1. Helping Babies Breathe:
Neonatal Resuscitative Teaching to Midwives in Ghana, West Africa
By Hannah Matthews, SN and Olivia Meyers, SN
Mentor: Chris Sloan, Ph.D., RN, CNS, CPN

2. Relevance Neonatal mortality in USA 4 out of 1,000 live births
Neonatal mortality in Ghana
29 out of every 1,000
Causes

4. Objective: Helping Babies Breathe Initiative
Purpose:
The purpose of this project was to implement a modified HBB lesson to increase midwives’ competence with neonatal resuscitation
Goal:
To teach usable skills to potentially decrease infant mortality at a hospital in Ghana

5. Helping Babies Breathe
Helping Babies Breathe is an evidence-based educational program designed for low-resource areas
Developed by the American Academy of Pediatrics (AAP)
Birth attendants are taught how to assess and treat newborns in the first moments after birth
Step-by-step algorithm, demonstration, and hands-on practice with NeoNatalie Simulator

6. Trip 1: Summer 2017 Location:
St. Paul’s Hospital for the Handicapped, Akatsi Ghana

7. Methodology Two two-hour education sessions Four midwives
Started with pre-tests about a healthy birth and a birth needing more resuscitative efforts.
Concluded with post-tests and feedback on missed skills

11. What We Did
Day 1
Drying/Assessment
Skin to Skin
Suction
Stimulation

12. What We Did
Day 2
Ventilation
Heart Rate
Post tests
Survey

13. Results Pre-Test Mean Scores OSCE A: 39.2% OSCE B: 37.5%
Post-Test Mean Scores
OSCE A: 71.4%
OSCE B: 83.8%

14. Post-Curriculum Survey
Aspects of class participants found helpful
Hands-on practice, ventilation with ambu bag
Aspects that could be improved upon
Wanted more practice time
Post-Teaching confidence level
All rated 9/10
Aspects still challenging to participants
Ventilation, tight seal, working alone
Do participants feel as if they could teach course to others?
4/4 participants stated yes

15. Challenges Time During a work day Small Sample Size (n = 4)
Long term outcomes
Future suggestions

16. Since then... Sustainability Tina: Midwife
Trained 52 nurses and midwives from St. Paul’s and the district hospital

17. Thank you so much for your time, attention, and participation.
Questions?
Thank you so much for your time, attention, and participation.