Clinical Bundle: Neonatal Resuscitation

A bundle is a small set of related evidence-based practices – generally three to five, that, when performed collectively and reliably to address a common problem, result in improved patient outcomes. This clinical bundle focuses on newborn resuscitation. When complications arise during childbirth and are not recognized or properly dealt with on a timely basis, a baby may emerge stillborn or be born alive but severely stressed and may not breathe. Unless stimulation and efforts to resuscitate are begun immediately, many babies quickly die of birth asphyxia.

USAID’s MaMoni Maternal and Newborn Care Strengthening Project (MaMoni MNCSP) developed a set of Maternal and Newborn Health Quality Improvement (MNHQI) bundles for the Government of Bangladesh to increase provider skills and create an enabling environment to demonstrate results over time. Bundles do not represent comprehensive care; rather they form one among many strategies to improve care practices. They are based on national protocols, guidelines, standard operating procedures, and the World Heath Organization (WHO) Quality of Care (QoC) framework. These 17 bundles were implemented in 232 facilities in 14 project-supported districts.