Document Type : Original Article


Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


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


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