Document Type : Original Article
Authors
Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
BACKGROUND: The main reason of newborn mortalities in low‑ and middle‑income countries is due
to the lack of skilled caregivers in providing essential care for babies. The aim of the present study
was to evaluate the implementation of helping babies survive (HBS) program to improve newborn
care condition in Isfahan, Iran.
MATERIALS AND METHODS: This quasi‑experimental study was conducted in the labor and
midwifery wards of Shahid Beheshti Hospital in Isfahan. Convenience sampling method was used
for all healthy newborns who weighed >1500 g. First, the samples were selected for the control
group. Then, the Helping Babies Breathe and Essential Care for Every Baby training courses were
held over for ward nurses and midwives. Then, the samples of the intervention group were selected.
The research tools consisted of demographic characteristic questionnaire, caregiver performance
evaluation checklist, and breastfeeding registration checklist. SPSS software version 16 was used
for data analysis.
RESULTS: A total of 130 newborns were divided into control (n = 65) and intervention groups (n = 65).
The average time of umbilical cord clamping increased from 13.85 to 61.48 s, and the average
duration of skin‑to‑skin contact between mother and baby increased from 11.75 to 60.47 min. The
mean of early initiation of breastfeeding improved during the 1st h and the 1st day of the birth. The
rate of neonatal hypothermia in the intervention group decreased sharply.
CONCLUSION: The implementation of the HBS program can positively impact newborn care
condition.
Keywords
Assessment and Improvement Tool. A Systematic Standard
Based Participatory Approach. WHO; 2014. p. 62. Available from:
http://www.euro.who.int/pubrequest. [Last accessed on 2014
Feb 24].
2. Available from: https://qlikview.health.gov.ir/QvAJAXZfc/
opendoc.htm?document=QlikView%2O.Document
%2FPort%2FNeohealth%2FNICU1397_b_Hospit.qvw &
host=QVS%40healthqlickview. [Last accessed on 2018 Dec 23].
3. WHO. Newborns: Reducing Mortality. WHO; 2019. Available
from: https://www.who.int/news‑room/fact‑sheets/detail/
newborns‑reducing‑mortality. [Last accessed on 2019 Sep 19].
4. Goldsmith J, Karotkin E, Suresh G, Keszler K. Assisted Ventilation
of the Neonate E‑Book: Evidence‑Based Approach to Newborn
Respiratory Care Elsevier Health Sciences. Vol. 618. Elsevier.
Amsterdam; 2016. p. 275.
5. Dol J, Campbell Y, Murphy G, Murphy G, Aston M, McMillan D,
et al. The impact of the Helping Babies Survive program on
neonatal outcomes and health provider skills: A systematic
review. JBI Database System Rev Implement Rep 2018;16:701‑37.
6. Niermeyer S. Flip Chart, Helping Babies Breathe. 2nd ed. USA:
American Academy of Pediatrics; 2016. p. 7.
7. Kamath Rayne BD, Josyula S, RuleAR, Vasquez JC. Improvements
in the delivery of resuscitation and newborn care after Helping
Babies Breathe training. J Perinatol 2017;37:1153‑60.
8. Perez K, Patterson J, Hinshaw J, Escobar C, Parajon D, Parajon L,
et al. Essential Care for Every Baby: Improving compliance with
newborn care practices in rural Nicaragua. BMC Pregnancy
Childbirth 2018;18:371‑80.
9. Arlington L, Kairuki A, Isangula K, Meda R, Thomas E, Temu A.
Implementation of “Helping Babies Breathe: A 3‑year experience
in Tanzania. Pediatrics 2017;139(5):1‑12.
10. Chaudhury S, Arlington L, Brenan S. Cost analysis of large‑scale
implementation of the Helpy Babies Breathe’ newborn
resuscitation‑training program in Tanzania. MC Health Serv Res
2016;16:681‑91.
11. Budhathoki S, Gurung R, Ewald U. Does the Helping Babies
Breathe Programme impact on neonatal resuscitation care
practices? Results from systematic review and meta-analysis.
Acta Paediatrica 2018;108:806‑13.
12. Seto T, Tabangin M, Taylor K. Breaking down the objective
structured clinical examination: An evaluation of the Helping
Babies Breathe OSCEs. Simul Healthc 2017;12:226‑32.
13. Msemo G, Massawe A, Mmbando D, Rusibamayila N, Manji K,
Kidanto HL, et al. Newborn mortality and fresh stillbirth rates
in Tanzania after helping babies breathe training. Pediatrics
2013;131:e353‑60.
14. Drake M, Bishanga D, Temu A, Njozi M, Thomas E, Mponzi V.
Structured on‑the‑job training to improve retention of newborn
resuscitation skills: A national cohort Helping Babies Breathe
study in Tanzania. BMC Pediatr 2019;19:1471‑2431.
15. Niermeyer S. Flip Chart, Essential Care for Every Baby. 2nd ed.
USA: American Academy of Pediatrics; 2016. p. 8.
16. Carnell M, Dougherty L, Pomeroy A, Karim A, Mekonnen Y,
Mulligan B. Effectiveness of scaling up the ‘Three Pillars’ approach
to accelerating MDG 4 progress in Ethiopia. J Health Popul Nutr
2014;32:549‑63.
17. Doyle KJ, Bradshaw WT. Sixty golden minutes. Neonatal Netw
2012;31:289‑94.
18. Nierineyer S,[Fassihpour B, Habib Elahi A, Ajoodanian N, Farzi S,
Mohagheghi P, Heidarzadeh M].Helping the Baby Breathe. Flip Chart Facilitators. 2nd ed. Tehran: Idea Pardazan Fan va Honar
Co; 2019.
19. Blouin B, Penny ME, Casapia M, Aguilar E, Silva H, Joseph SA,
et al. Effect of a two‑component intervention to change hospital
practice from early to delayed umbilical cord clamping in the
Peruvian Amazon. Rev Panam Salud Publica 2011;29:322‑8.
20. Thukral A, LockyerJ, Bucher S, Berkelhamer S, Bose C, Deorari A,
et al. Evaluation of an educational program for essential newborn
care in resource‑limited settings: Essential Care for Every Baby.
BMC Pediatr 2015;15:71‑82.
21. Boundy E, Dastjerdi R, Spiegelman D, Fawzi W, Missmer S,
Lieberman E, et al. Kangaroo mother care and neonatal outcomes:
A meta‑analysis. Wall Sand Chan G 2016;137(1):1‑18.
22. Tveiten L, Diep L, Halvorsen T, Markestad T. Respiratory
rate the first 24 hours of life in healthy term infants. Pediatrics
2016;137(4):1‑9.
23. Amsalu R, Morris C, Chukwumalu K, hynes M, Janjua S,
Couture A, et al. Essential newborn care practice at four primary
health facilities in conflict affected areas of dBossaso, Somalia:
A cross‑sectional study. Confl Health 2019;27:1‑13.
)