ehealth digital library

Digital library of
the Tanzania
health
community

Newborn Mortality and Fresh Stillbirth Rates in Tanzania After Helping Babies Breathe Training.

Msemo, G., Massawe, A., Mmbando, D., Rusibamayila, N., Manji, K., Kidanto, H. L., Mwizamuholya, D., Ringia, P., Ersdal, H. L. and Perlman, J. (2013) Newborn Mortality and Fresh Stillbirth Rates in Tanzania After Helping Babies Breathe Training. Pediatrics. pp. 353-360. ISSN 1098-4275

[img] PDF
newborn.pdf - Published Version
Restricted to Repository staff only
Available under License Creative Commons Attribution Non-commercial.

Download (943kB)

Abstract

Early neonatal mortality has remained high and unchanged for many years in Tanzania, a resource-limited country. Helping Babies Breathe (HBB), a novel educational program using basic interventions to enhance delivery room stabilization/resuscitation, has been developed to reduce the number of these deaths. Master trainers from the 3 major referral hospitals, 4 associated regional hospitals, and 1 district hospital were trained in the HBB program to serve as trainers for national dissemination. A before (n = 8124) and after (n = 78 500) design was used for implementation. The primary outcomes were a reduction in early neonatal deaths within 24 hours and rates of fresh stillbirths (FSB). Implementation was associated with a significant reduction in neonatal deaths (relative risk [RR] with training 0.53; 95% confidence interval [CI] 0.43-0.65; P ≤ .0001) and rates of FSB (RR with training 0.76; 95% CI 0.64-0.90; P = .001). The use of stimulation increased from 47% to 88% (RR 1.87; 95% CI 1.82-1.90; P ≤ .0001) and suctioning from 15% to 22% (RR 1.40; 95% CI 1.33-1.46; P ≤ .0001) whereas face mask ventilation decreased from 8.2% to 5.2% (RR 0.65; 95% CI 0.60-0.72; P ≤ .0001). HBB implementation was associated with a significant reduction in both early neonatal deaths within 24 hours and rates of FSB. HBB uses a basic intervention approach readily applicable at all deliveries. These findings should serve as a call to action for other resource-limited countries striving to meet Millennium Development Goal 4.

Item Type: Article
Keywords: Helping Babies Breathe; Neonatal Mortality; Fresh Stillbirths; Premature Infants; Birth Asphyxia
Subjects: Demography > Mortality studies
Maternal & Neonatal Health > Neonatal Health
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 04 Feb 2013 05:47
Last Modified: 04 Feb 2013 05:47
URI: http://ihi.eprints.org/id/eprint/1088

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics