Bleeding After Birth Complete — Facilitator

Bleeding After Birth Complete


Course by Jhpiego


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.

On this page you will find what you need to plan and facilitate the course: Learning materials, Equipment, Videos, Assessments and LDHF 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

Learning materials

Here you can find 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. If you prefer you can get the printing files free of charge, to print locally.

The course materials in English and French have been updated in 2022 to meet the most recent WHO recommendations (BABC second edition). The course materials in Spanish are still available in the first edition.

Action Plans

The Action Plans will guide during the course. After the course, keep it visible in your facility to help you remember what you have learned.

Flip Chart

The Flip Chart will support your facilitation of the course.

Provider Guide

This guide will help you continue practicing and improve the quality of care.


Bleeding After Birth
Managing the Third Stage of Labor
Uterine Compression
Using an Anti-Shock Garment
Aortic Compression
Uterine Balloon Tamponade
Manual Removal of the Placenta
Cervical Tears
Managing Severe Bleeding After Birth
Examining the Placenta


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
  • 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

For the blood estimation exercise you will need

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

Sustainable practice

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


Confidence Check

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.

  • Day 1 Knowledge Check Answer Key
  • English
  • Day 2 Knowledge Check Answer Key
  • English


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 4 Uterine balloon tamponade
  • English
  • OSCE 5 Repair of cervical tear
  • English
  • OSCE 6 Non-pneumatic anti-shock garment
  • English


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

  • Participant Characteristics
  • English

Agenda and Logistics

  • Participant Sign-In Sheet
  • English


About Jhpiego

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.

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