A program that teaches health care workers in developing countries basic techniques to resuscitate babies immediately after birth is saving lives, according to a study to be presented Tuesday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Denver.
Called Helping Babies Breathe, the program focuses on simple techniques such as rubbing the baby dry, keeping the baby warm and suctioning the baby's mouth, all within the first minute of life called "The Golden Minute." If the baby does not start breathing at this time, the provider has been taught to initiate face mask ventilation to "help the baby breathe." The program is designed to be implemented in settings where oxygen, chest compression, intubation and medications are not feasible or available.
Approximately 1 million newborns in the developing world die each year due to birth asphyxia, which is the failure to initiate or sustain spontaneous breathing at birth. "We postulated that many of these deaths are easily preventable if basic resuscitation interventions are undertaken soon after birth," said study co-author Jeffrey M. Perlman, MD, FAAP.
Helping Babies Breathe was piloted in Tanzania by the Ministry of Health in September 2009. Nurse midwives as well as physicians, assistant medical officers, and medical and nursing students were taught the steps to take immediately after birth to evaluate babies and stimulate breathing. Educational materials are culturally sensitive and include pictures. Birth attendants also have access to basic equipment, including realistic newborn simulators, boilable bag-mask ventilation devices and boilable bulb suction devices.
Four hospitals collected data for three months before and three to four months after the program was implemented. Results showed that the mortality rate dropped 50 percent after program implementation from 13.4 deaths per 1,000 births to 6.3 deaths per 1,000 births.
"This is terribly exciting because if these findings are sustained, then this represents for the first time a reversal of birth asphyxia-related mortality," said Dr. Perlman, professor of pediatrics at Weill Cornell Medical College and division chief of newborn medicine at New York Presbyterian Hospital, New York City.
In addition, Helping Babies Breathe could help developing countries meet United Nations Millennium Developmental Goal 4 targets, which call for reducing mortality among children under 5 by two-thirds from 1990 to 2015.
"Currently, none of the countries in Sub-Saharan Africa is close to meeting the goals," Dr. Perlman said.
Helping Babies Breathe is an initiative of the American Academy of Pediatrics and other global health partners. The curriculum was developed with input from the World Health Organization.
To view the abstract, go to http://www.abstracts2view.com/pas/view.php?nu=PAS11L1_1508.
The Pediatric Academic Societies (PAS) are four individual pediatric organizations who co-sponsor the PAS Annual Meeting – the American Pediatric Society, the Society for Pediatric Research, the Academic Pediatric Association, and the American Academy of Pediatrics. Members of these organizations are pediatricians and other health care providers who are practicing in the research, academic and clinical arenas. The four sponsoring organizations are leaders in the advancement of pediatric research and child advocacy within pediatrics, and all share a common mission of fostering the health and well being of children worldwide. For more information, visit www.pas-meeting.org. Follow news of the PAS meeting on Twitter at http://twitter.com/PedAcadSoc.
Susan Martin | EurekAlert!
Microgel powder fights infection and helps wounds heal
14.11.2018 | Michigan Technological University
Spread of deadly eye cancer halted in cells and animals
13.11.2018 | Johns Hopkins Medicine
Biochips have been developed at TU Wien (Vienna), on which tissue can be produced and examined. This allows supplying the tissue with different substances in a very controlled way.
Cultivating human cells in the Petri dish is not a big challenge today. Producing artificial tissue, however, permeated by fine blood vessels, is a much more...
Faster and secure data communication: This is the goal of a new joint project involving physicists from the University of Würzburg. The German Federal Ministry of Education and Research funds the project with 14.8 million euro.
In our digital world data security and secure communication are becoming more and more important. Quantum communication is a promising approach to achieve...
On Saturday, 10 November 2018, the research icebreaker Polarstern will leave its homeport of Bremerhaven, bound for Cape Town, South Africa.
When choosing materials to make something, trade-offs need to be made between a host of properties, such as thickness, stiffness and weight. Depending on the application in question, finding just the right balance is the difference between success and failure
Now, a team of Penn Engineers has demonstrated a new material they call "nanocardboard," an ultrathin equivalent of corrugated paper cardboard. A square...
Physicists at ETH Zurich demonstrate how errors that occur during the manipulation of quantum system can be monitored and corrected on the fly
The field of quantum computation has seen tremendous progress in recent years. Bit by bit, quantum devices start to challenge conventional computers, at least...
09.11.2018 | Event News
06.11.2018 | Event News
23.10.2018 | Event News
15.11.2018 | Earth Sciences
15.11.2018 | Physics and Astronomy
15.11.2018 | Physics and Astronomy