{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:10:21Z","timestamp":1791461421565,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This paper examines the change in neonatal resuscitation practices after the implementation of the Helping Babies Breathe (HBB) programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review was carried out on studies reporting the impact of HBB programmes among the literature found in Medline, POPLINE, LILACS, African Index Medicus, Cochrane, Web of Science and Index Medicus for the Eastern Mediterranean Region database. We selected clinical trials with randomised control, quasi\u2010experimental and cross\u2010sectional designs. We used a data extraction tool to extract information on intervention and outcome reporting. We carried out a meta\u2010analysis of the extracted data on the neonatal resuscitation practices following HBB programme using Review Manager.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four studies that reported on neonatal resuscitation practices before and after the implementation of the HBB programme were identified. The pooled results showed no changes in the use of stimulation (RR\u20100.54; 95% CI, 0.21\u20131.42), suctioning (RR\u20100.48; 95% CI, 0.18\u20131.27) and bag\u2010and\u2010mask ventilation (RR\u20100.93; 95% CI, 0.47\u20131.83) after HBB training. The proportion of babies receiving bag\u2010and\u2010mask ventilation within the Golden Minute of birth increased by more than 2.5 times (RR\u20102.67; 95% CI, 2.17\u20133.28).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The bag\u2010and\u2010mask ventilation within Golden minute has improved following the HBB programme. Implementation of HBB training improves timely initiation of bag\u2010and\u2010mask ventilation within one minute of birth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14706","type":"journal-article","created":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T17:52:55Z","timestamp":1545673975000},"page":"806-813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Does the Helping Babies Breathe Programme impact on neonatal resuscitation care practices? Results from systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"108","author":[{"given":"Shyam Sundar","family":"Budhathoki","sequence":"first","affiliation":[{"name":"School of Public Health and Community Medicine B.P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rejina","family":"Gurung","sequence":"additional","affiliation":[{"name":"Golden Community Jawagal Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Ewald","sequence":"additional","affiliation":[{"name":"International Maternal and Child Health Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeevan","family":"Thapa","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine B.P Koirala Institute of Health Sciences Dharan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0541-4486","authenticated-orcid":false,"given":"Ashish","family":"KC","sequence":"additional","affiliation":[{"name":"International Maternal and Child Health Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60496-7"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31575-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31593-8"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2010.09.009"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.021"},{"key":"e_1_2_10_9_1","unstructured":"United Nations.Sustainable Development GOALS \u2010 17 Goals to transform our world [Internet]. Sustainable development goals \u2010 United Nations 2016. Available at:https:\/\/www.un.org\/sustainabledevelopment\/home\/(accessed on November 23 2018)."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-S3-S12"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-10-S1-S2"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-10-S1-S6"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000267"},{"issue":"1","key":"e_1_2_10_14_1","first-page":"S47","article-title":"Neonatal resuscitation in low\u2010resource settings : what, who, and how to overcome challenges to scale up ?","volume":"107","author":"Wall SN","year":"2010","journal-title":"Int J Gynaecol Obs."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-15-S2-S4"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2015.06.005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000043"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2016.04.013"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0102080"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0117"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1795"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2112"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.04.005"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-017-0853-5"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2016-003243"},{"key":"e_1_2_10_26_1","unstructured":"LP Kak J Johnson R McPherson W Keenan E Schoen 2015 American Academy of Pediatric"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.04.026"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.04.014"},{"key":"e_1_2_10_29_1","unstructured":"Sch\u00fcnemannH Bro\u017cekJ GuyattG OxmanA editors.The Cochrane Collaboration. GRADE handbook for grading quality of evidence and strength of recommendations 2013."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyq036"},{"key":"e_1_2_10_31_1","unstructured":"Effective Practice and Organisation of Care (EPOC).Suggested risk of bias criteria for EPOC reviews [Internet]. EPOC Resources for review authors.Oslo:Norwegian Knowledge Centre for the Health Services 2017:1\u20134. Available at:https:\/\/epoc.cochrane.org\/sites\/epoc.cochrane.org\/files\/public\/uploads\/Resources-for-authors2017\/suggested_risk_of_bias_criteria_for_epoc_reviews.pdf(accessed on November 23 2018)."},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.09.016"},{"key":"e_1_2_10_33_1","doi-asserted-by":"crossref","unstructured":"HigginsJP GreenS.Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book 2008.","DOI":"10.1002\/9780470712184"},{"key":"e_1_2_10_34_1","unstructured":"The Cochrane Collaboration.RevMan 5 | Cochrane Community. Cochrane Community 2014."},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-312809"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13835"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.04.019"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/20469047.2016.1219119"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fapa.14706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.14706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.14706","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.14706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T00:09:18Z","timestamp":1694390958000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.14706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,24]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1111\/apa.14706"],"URL":"https:\/\/doi.org\/10.1111\/apa.14706","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,24]]},"assertion":[{"value":"2018-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}