Prolonged & Obstructed Labor — Facilitator

Prolonged & Obstructed Labor

Facilitator

Course by Jhpiego

Introduction

This course is designed to reduce maternal and newborn deaths related to prolonged or obstructed labor. Participants will learn how to assess, monitor, and support women whose labor is not progressing normally, or those who experience difficulties in labor. For example, abnormal presentation or position of the baby, ineffective contractions, and shoulder dystocia.

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 hmbs.org/course/pol-participant

Learning materials

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 in English from Laerdal (Coming soon). 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.

Flip Charts

The Prolonged & Obstructed Labor course is covered in two Flip Charts. Part one for Assessment, and part 2 for management. The Flip Charts will support your facilitation of the course. Use the printed Flip Chart to facilitate the course when internet access is limited. The PDF has interactive links that you can explore. You can also download the same videos that are available in the online course here, to use alongside the Flip Chart.

Action Plan

The Action Plan will guide the training. Make sure participants have a printed version available. After the course, it can be used in the facility as a job aid.

Provider Guide

Every participant should have a Provider Guide to keep. The guide will support them to continue practice and improve the quality of care.

Videos

Handwashing
Listening to the Baby’s Heart
Prolonged Labor
Giving Good Care
Uterine Infection
Using Oxytocin to Treat Prolonged Labor
Stuck Shoulders
Breech Birth

Download videos

Equipment

During the POL training, every group of six participants will need

  • Pregnancy wheels or calendars
  • Pens/pencils, paper, blank partographs .
    and/or client records/labor
    documentation tool, referral forms
  • 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
  • Towels, baby hat, and blanket
  • Scissors or blade
  • Hemostats, clamps, ties for cord
  • Basin for placenta
  • Personal protection for provider
  • Mock oxytocin, misoprostol, ampicillin,
    gentamicin, betamimetics, rubbing
    alcohol, syringes and needles
  • IV giving set., tourniquet, and fluids
    (normal saline, Ringer’s Lactate,
    5% glucose)
  • IV pump, if available
  • Indwelling catheter with collection bag
  • Suction device for baby
  • Ventilation bag and mask for baby
  • Clock/watch with second hand
  • Gauze

Assessments

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.

Download

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.

OSCEs

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.

Templates

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

Participant Characteristics

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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