Helping Babies Breathe and its effects on intrapartum-related stillbirths and neonatal mortality in low-resource settings: a systematic review
| Autor: | Kitty W. M. Bloemenkamp, Mirjam Y Kleinhout, Willem B. de Vries, Agnes van den Hoogen, Henrietta D. L. Ockhuijsen, Jorien M D Versantvoort |
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| Rok vydání: | 2018 |
| Předmět: |
Resuscitation
medicine.medical_specialty Perinatal Death Scopus Developing country CINAHL Rate ratio 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans 030212 general & internal medicine Simulation Training Neonatal mortality business.industry Infant Newborn Infant Stillbirth Data extraction Pediatrics Perinatology and Child Health Emergency medicine Health Resources business Neonatal resuscitation |
| Zdroj: | Archives of disease in childhood. 105(2) |
| ISSN: | 1468-2044 |
| Popis: | BackgroundAn important factor in worldwide neonatal mortality is the deficiency in neonatal resuscitation skills among trained professionals. ‘Helping Babies Breathe’ (HBB) is a simulation-based training course designed to train healthcare professionals in the initial steps of neonatal resuscitation in low-resource areas. The aim of this systematic review is to provide an overview of the available evidence regarding intrapartum-related stillbirths and neonatal mortality related to the HBB training and resuscitation method.Data sourcesCochrane, CINAHL, Embase, PubMed and Scopus.Study eligibility criteriaConducted in low-resource settings focusing on the effects of HBB on intrapartum-related stillbirths and neonatal mortality.Study appraisalIncluded studies were reviewed independently by two researchers in terms of methodological quality.Data extractionData were extracted by two independent reviewers and crosschecked by one additional reviewer.ResultsSeven studies were included in this systematic review; the selected studies included a total of 230.797 neonates. Significant decreases were found after the implementation of HBB in one of two studies describing perinatal mortality (n=25 108, rate ratio (RR) 0.75; pLimitationsIncluded studies in were predominantly of moderate quality, therefore no strong recommendations can be made.Conclusions and implications of key findingsDue to the heterogeneous quality of the studies, this systematic review showed moderate evidence for a decrease in intrapartum-related stillbirth and 1-day neonatal mortality rate after implementing the ‘Helping Babies Breathe’ training and resuscitation method. Further research is required to address the effects of simulation-based team training on morbidity and mortality beyond the initial neonatal period.PROSPERO registration numberCRD42018081141. |
| Databáze: | OpenAIRE |
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