Helping Babies Breathe™Global Health Morning Report

June 27th, 2014Sara Scranton, MD/PGY-3

Agenda

Background of the problem

HBB description The work that is being

done in India How to become certified How you can help if

interested

Well Baby Nursery“Peds not called, WDS, Apgar's 8,9”

These words are very powerful: Appropriate setting for a newborn Breathing was assessed Stimulation and drying was provided Trained birth attendants present (can bag mask a baby until

further personnel arrive) We take these things for granted in developed countries

but they are essential interventions

Motafofalia, India (2012) Warmer not set up ahead of

time No skilled birth attendant for

the newborn (The baby is care for by the janitorial staff called “sweepers”)

The baby’s breathing is not assessed

The baby is not stimulated dried properly

If the newborn does not breathe on its own it is labeled as a “stillborn”

What We Know (Global Statistics) 1 in every 10 babies born does not

breathe spontaneously after birth More than 40% of child deaths

worldwide occur in the neonatal period

WHO estimates 1 million babies die each year from birth asphyxia (e.g.. inability to breathe immediately after delivery)

These deaths are preventable

Helping Babies Breathe™ Evidence-based educational program to teach neonatal

resuscitation techniques in resource-limited areas

It is an initiative of the American Academy of Pediatrics (AAP) in collaboration with the World Health Organization (WHO), US Agency for International Development (USAID), Saving Newborn Lives, the National Institute of Child Health and Development, and a number of other global health organizations.

Helping Babies Breathe™

The Golden Minute ®: Within one minute of birth, a baby should be breathing well or should be ventilated with a bag and mask. The Golden Minute identifies the steps that a birth attendant must take immediately after birth to evaluate the baby and stimulate breathing.

Helping Babies Breathe™

An evidence-based educational program culturally sensitive, pictorial-based learning materials

Realistic newborn simulator All equipment has been tested for durability in a variety

of climates and teaching conditions

Helping Babies Breathe™

Helping Babies Breathe™

Objective: To ensure that all babies are born with a skilled birth attendant present.

We have the same Objective for Motafofalia, Gujarat, India

Our Work in Mota Fofalia Train the staff (sweepers, ward boys, nurses) that care

for newborns in core concepts of newborn resuscitation with HBB protocol Set up Assessing for breathing Appropriate drying and stimulation Bag and Mask Ventilation

Master Trainerso Helping Babies Breathe ™ Master Trainer Course Held in

January 2014 for those residents going to either India or Nepal

Master Trainers Dr. Fassl became a Master Trainer at

a national course held by the AAP 8 pediatric residents ultimately

trained and certified by Dr. Fassl as Master Trainers (5 going to India)

HBB Trainings in India

Five HBB Courses held in MF Feb-March, 2014 Nurses, Ward boys, Sweepers

HBB Trainings in India

As new staff is hired the pediatric residents continue to train them with the HBB protocol for newborn resuscitation

More Information A Master Trainer course in HBB will again be held this year!

Watch for more information in your emails. Noon conference TODAY: India Global Health Rotation

Learn about different resident projects taking place there

More Information To learn more about HBB or a global

health rotation in Mota Fofalia, India contact: Bernhard Fassl, MD

Or talk to one of us! (Residents who have rotated there) Eric Coon, MD Hannah Kirking, MD Sara Scranton, MD Jessica Miller, MD Erin Bennett, MD Caitlin Kaeppler, MD