Essential Care for Labor and Birth — Participant

Essential Care for Labor and Birth

Essential Care for Labor and Birth

Course by Jhpiego


With Essential Care for Labor & Birth (ECL&B) you will gain knowledge, skills, and confidence to care for mothers. The course focuses on respectful care and a normal, healthy labor and birth.

  • Hands-on skills practice is essential for the course.
  • This page provides you with the information and resources you need to participate in the course. Please follow guidance from your facilitator.

Learning materials

Here you can find PDFs of the course materials that you can view digitally or download. In some cases your facilitator will also provide printed versions.

ECL&B online

Here you can find the course for online learning and hands on practice. Follow the instructions from your facilitator.

Action Plan

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

English | French | Spanish

Provider Guide

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

English — International | English — African | French | Spanish


Welcome Mother
Respectful Care During Birth
Preventing infection at birth
The Position of the Baby
Vaginal Exam in Labor
Giving good care during labor
Managing the second stage of labor
Birthing the baby
Immediate care after birth
Continue care
Demonstration: Dry the baby, Check breathing, Place skin-to-skin
Demonstration: Deliver placenta, Check uterus
Demonstration: Encourage to move, drink
Demonstration: Support birth
Demonstration: Support choice of position
Demonstration: Vaginal examination
Demonstration: Assess contractions
Demonstration: Quick check
Demonstration: Monitor woman and baby


During practice of Essential Care for Labor and Birth you will need:

  • Action Plan
  • Provider Guide
  • Pregnancy wheels or calendars
  • Pens/pencils, paper, blank partographs and/or client records
  • BP machine – 1 per 2 learners
  • Stethoscope – 1 per 2 learners
  • Thermometer
  • Birth simulator with newborn model
  • Gloves (clean and sterile)
  • Fetoscope/Doppler and ultrasound gel
  • Measuring tape
  • Soap or alcohol based hand rub
  • Videos and projector/laptop (if using)
  • Towels, baby hat, and blanket
  • Scissors or blade
  • Hemostats, clamps, ties for cord
  • Basin for placenta
  • Personal protection for provider
  • Mock oxytocin, misoprostol, syringes and needles
  • Suction device for baby
  • Ventilation bag and mask for baby
  • Clock/watch
  • Container for safe sharps disposal
  • Gauze

If you are attending an online training you will also need

  • Smartphone, tablet or computer with camera and microphone

Sustainable practice

Regular practice reinforces new knowledge and skills. Practice also develops skills and improves teamwork and clinical decision-making. You can use Simulation Practice Cards to practice.

In addition, The last pages of your Provider Guide include 10 practice sessions for you to continue practice in your facility after the course.

Download the Provider Guide

English — International | English — African | French | Spanish

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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