ArticleGlobal health, science and practice2018
Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival.
Article in Global health, science and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.
- Effectiveness of Neonatal Resuscitation Training Programs, Implementation, and Scale-Up in Low- and Middle-Income Countries.Neonatology · 2025Pooled it
- Knowledge and skills of newborn resuscitation among health care professionals in East Africa. A systematic review and meta-analysis.PloS one · 2024Pooled it
- Trial
- Efficacy of pedagogical framework in neonatal resuscitation skill learning in a resource-limited setting: a randomized controlled trial.BMC medical education · 2021Trial
- Trial
- Adding video-debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial.Global health action · 2020Trial
- Effect of Remote Essential Newborn Care Training Paired With In-Person Quality Improvement on Optimizing Immediate and Resuscitative Care Practices.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Report from the inaugural 2025 Asia-UK Maternal-Neonatal Infection and Immunity Network (AMMuNet) symposium.NPJ vaccines · 2026Article
- Assessment tools for neonatal resuscitation and their validity evidence: a scoping review.Resuscitation plus · 2026Review
- Frequency of team simulation and reduction in maternal deaths following Safer Births Bundle of Care implementation-a prospective observational study.Advances in simulation (London, England) · 2025Article
- Article
- Neonatal resuscitation knowledge and its determinants among healthcare professionals at Asella referral and teaching hospital, Southeast Ethiopia.BMC pediatrics · 2025Article
- Midwives' experiences with simulation-based team training in newborn resuscitation: impacts on clinical practice.BMC nursing · 2025Article
- Retention of knowledge and skills among midwives one year after completing helping babies breathe pre-service training in Ethiopia: a non-randomized quasi-experimental study.Maternal health, neonatology and perinatology · 2025Review
- Preclinical usability evaluation of the Liveborn app: A mobile health application that provides feedback for neonatal resuscitation.PLOS digital health · 2025Article
- Perception of simulation-based education among nursing and midwifery students in Tanzania: a qualitative study.Advances in simulation (London, England) · 2025Article
- Mothers' acceptability of using novel technology with video and audio recording during newborn resuscitation: A cross-sectional survey.PLOS digital health · 2024Article
- Exceptional Survival of a Buried Alive Newborn: A Case Report.International medical case reports journal · 2024Article
- New policies on skin-to-skin contact warrant an oxytocin-based perspective on perinatal health care.Frontiers in psychology · 2024Article
- Experiences of identifying pre-school children with disabilities in resource limited settings - an account from Malawi, Pakistan and Uganda.Disability & society · 2024Article
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Authors and funding
11 authors at 8 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHelping Babies Breathe (HBB), a skills-based program in neonatal resuscitation for birth attendants in resource-limited settings, has been implemented in over 80 countries since 2010. Implementation studies of HBB incorporating low-dose high-frequency practice and quality improvement show substantial reductions in fresh stillbirth and first-day neonatal mortality. Revision of the program aimed to further augment provider and facilitator skills and address gaps in implementation with the goal of improving neonatal survival.
methodsThe Utstein Formula for Survival-Medical Science X Educational Efficiency X Local Implementation = Survival-provided a framework for the revisions. The 2015 Neonatal Resuscitation Consensus on Science and Treatment Recommendations by the International Liaison Committee on Resuscitation informed scientific updates, which were harmonized with the 2012 World Health Organization Basic Newborn Resuscitation Guidelines. Published literature and program reports, consensus guidelines on reprocessing equipment, systematic collection of suggestions from frontline users, and responses to a semistructured online questionnaire informed educational/implementation revisions. Links to maternal care were added. Draft materials underwent Delphi review and field testing in India and Sierra Leone. An Utstein-style meeting of stakeholders identified key actions for successful implementation.
resultsScientific revisions included expectant management of infants with meconium-stained amniotic fluid, limitation of suctioning, and initiating and continuing effective ventilation until spontaneous respirations. Frontline users (N=102) suggested augmented simulation methods to build confidence and competence and additional guidance for facilitators on implementation. Users identified a need for sufficient practice during the workshop, systematized ongoing practice, and enough simulators for participants. Field trials refined approaches to self-reflection, feedback and debriefing, and quality improvement. Utstein meeting stakeholders validated the importance of quality improvement and use of data to improve outcomes.
conclusionsThe second edition of HBB provides a newer paradigm of learning for providers that incorporates workshop practice, self-reflection, and feedback and debriefing to reinforce learning as well as the promotion of mentorship and development of facilitators, systems for low-dose high-frequency practice in facilities, and quality improvement related to neonatal resuscitation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.