Advanced Life Support in Obstetrics

ALSO® Curriculum

The ALSO curriculum is updated and revised periodically. All updates are made available on this page. Return frequently to receive the latest information.

Lectures and Workstations

Required Lectures
Required and Optional Workstations

REQUIRED: Safety in Maternity Care must be the first presentation on Day 1 of the Provider Course.

Get ALSO Materials

A variety of ALSO materials are available for purchase online.

Required Lectures (Recommended Time: 20-25 minutes each)

  • Safety in Maternity Care
  • First Trimester Complications
  • Medical Complications
  • Preterm Labor/PROM
  • Vaginal Bleeding in Late Pregnancy

Required Workstations (Recommended Time: 90 minutes each)

  • Assisted Vaginal Delivery
  • Intrapartum Fetal Surveillance
  • Malpresentations, Malpositions, Multiple Gestations
  • Maternal Resuscitation / Postpartum Hemorrhage
  • OB Cases
  • Shoulder Dystocia
  • Labor Dystocia

Optional Workstations (Recommended Time: 90 minutes each)

  • Birth Crisis
  • Cesarean Delivery
  • Diagnostic Ultrasound
  • Neonatal Resuscitation
  • Perineal Laceration Repair

Crib Sheets

Crib sheets on the following topics are now available as teaching aids for instructors:

Recommended for access via Firefox or Chrome web browser.

ALSO Course Materials CD-ROM

The CD-ROM of Course Materials is updated regularly. Sponsors must purchase a new CD-ROM with every course and are expected to use the forms from the CD-ROM rather than forms from past courses.

The following materials are found on this CD-ROM of Course Materials:
- Pre- Post-course forms and templates
- Slide sets that correspond with the syllabus chapters
- OB Cases
- Faculty materials
- Testing/Evaluating materials


Maneuvers for Shoulder Dystocia -- Guidelines on how to handle maneuvers using the 'LOT' position as an example. (Recommended for access via Firefox or Chrome web browser.

ALSO Evidence-based Curriculum

2006 to Present Revisions

The 2006 to present edition of the ALSO syllabus is an ongoing process. As chapters are revised, they will be replaced in the syllabus. If a chapter currently does not need to be revised, one-page evidence-based addendum will be published. All revised chapters and one-page addendum are available on this Web site.

Strength of Recommendation -- The 2006 to present edition of the ALSO syllabus and one-page evidence-based addendum use the Strength of Recommendation Taxonomy (SORT) to determine evidence-based recommendations.

2000 Revisions

The 2000 ALSO Syllabus revision used many resources to evaluate the available literature. Authors and editors conducted searches of the Cochrane Library, resources from the American College of Obstetricians and Gynecologists and the Society of Obstetricians and Gynecologists of Canada, the U.S. Preventive Services Task Force, and the Canadian Task Force on Preventive Health Care. Various databases, including but not limited to MEDLINE, PUBMED and OVID were also searched.

Levels of Evidence -- In the 2000 edition, quality of the studies was evaluated according to the U.S. Preventive Services Task Force and the Canadian Task Force on Preventive Health Care criteria to determine levels of evidence.