Bleeding After Birth Complete
With this course participants will develop the knowledge, skills, and competency to prevent and manage post-partum hemorrhage —the leading cause of maternal death.
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. It intended for skilled birth attendants to enhance their ability for ongoing management of post-partum hemorrhage.
Hands-on skills practice is essential for the course. Make sure your participants have the equipment and time needed to practice.
Share with your course participants
We have gathered all the resources that you need to share with your course participants in one place. Share this link with them hmbs.org/course/babc-participant
Here you can find online materials and PDFs to view and download. You should also have printed materials during the course. You can order printed materials from Laerdal. The countries with highest mortality rates qualify for non-profit prices.
The course materials in English have been updated in 2022 to meet the most recent WHO recommendations (BABC second edition). The course materials in French and Spanish are still available in the first edition.
During the BABC training every group of six participants will need
- 1 set of Action Plans
- 6 Provider Guides (one per participant)
- Maternal simulator, we suggest MamaNatalie
- Towel to create clean/sterile area
- Cloths for newborn
- Baby hat
- Sample oxytocin vial
- Sample additional uterotonics as used in local setting
- Sample TXA and mock TXA vial and diluent
- Urinary catheter & bag
- 3 BP machines – cradle devices
- Basin for placenta
- Large floor protector (shower curtain or other)
- Paper/cloth towels for cleaning up spills
- Waste bin
- Personal protective equipment
For the blood estimation exercise you will need
- 4 bowls
- 500ml red fruit jam
- A small amount of gauze
- Towel or culturally appropriate cloth
Regular practice reinforces new knowledge and skills. Practice also develops skills and improves teamwork and clinical decision-making. Ensure that participants are able to continue low-dose, high-frequency simulation practice.
Select and train Practice Coordinators
Ask one or two people from each facility to coordinate practice sessions. The coordinator will remind their colleagues to practice and will guide the sessions. Prepare Practice Coordinators, so they know how to support their peers.
The last pages of the Provider Guide include 10 practice sessions.
Download the Provider Guide
Participants can complete a confidence check before and after the training. This provides insights in the learning needs and process for both participants and facilitators.
Pre and post course Knowledge Check
Participants should complete a knowledge check before and after the training. This provides insight in the theoretical learning needs and process for both participants and facilitators.
Objective Structured Clinical Exam (OSCE) is a method to assess clinical skill(s) performance and competence. Participants should perform the OSCEs at the end of the course to gain a certificate.
- OSCE 1 AMTSL
- OSCE 2 Retained placenta
- OSCE 3 Atony
- OSCE 4 Uterine balloon tamponade
- OSCE 5 Repair of cervical tear
- OSCE 6 Non-pneumatic anti-shock garment
Download and modify these documents to fit your purpose when preparing and evaluating your course.
- Preparations check list
- Participant characteristics
- Participant certificate
- Participant evaluation of the course
This course was developed by Jhpiego, an organization that creates and delivers transformative health care solutions that save lives. They believe that where people live should not determine if they live. In partnership with national governments, health experts and local communities, Jhpiego builds health providers’ skills and develops systems that save lives now and guarantee healthier futures for women and their families. Jhpiego’s dedicated team of technical experts in human resource development; maternal and newborn health; monitoring, evaluation and research; in concert with global partners has brought the HMS suite of training materials forth to improve quality of care at birth.