Hi, I'm Peter Johnson, and I want to introduce my colleague, Cherrie Evans, and we're both midwives from Jhpiego, and we're here to show you the Helping Mothers Survive Bleeding After Birth Module which is the first module in the Helping Mothers Survive Series. Helping Mothers Survive is designed take training two teams of individuals who are responsible for managing childbirth and helping them to develop the skills to prevent the needless death of women from those conditions that are most responsible on the day of birth.
So Cherrie is going to help me to show the simulator, and then we're going to show the training materials. MamaNatalie is a strap on simulator, so Cherrie as a midwife can wear it and deliver a baby for both demonstration and practice, and inside there is a uterus, and the uterus zips open for accessibility. And inside the uterus, we have NeoNatalie who is the same simulator for the Helping Babies Breathe program for newborn resuscitation. So training works pretty seamlessly with the Helping Babies Breathe training. And there is a placenta, and there is an opportunity with the placenta to remove a part because a retained placenta, a piece being left inside is a common cause of bleeding after birth. And then behind the uterus, we see that there is a balloon here, and this balloon allows Cherrie to squeeze one side and through the uterus and the skin, my being able to see that the uterus is firm, the way it is supposed to be after a birth, or she can let that go, and all the air will go to the back and the uterus will be bobbing which is another common cause of bleeding after birth. And then behind there, there is a reservoir that will hold up to a liter of blood, and this can be refilled with red colored dye water. And Cherrie can control the amount of bleeding based on the actions I take whether they are appropriate or not. There's just a lever back here to turn the bleeding up or down.
So the materials that we are using along with the MamaNatalie simulator are designed to be taken and left at the facilities for the teams. We have a Helping Mothers Survive Providers Guide which helps people to know what the standards are that they have to meet and that helps them to go through the training that they need and prescribes the training they need in order to be able to do that. We have a flip book that a master trainer would take out, and leave with the peer practice coordinator to facilitate on-going training after the master trainer leaves. And we have a tri-colored action plan which is similar to the one for Helping Babies Breathe, and will be a cornerstone of Helping Mothers Survive, where what we're trying to do is just like a stop light, keep people in the green by preventing hemorrhage. In this case recognizing that there is a large area of yellow, which means there are a lot of actions that a provider, if they make the right decisions, can use to keep the mother out of the red, and get them back into the green or at least get them to a higher level of care and then there is a smaller area in the red here where we are helping people to learn some of the life saving measures that they might need in order to save the mother if all else fails. So those are the components for the Helping Mothers Survive training.