Bemonc Facilitator at Medecins Du Monde

Objectives

• To improve understanding of BEmONC
• To improve Health Care provider’s skills on Management of common components of BEmONC.

Methodology:

• Practical demonstrations on manikins, power point presentation, a pretest and a post test, case study and practical sessions, participatory methods, and other exercises if need be.

Outcome
The end of the training course, the participant will be able to:

• Describe basic and comprehensive EmOC and the team approach to the provision of care in relation to reducing maternal mortality
• Describe the ethical issues related to EmOC, including feeling a sense of urgency, accountability for one’s actions, respect for human life, and recognition and respect for the right of women to life, health, privacy and dignity
• Use interpersonal communication techniques that facilitate the development of a caring and trusting relationship with the woman when providing EmOC
• Use recommended IP practices for all aspects of EmOC
• Describe the process of rapid initial assessment and management of a woman who presents with a problem .
• Identify the presenting symptoms and signs of shock and describe immediate and specific management .
• Describe the principles and procedure of blood transfusion, including recognition and management of transfusion reactions .
• Perform adult resuscitation.
• Identify the presenting symptoms and signs, determine the probable diagnosis and use simplified management protocols for vaginal bleeding in early and later pregnancy
• Perform MVA for incomplete abortion
• Identify the presenting symptoms and signs, determine the probable diagnosis and use simplified management protocols for pregnancy-induced hypertension
• Identify and manage cord prolapse
• Provide care during labour, childbirth and the postpartum period
• Demonstrate use of the parthograph to monitor progress in labour, recognize unsatisfactory progress in a timely manner and respond appropriately.
• Demonstrate clean and safe childbirth Management of the third stage of labour and examination of the placenta and birth canal after the birth
• Perform and repair an episiotomy .
• Identify and repair cervical tears .
• Perform a breech delivery
• Perform a vacuum extraction
• Identify the presenting symptoms and signs, determine the probable diagnosis and use simplified management protocols for vaginal bleeding after childbirth
• Perform bi-manual compression of the uterus
• Perform abdominal aortic compression
• Perform manual removal of the placenta
• Identify the presenting symptoms and signs, determine the probable diagnosis and use simplified management protocols for fever during and after childbirth
• Describe normal newborn care
• Perform basic newborn resuscitation using a self-inflating bag and mask
• Describe Anesthesia and pain management associated with obstetric emergencies
• Describe pre- and post-operative care for women who require obstetric surgery
• Perform a postpartum hysterectomy
• Describe the procedure for performing a craniotomy
• Describe the steps involved in setting up EmOC services and managing them on a day-to-day basis.

Summary of topics

• Overview of BEmONC
• Management of postpartum hemorrhage, retained placenta with practical session
• Management of shock
• Fever in pregnancy, labor and postpartum period
• Management of preeclampsia, Eclampsia
• Neonatal resuscitation practical session
• episiotomy, episiorrhaphy, and repair of tears.

Requirements

• Candidates should possess a Master's Degree qualification with at least 5 years work experience.