Department of Pediatrics, University of Washington, Seattle, Washington.
Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Pediatrics. 2020 Oct;146(Suppl 2):S112-S122. doi: 10.1542/peds.2020-016915D.
Helping Babies Breathe (HBB) addresses a major cause of newborn mortality by teaching basic steps of neonatal resuscitation and improving survival rates of infants affected by intrapartum-related events or asphyxia. Addressing the additional top causes of mortality (infection and prematurity) requires more comprehensive education, including content on thermal and nutritional support, breastfeeding, and alternative feeding strategies, as well as recognition and treatment of infection. Essential Care for Every Baby (ECEB) and Essential Care for Small Babies (ECSB) use educational principles developed with HBB as a model for teaching basic newborn care. These programs complement the content provided with HBB, further integrate counseling of families, and advance the agenda of providing quality care to all infants at birth. ECEB and ECSB have further demonstrated that engagement of individuals through active participation in their education empowers providers at all levels. With added experience teaching and implementing ECEB and ECSB, the next generation of newborn educational programs will likely incorporate bedside teaching and clinical exposure, multimedia platforms for demonstrating clinical content, and added efforts toward quality improvement. Through ECEB and ECSB, the attention brought to the newborn health agenda with HBB has only grown. Although current global health issues pose new challenges in implementing this agenda, these programs together provide a critical framework to both educate and advocate for optimal care of every newborn.
帮助婴儿呼吸 (HBB) 通过教授新生儿复苏的基本步骤和提高因分娩期间相关事件或窒息而受影响的婴儿的存活率,解决了新生儿死亡的一个主要原因。解决其他主要死因(感染和早产)需要更全面的教育,包括关于热和营养支持、母乳喂养和替代喂养策略的内容,以及对感染的识别和治疗。每个婴儿的基本护理 (ECEB) 和小婴儿的基本护理 (ECSB) 使用 HBB 作为教学基本新生儿护理的模型的教育原则。这些方案补充了 HBB 提供的内容,进一步纳入了对家庭的咨询,并推进了为所有新生儿提供优质护理的议程。ECEB 和 ECSB 进一步证明,通过积极参与教育来调动个人,可以增强各级提供者的能力。随着在教授和实施 ECEB 和 ECSB 方面经验的增加,下一代新生儿教育方案可能会纳入床边教学和临床体验、用于演示临床内容的多媒体平台,以及为提高质量而做出的额外努力。通过 ECEB 和 ECSB,HBB 为新生儿健康议程带来的关注只会越来越大。尽管当前的全球卫生问题给实施这一议程带来了新的挑战,但这些方案共同为教育和倡导每个新生儿的最佳护理提供了一个关键框架。