Prolonged & Obstructed Labor — Facilitator

Prolonged & Obstructed Labor


Course by Jhpiego


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

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 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.

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.

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.

Provider Guides

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


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


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

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 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.

  • Additional knowledge questions
  • English

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.

  • Knowledge Assessment_Ans 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 2 Evaluation for eligibility for oxytocin infusion
  • English
  • French


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

Agendas and Logistics



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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