Advanced Life Support in Obstetrics
Visit this page frequently to view updates and revisions to the ALSO curriculum.
New Lectures and Workstations
As of October 15, 2008, the Postpartum Hemorrhage and Maternal Resuscitation lectures will be combined into a workstation format. The ALSO Course Materials CD-ROM, which is distributed to ALSO course sponsors, provides an instructional video and crib sheets (also available below) to assist faculty with the implementation of this curriculum change.
Required/Optional Lectures and Workstations
REQUIRED: Safety in Maternity Care must be the first presentation on Day 1 of the Provider Course (effective January 2011).
OPTIONAL: Labor Dystocia can be presented as a luncheon lecture.
Visit the AAFP Catalog to purchase a variety of ALSO educational materials.
Required Lectures (Recommended Time: 20-25 minutes)
- Safety in Maternity Care
- First Trimester Complications
- Labor Dystocia
- Medical Complications
- Preterm Labor/PROM
- Vaginal Bleeding in Late Pregnancy
Required Workstations (Recommended Time: 90 minutes)
- Assisted Vaginal Delivery
- Intrapartum Fetal Surveillance
- Malpresentations, Malpositions, Multiple Gestations
- Maternal Resuscitation / Postpartum Hemorrhage
- OB Cases
- Shoulder Dystocia
Optional Workstations (Recommended Time: 90 minutes)
- Birth Crisis
- Cesarean Delivery
- Diagnostic Ultrasound
- Neonatal Resuscitation
- Perineal Laceration Repair
Crib sheets on the following topics are now available as teaching aids for instructors:
Recommended for access via Firefox or Chrome web browser.
- Assisted Vaginal Delivery(2 page PDF)
- Management of Massive Postpartum Hemorrhage(1 page PDF)
- Malpresentations, Malpositions and Multiple Gestations(2 page PDF)
- Maternal Resuscitation / Postpartum Hemorrhage(1 page PDF)
- Neonatal Resuscitation and Shoulder Dystocia(1 page PDF)
ALSO Course Materials CD-ROM
CD-ROM is updated regularly. Sponsors must purchase new CD-ROM with every course.
A new written examination will be available on the ALSO Course Materials CD-ROM, which is distributed to ALSO Course sponsors.
New OB cases covering the following topics will be available on the ALSO Course Materials CD-ROM:
- Cord Prolapse
- Venous Thromboembolism (VTE)
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.
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.