least 660,000 deaths occur annually as a result of intrapartum complications, birth asphyxia.[2]. In Nepal, the current neonatal mortality rate is 21 per 1000 live births.[3] The use of basic neonatal resuscitation has been estimated to decrease neonatal mortality by nearly one third.[4] the use of resuscitation guidelines is not adequate in Nepal.[5] Helping Babies Breathe (HBB) focused its efforts on the first minute of life, as this is the ideal threshold for initiating ventilation to successfully resuscitate an infant.[6]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
