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Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study

BACKGROUND: Helping Babies Breathe (HBB) is an American Academy of Pediatrics neonatal resuscitation program designed to reduce neonatal mortality in low resource settings. The 2017 neonatal mortality rate in Haiti was 28 per 1000 live births and an estimated 85 % of Haitian women deliver at home. G...

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Autores principales: Findlay, Shannon, Swanson, Morgan, Junker, Christian, Kinkor, Mitchell, Harland, Karisa K., Buresh, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722303/
https://www.ncbi.nlm.nih.gov/pubmed/34980010
http://dx.doi.org/10.1186/s12887-021-02987-4
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author Findlay, Shannon
Swanson, Morgan
Junker, Christian
Kinkor, Mitchell
Harland, Karisa K.
Buresh, Christopher
author_facet Findlay, Shannon
Swanson, Morgan
Junker, Christian
Kinkor, Mitchell
Harland, Karisa K.
Buresh, Christopher
author_sort Findlay, Shannon
collection PubMed
description BACKGROUND: Helping Babies Breathe (HBB) is an American Academy of Pediatrics neonatal resuscitation program designed to reduce neonatal mortality in low resource settings. The 2017 neonatal mortality rate in Haiti was 28 per 1000 live births and an estimated 85 % of Haitian women deliver at home. Given this, the Community Health Initiative implemented an adapted HBB (aHBB) in Haiti to evaluate neonatal mortality. METHODS: Community Health Workers taught an aHBB program to laypeople, which didn’t include bag-valve-mask ventilation. Follow-up after delivery assessed for maternal and neonatal mortality and health. RESULTS: Analysis included 536 births of which 84.3 % (n=452) were attended by someone trained in aHBB. The odds of neonatal mortality was not significantly different among the two groups (aOR=0.48 [0.16-1.44]). Composite outcome of neonatal health as reported by the mother (subjective morbidity and mortality) was significantly lower in aHBB attended births (aOR=0.31 [0.14-0.70]). CONCLUSION: This analysis of the aHBB program indicates that community training to laypersons in low resource settings may reduce neonatal ill-health but not neonatal mortality. This study is likely underpowered to find a difference in neonatal mortality. Further work is needed to evaluate which components of the aHBB program are instrumental in improving neonatal health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-021-02987-4.
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spelling pubmed-87223032022-01-06 Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study Findlay, Shannon Swanson, Morgan Junker, Christian Kinkor, Mitchell Harland, Karisa K. Buresh, Christopher BMC Pediatr Research BACKGROUND: Helping Babies Breathe (HBB) is an American Academy of Pediatrics neonatal resuscitation program designed to reduce neonatal mortality in low resource settings. The 2017 neonatal mortality rate in Haiti was 28 per 1000 live births and an estimated 85 % of Haitian women deliver at home. Given this, the Community Health Initiative implemented an adapted HBB (aHBB) in Haiti to evaluate neonatal mortality. METHODS: Community Health Workers taught an aHBB program to laypeople, which didn’t include bag-valve-mask ventilation. Follow-up after delivery assessed for maternal and neonatal mortality and health. RESULTS: Analysis included 536 births of which 84.3 % (n=452) were attended by someone trained in aHBB. The odds of neonatal mortality was not significantly different among the two groups (aOR=0.48 [0.16-1.44]). Composite outcome of neonatal health as reported by the mother (subjective morbidity and mortality) was significantly lower in aHBB attended births (aOR=0.31 [0.14-0.70]). CONCLUSION: This analysis of the aHBB program indicates that community training to laypersons in low resource settings may reduce neonatal ill-health but not neonatal mortality. This study is likely underpowered to find a difference in neonatal mortality. Further work is needed to evaluate which components of the aHBB program are instrumental in improving neonatal health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-021-02987-4. BioMed Central 2022-01-03 /pmc/articles/PMC8722303/ /pubmed/34980010 http://dx.doi.org/10.1186/s12887-021-02987-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Findlay, Shannon
Swanson, Morgan
Junker, Christian
Kinkor, Mitchell
Harland, Karisa K.
Buresh, Christopher
Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title_full Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title_fullStr Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title_full_unstemmed Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title_short Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
title_sort adapted helping babies breathe approach to neonatal resuscitation in haiti: a retrospective cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722303/
https://www.ncbi.nlm.nih.gov/pubmed/34980010
http://dx.doi.org/10.1186/s12887-021-02987-4
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