ArticleChildren (Basel, Switzerland)2023
Delayed and Interrupted Ventilation with Excess Suctioning after Helping Babies Breathe with Congolese Birth Attendants.
Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 11 citations in OpenAlex.
- Newborn Resuscitation Practices and Outcomes in Rural Tanzania-A Real-Time Observational and Video Study.Children (Basel, Switzerland) · 2026Article
- Mobile health supported real-time guidance and debriefing for newborn resuscitation: A pilot study of LIVEBORN feedback.PloS one · 2026Article
- Impact of Heart Rate Monitoring Using Dry-Electrode ECG Immediately After Birth on Time to Start Ventilation: A Randomized Trial.Children (Basel, Switzerland) · 2025Article
- Preclinical usability evaluation of the Liveborn app: A mobile health application that provides feedback for neonatal resuscitation.PLOS digital health · 2025Article
- Neonatal outcomes and resuscitation practices following the addition of heart rate-guidance to basic resuscitation.PloS one · 2025Article
- Establishment of a neonatal resuscitation registry in the Democratic Republic of the Congo: An open cohort study.PloS one · 2025Article
- Article
- Analysis and knowledge extraction of newborn resuscitation activities from annotation files.BMC medical informatics and decision making · 2024Article
- Detection of time of birth and cord clamping using thermal video in the delivery room.Frontiers in pediatrics · 2024Article
- Video-Recorded Airway Suctioning of Clear and Meconium-Stained Amniotic Fluid and Associated Short-Term Outcomes in Moderately and Severely Depressed Preterm and Term Infants.Children (Basel, Switzerland) · 2023Article
- Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania.Children (Basel, Switzerland) · 2023Article
- Article
- A breath of life, and heartbeats for life: the science and soul of neonatal resuscitation.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
16 authors at 5 institutions in 3 countries.
Funding
Abstract
There is a substantial gap in our understanding of resuscitation practices following Helping Babies Breathe (HBB) training. We sought to address this gap through an analysis of observed resuscitations following HBB 2nd edition training in the Democratic Republic of the Congo. This is a secondary analysis of a clinical trial evaluating the effect of resuscitation training and electronic heart rate monitoring on stillbirths. We included in-born, liveborn neonates ≥28 weeks gestation whose resuscitation care was directly observed and documented. For the 2592 births observed, providers dried/stimulated before suctioning in 97% of cases and suctioned before ventilating in 100%. Only 19.7% of newborns not breathing well by 60 s (s) after birth ever received ventilation. Providers initiated ventilation at a median 347 s (>five minutes) after birth; no cases were initiated within the Golden Minute. During 81 resuscitations involving ventilation, stimulation and suction both delayed and interrupted ventilation with a median 132 s spent drying/stimulating and 98 s suctioning. This study demonstrates that HBB-trained providers followed the correct order of resuscitation steps. Providers frequently failed to initiate ventilation. When ventilation was initiated, it was delayed and interrupted by stimulation and suctioning. Innovative strategies targeting early and continuous ventilation are needed to maximize the impact of HBB.
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