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

BMC Pediatrics

Morgan Swanson¹  Mitchell Kinkor¹  Karisa K. Harland¹  Shannon Findlay¹  Christian Junker¹  Christopher Buresh² 

[1]Department of Emergency Medicine, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA

[2]Department of Emergency Medicine, University of Washington, Harborview Medical Center, Box 359702, 325 Ninth Avenue, 98104, Seattle, WA, USA

关键词: Helping babies breathe;    Training;    Community health workers;    Neonatal;    Birth asphyxia;   

DOI  :  10.1186/s12887-021-02987-4

来源: Springer

【 摘 要 】

BackgroundHelping 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.MethodsCommunity 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.ResultsAnalysis 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]).ConclusionThis 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.

【 授权许可】

CC BY