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:
- Anatomical and physiological changes in pregnancy in relation to resuscitation.
- Advanced Life Support Algorithm
Demonstrations:
- ABCDE Approach
- Cardiac arrest simulation
Simulation training:
Topics
- Obstetric haemorrhage
- Thromboembolism
- Sepsis
- Anaphylaxis
- 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
| Date | Course | Course Centre | Course director | |
| 14.02.2020 | Wed | ILS Obs | College- Colombo | Dr. Nilmini Wijesuriya |
| 28.03.2020 | Fri | ILS Obs | NCTH-Ragama | Dr. Nilmini Wijesuriya |
| 22.05.2020 | Mon | ILS Obs | College- Colombo | Dr. Nilmini Wijesuriya |
| 28.07.2020 | Mon | ILS Obs | NCTH-Ragama | Dr. Nilmini Wijesuriya |
Course Fee-3000 Rs
