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Implementing a simplified neonatal resuscitation protocol-helping babies breathe at birth ( HBB ) - at a tertiary level hospital in Nepal for an increased perinatal survival . BACKGROUND Reducing neonatal death has been an emerging challenge in low and middle income countries in the past decade . The development of the low cost interventions and their effective delivery are needed to reduce deaths from birth asphyxia . This study will assess the impact of a simplified neonatal resuscitation protocol provided by Helping Babies Breathe ( HBB ) at a tertiary hospital in Nepal . Perinatal outcomes and performance of skilled birth attendants on management of intrapartum-related neonatal hypoxia will be the main measurements . METHODS/DESIGN The study will be carried out at a tertiary level maternity hospital in Nepal . A prospective cohort-study will include a six-month baseline a six month intervention period and a three-month post intervention period . A quality improvement process cycle will introduce the neonatal resuscitation protocol . A surveillance system , including CCD cameras and pulse oximeters , will be set up to evaluate the intervention . DISCUSSION Along with a technique to improve health workers performance on the protocol , the study will generate evidence on the research gap on the effectiveness of the simplified neonatal resuscitation protocol on intrapartum outcome and early neonatal survival . This will generate a global interest and inform policymaking in relation to delivery care in all income settings . TRIAL REGISTRATION ISRCTN97846009 .
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Intervention_Educational
simplified neonatal resuscitation protocol-helping
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Intervention_Educational
simplified neonatal resuscitation protocol
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Intervention_Physical
CCD cameras
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Intervention_Physical
pulse oximeters
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Outcome_Mortality
perinatal survival .
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Outcome_Mortality
neonatal death
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Outcome_Mortality
deaths
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Outcome_Other
management of intrapartum-related neonatal hypoxia
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Outcome_Other
health workers performance
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Outcome_Mortality
intrapartum outcome and early neonatal survival .
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Participant_Condition
neonatal resuscitation protocol-helping babies breathe at birth