PRE-CONFERENCE WORKSHOP # 5 Print


THE EMERGENCY OBSTETRIC AND NEWBORN CARE TRAINING PACKAGE (EOC & NC)
When: Wednesday, October 2, 2013, 09:30 – 11:00
Where: Hilton Addis Ababa, Ethiopia
Registration Fee: none
Maximum Number of Participants: 18 - 20
Facilitators: Maternal and Newborn Health Unit, Liverpool School of Tropical Medicine, UK
Deadline for Registration: Monday, September 9, 2013    - CLOSED -
Background
Provision of Skilled Birth Attendance (SBA), Emergency (or Essential) Obstetric Care (EmOC) and early Newborn Care (NC) are crucial interventions to address the global burden of maternal and newborn mortality and morbidity. The purpose of the LSS-EOC & NC training package is to develop the capacity of existing healthcare providers to meet demand and provide a standard of care that will improve the health of women and their babies.

The EOC and NC ‘skills and drills' training package is designed to cover the five major causes of maternal death - haemorrhage, sepsis, eclampsia, obstructed labour and complications of abortion as well as the nine signal functions of EmOC.

There are a number of core ‘modules' which include the following:
Communication, triage and referral
Resuscitation of mother and newborn
Shock and the unconscious patient
Severe pre-eclampsia and eclampsia
Haemorrhage
Obstructed labour
Sepsis
Assisted delivery
Common obstetric emergencies
Complications of abortion
Early newborn care

The training package includes a section on surgical skills.

The EOC & NC training package was designed and developed by the Liverpool School of Tropical Medicine (LSTM) and the Royal College of Obstetricians and Gynaecologists (RCOG) in collaboration with the World Health Organisation in Geneva (WHO). The training package was piloted extensively in 2007 and is now used in a variety of settings in both Africa and Asia.
There are pre-designed materials for delivery of the training package which include a simple manual: Life Saving Skills - Essential Obstetric and Newborn Care (RCOG Press 2006, revised 2008) and a Facilitators Guide (RCOG Press, 2009).
Lectures and content of breakout sessions, discussions and demonstrations are standard and documented in the Facilitator Guide. This also contains practical details of the course infrastructure. Both the manual and course content were designed with an awareness of the very real barriers to accessing care that women have, as well as with the realisation that many health care providers trying to provide skilled attendance at birth and essential (or emergency) obstetric care for women with complications, work in difficult circumstances with limited resources. All case scenarios are based on actual everyday scenarios.
A multidisciplinary approach has been seen by many as the basis for effective delivery of LSS-EOC & NC training: thus all cadres of staff involved in obstetric and newborn care are targeted and preferably trained as a team.
Aims and Rationale
The aim of this workshop is to introduce participants to the EOC&NC training package and to allow them to practice a variety of skills using simulation and mannequins.

At the end of the workshop, participants should be able to
1.
Understand the components of Emergency Obstetric Care and Early Newborn Care
2.
Understand the importance of teamwork and a structured approach to managing a woman requiring emergency obstetric care
3.
Have had the opportunity to practice one or more of the skills needed to provide Emergency Obstetric Care and Early Newborn Care

Description
The workshop format will be as follows:
1.
A brief lecture to introduce the EOC and NC training package and components of Emergency Obstetric Care and Newborn Care (15 minutes)
2.
An opportunity for participants to break into 3 groups of 6-8 participants to practice skills using mannequins and equipment provided and/or role play. (60 minutes with rotation to various stations at 15 minute intervals)
3.
Recap and questions. (15 minutes)

Implications for practice
Updating skilled health workers (midwives and medical doctors) as part of a team, with the knowledge and skills necessary to effectively manage women and babies requiring an emergency response using a ‘skills and drills' approach is both fun and beneficial and will improve quality of care as well as motivation, enthusiasm and team work.

Obstetricians, midwives and health care managers who are interested to help facilitate the EOC & NC training package in low resource countries will be able to speak to staff from the Maternal and Newborn Health Unit from the Liverpool School of Tropical Medicine which is the global co-ordinating centre for EOC and NC training.