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Helping Babies Breathe: Neonatal Resuscitative Teaching to Midwives in Ghana, West Africa

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. Relevance. Neonatal mortality in USA 4 out of 1,000 live births Neonatal mortality in Ghana

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Helping Babies Breathe: Neonatal Resuscitative Teaching to Midwives in Ghana, West Africa

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  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

  3. 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

  4. 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

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

  6. 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

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

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

  9. 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%

  10. 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

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

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

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

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