Advanced Life Support in Obstetrics

ALSO® Curriculum

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.

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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

Emergency Simulation Series

NEW - Simulation scenarios for acute Maternity and newborn care which you can implement at your home institution. Structured debriefings allow focus on medical management, teamwork, communication skills and system issues. The below scenarios can be used in labor and delivery, training of residents or other maternity care clinicians. These simulations are also included on the Course Materials CD-Rom.

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Crib Sheets

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

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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. The ALSO Department has established a new annual schedule for revisions and printing of a new syllabus each year. If deemed necessary, by the ALSO Editorial Board, to make chapter revisions before the annual print date, a package will be printed and distributed, as mentioned above. All revised chapters 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.