Obstetric Immediate Life Support

Back ground

  • It has been estimated that 74% of maternal mortality could be reduced if all women received appropriate emergency obstetric care. (WHO)
  • The outcome of emergency presentation during pregnancy depends on three main delays:

Delay in deciding to seek care

Delay in identifying and reaching health facility

Delay in receiving adequate and appropriate treatment

  • Only a small number of conditions will rapidly and frequently lead to maternal death, if left untreated: haemorrhage, sepsis, unsafe abortion, pre-eclampsia and eclampsia and prolonged obstructed labour.
  • Delay in receiving adequate and appropriate treatment occurs once patient is admitted to the hospital due to lack of knowledge and skills to manage acute life-threatening emergencies by the first responders.
  • Regular training although not mandatory in Sri Lanka, is essential for successful outcome in managing life-threatening emergencies in pregnancy.

Immediate Life Support in Obstetrics

WORKSHOP ON RESUSCITATION IN COMMON OBSTETRIC EMERGENCIES

Key learning outcomes:

  • How to recognize and treat a deteriorating patient using a structured ABCDE approach
  • Recognise the signs and symptoms of common obstetric emergencies
  • How to manage common obstetric emergencies
  • How to manage maternal Cardiac arrest

This course has been designed to reflect changes in resuscitation education. The focus for learning is based on adult learning principles; the role of the lecture has been de-emphasized and the use of small group teaching has been increased. This course has a high ratio of instructors to candidates (1: 3).

This course will prepare first respondent to manage peri-arrest situations and to treat the patient until taken over by a senior multi-disciplinary team.

The simulations are designed to develop team and communication skills.

Total Time – Excluding breaks -6 hours

Programme

Lectures:   

  1. Anatomical and physiological changes in pregnancy in relation to resuscitation.
  2. Advanced Life Support Algorithm

Demonstrations:

  1. ABCDE Approach
  2. Cardiac arrest simulation

Simulation training:

Topics

  1. Obstetric haemorrhage
  2. Thromboembolism
  3. Sepsis
  4. Anaphylaxis
  5. Pre- eclampsia

Obstetric Haemorrhage

Key learning outcomes

By the end of this session the candidate will:

  • Understand the ABCDE approach to the patient with haemorrhage
  • Recognise the signs and symptoms of haemorrhage
  • Know how to manage the patient with haemorrhage

 Venous Thromboembolism

Key learning outcomes

By the end of this session the candidate will:

  • Understand the ABCDE approach to the patient with VTE
  • Recognise the signs and symptoms of VTE
  • Know how to manage the patient with VTE

Maternal Sepsis

Key learning outcomes

By the end of this session the candidate will:

  • Understand the ABCDE approach to the patient with sepsis
  • Recognise the signs and symptoms of sepsis
  • Know how to manage the patient with sepsis

Anaphylaxis

 Key learning outcomes

By the end of this session the candidate will:

  • Understand the ABCDE approach to the patient with anaphylaxis
  • Recognise the signs and symptoms of anaphylaxis
  • Know how to manage the patient with anaphylaxis
  • Understand the indications for the use of intravenous adrenaline and its potential complications

Target groups

  •  Senior registrars, registrars, senior house officers, house officers and nurses involved in managing obstetric patients.

Next course 3rd  Dec 2018 

Course Fee-2000 Rs

Time Table -Download