Helping Mothers and Babies Survive HMBS

Bleeding After Birth Complete

Identify and manage postpartum hemorrhage, the leading cause of maternal, building the capacity of entire teams.

Program partner

Introduction

The first part of the course is intended for all team members who interact with pregnant, laboring, and post-partum women at any level of the health system. The second part covers prevention and management of shock, to enable healthcare providers in the ongoing management of postpartum hemorrhage.

The learning materials available on this page do not reflect the latest updates to the WHO guidelines. Adaptations are currently underway – updated materials will come soon.

If you would like to request the interim Action Plan being developed, please email [email protected].

Learning objectives

  • Active management of third stage of labor
  • Early detection and basic management of post-partum hemorrhage
  • Bimanual compression
  • Management of shock
  • Manual removal of placenta
  • Cervical laceration repair
  • Uterine balloon tamponade
  • Use of the non-pneumatic anti-shock garment.

Duration

1 or 2 days depending on your audience and facility. Day 1 is for everyone caring for women at birth and Day 2 is for advanced skills for skilled birth attendants.

Facilitator-to-participant ratio

1 facilitator for every group of 6 participants.

Learning materials

Download and preview the materials you will need. You should also have printed materials during a training. You can order printed materials from Laerdal, or download the printing files free of charge to print locally. To calculate how many copies you need, keep in mind that there should be one facilitator for every group of six participants.

Order printed materialsDownload print package - EnglishFrench

These materials are copywrited and should not be altered. Contact us for inquiries about translations and adaptations.

Videos

Video list containing a total of 10 videos
  • Real birth videos by Global Health Media

Video downloads

Assessments

As part of the learning process, every training program includes assessments for the participants. You can download and print the assessments.

Download assessment package - EnglishLearn more about assessmentsFrench

Looking for online LIFT assessments? Visit laerdal-lift.com

Equipment

Every group of 6 of participants will need these items to practice during the training. The equipment should also be available for practice in the facilities after the training.

  • Maternal simulator, we suggest MamaNatalie
  • Towel to create clean/sterile area
  • Cloths for newborn
  • Baby hat
  • Scissors
  • Clamps
  • Ties
  • Sample oxytocin vial
  • Sample additional uterotonics as used in local setting
  • Sample TXA and mock TXA vial and diluent
  • Syringe
  • Pinard
  • Stethoscope
  • Urinary catheter & bag
  • 3 BP machines – cradle devices
  • Resuscitator
  • Basin for placenta
  • Gloves
  • Large floor protector (shower curtain or other)
  • Paper/cloth towels for cleaning up spills
  • Waste bin
  • Tape
  • Personal protective equipment
  • Optional: Videos and projector or computer

For the blood estimation exercise you will need

  • 4 bowls
  • 500ml red fruit jam
  • A small amount of gauze
  • Towel or culturally appropriate cloth

Templates

Download and modify these documents to fit your needs when preparing and evaluating your course.

Package contains:

  • Practice coordinator certificate
  • Practice Coordinator Orientation Session Plan
  • Trainer evaluation
  • Participant Evaluation
  • Trainer certificate
  • Master Trainer Certificate
  • Master Trainer Course Agenda
  • Participant Certificate
  • Participant Course Agenda
  • Preperation Checklist
  • Room layout
  • Clinical Coaching Skills
  • Participant Sign-In Sheet
  • Practice coordinator evaluation
Download template package