1. Course overview
2. Normal labor
• Introduction to normal labor
• View video of normal labor
• Practice normal delivery with mannequins
3. Emergent prenatal assessment
• Minilecture
• Practice taking history, maternal exam and listening to fetal heart with a Doppler stethoscope or fetoscope
4. Saving the life of the mother: postpartum hemorrhage and maternal
resuscitation
• Mini-lecture
• Practice PPH resuscitation and 4 Ts with fundal massage on mannequin using models for firm (hard ball in sock) and boggy (rice in sock) uteri
• Practice trauma resuscitation with mannequins
5. Malpresentations
• Mini-lecture
• Using mannequins, practice recognition of most common malpresentations (transverse lie, occiput posterior, breech, brow, compound or face presentation) and how to manage in pre-hospital setting with emphasis on breech
6. Shoulder dystocia
• Mini-lecture
• Review HELP-R (the ALSO® HELPE-RR mnemonic simplified for BLSO™)
• Using mannequins, practice maneuvers for shoulder dystocia
7. Hypertensive emergencies in pregnancy
• Mini-lecture
• Case discussion of pre-eclampsia/eclampsia case
8. Preterm labor and premature rupture of membranes (PROM)
• Mini-lecture
• Case discussion of PTL and PROM
9. Saving the life of the baby (neonatal resuscitation)
• Mini-lecture
• Case based small group practice with neonatal resuscitation using infant mannequins (warming, drying, stimulating, skin to skin under blanket with mom, early breast feeding, basic Neonatal Resuscitation Program (NRP) assessment and resuscitation if equipment available)
10. Labor dystocia (for medical students)
• Mini-lecture
• Case discussion of labor dystocia (failure to progress and arrest of descent)
11. Electronic fetal monitoring (for medical students)
• Slides to add to Normal Delivery workstation
• Fetal heart tracing review in small group simulations of normal delivery
