Abstract
Helping Babies Breathe (HBB), a skills-based program in neonatal resuscitation for birth attendants in resource-limited settings, has been implemented in over 80 countries since 2010. Implementation studies of HBB incorporating low-dose high-frequency practice and quality improvement show substantial reductions in fresh stillbirth and first-day neonatal mortality. Revision of the program aimed to further augment provider and facilitator skills and address gaps in implementation with the goal of improving neonatal survival. The Utstein Formula for Survival-Medical Science X Educational Efficiency X Local Implementation = Survival-provided a framework for the revisions. The 2015 Neonatal Resuscitation Consensus on Science and Treatment Recommendations by the International Liaison Committee on Resuscitation informed scientific updates, which were harmonized with the 2012 World Health Organization Basic Newborn Resuscitation Guidelines. Published literature and program reports, consensus guidelines on reprocessing equipment, systematic collection of suggestions from frontline users, and responses to a semistructured online questionnaire informed educational/implementation revisions. Links to maternal care were added. Draft materials underwent Delphi review and field testing in India and Sierra Leone. An Utstein-style meeting of stakeholders identified key actions for successful implementation. Scientific revisions included expectant management of infants with meconium-stained amniotic fluid, limitation of suctioning, and initiating and continuing effective ventilation until spontaneous respirations. Frontline users (N=102) suggested augmented simulation methods to build confidence and competence and additional guidance for facilitators on implementation. Users identified a need for sufficient practice during the workshop, systematized ongoing practice, and enough simulators for participants. Field trials refined approaches to self-reflection, feedback and debriefing, and quality improvement. Utstein meeting stakeholders validated the importance of quality improvement and use of data to improve outcomes. The second edition of HBB provides a newer paradigm of learning for providers that incorporates workshop practice, self-reflection, and feedback and debriefing to reinforce learning as well as the promotion of mentorship and development of facilitators, systems for low-dose high-frequency practice in facilities, and quality improvement related to neonatal resuscitation.
Highlights
Intrapartum-related events— known as birth asphyxia—occur between the beginning of labor and the delivery of the placenta; they are a major cause of neonatal morbidity and mortality and the primary cause of intrapartum stillbirths.[1,2] neonatal resuscitation is an intervention that has the potential to save newborn lives and reduce injury,[3,4,5] widespread and effective implementation has been challenging
Helping Babies Breathe (HBB) challenges the previous assumption that equated resuscitation with neonatal intensive care and instead promotes the idea that basic neonatal resuscitation should be available to every baby, wherever they are born
The first edition of the HBB curriculum was developed by the Global Implementation Task Force, which was founded in 2006 and consisted of stakeholders brought together by the American Academy of Pediatrics (AAP) to develop a standardized, simplified neonatal resuscitation curriculum based on the same evidence as the Neonatal Resuscitation Program.[8,9,10,11]
Summary
Intrapartum-related events— known as birth asphyxia—occur between the beginning of labor and the delivery of the placenta; they are a major cause of neonatal morbidity and mortality and the primary cause of intrapartum stillbirths.[1,2] neonatal resuscitation is an intervention that has the potential to save newborn lives and reduce injury,[3,4,5] widespread and effective implementation has been challenging. Helping Babies Breathe (HBB) is a global curriculum for neonatal resuscitation designed to simplify and demystify the resuscitation steps.[6,7,8] The skills-. Helping Babies Breathe: Strengthening Educational Programs to Increase Newborn Survival www.ghspjournal.org based curriculum focuses on enhancing birth attendants’ understanding and basic resuscitation skills through active learning with simulation, emphasizing practice with peers to develop teamwork, good communication, and reflective learning with self-improvement. Helping Babies Breathe (HBB), a skills-based program in neonatal resuscitation for birth attendants in resource-limited settings, has been implemented in over 80 countries since 2010.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
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 call
