Helping Babies

Breathe
Global Health Morning Report

June 27th, 2014
Sara 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 babys 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 Trainers
o 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