This course has 5 parts (plus References & Appendixes). Each part has a quiz at the end, which needs to be completed.
Course Content
Pre-requisites
- Be an AHPRA registered Medical Officer, Registered or Enrolled Nurse or Registered Paramedic
- Competent in Basic Life Support
- Competent in IV cannulation
- Participants must complete a pre-course theoretical assessment to be presented at the start of the program
Program Content and Aims
The program aims to develop theoretical knowledge and practical competence in the provision of evidence- based care for obstetric patients:
- Recognition, assessment, and management of a pregnant woman
- Recognition, assessment, and management of a labouring woman
- Recognition, assessment, and management of woman postpartum
- Recognition, assessment, and management of a well neonate post birth
- RANZCOG recommendations for management of postpartum haemorrhage
- RANZCOG recommendations for management of a cord prolapse
- RANZCOG recommendations for management of an eclamptic seizure
- RANZCOG & ANZCOR recommendations for management of a maternal collapse
- RANZCOG recommendations for management of shoulder dystocia
- RANZCOG recommendations for management of a breech delivery
- Teamwork and communication including principles of Crisis Resource Management (CRM)
- Ability to team lead
Assessment
To complete the program, OALS participants must successfully attend and participate in all sessions.
Skills assessment
- RANZCOG recommendations for management of postpartum haemorrhage
- RANZCOG recommendations for management of a cord prolapse
- RANZCOG recommendations for management of an eclamptic seizure
- RANZCOG & ANZCOR recommendations for management of a maternal collapse
- RANZCOG recommendations for management of shoulder dystocia
- RANZCOG recommendations for management of a breech delivery
Clinical assessments are outlined in appendix 1.
Remediation
Skills:
- Failure to successfully participate in the clinical skill sessions during the program results in review and reassessment.
Bledisloe Medical recognise and acknowledges learning differences and needs of students. Any participant with numeracy, literacy or language difficulties should make this known to Bledisloe staff to allow discreet appropriate adjustments to be made to assist the participant in their learning and assessment.
Glossary of Terms
Antenatal- during pregnancy
GDM- Gestational Diabetic Mellitus
SROM- Spontaneous Rupture of Membranes
PROM- Prelabour Rupture of Membranes
PPROM-Preterm Prelabour of Membranes
PET- Pre-eclampsia Toxaemia
APH- Antepartum Haemorrhage
FHR- Fetal Heart Rate
FMF- Fetal Movements Felt
DFM- Decreased Fetal Movements
Gravida- Number of pregnancies
Parity- Number of births over 20 weeks gestation
Primiparous (primip)- A woman who has only given birth once
Multiparous (multi)- A woman who has given birth more than once
Grand Multiparous- A woman who has given birth five or more times
Oligohydramnios-Low Amniotic Fluid
Polyhydramnios- Too much amniotic fluid
IUGR- Intrauterine Growth Restriction
FDIU- Fetal Death in Utero
EFW- Estimated Fetal Weight
VE- Vaginal Examination
MEC-Meconium
MSL-Meconium Stained Liquor
Cephalic presentation- Head presenting first
Intrapartum- during labour
NVD- normal vaginal delivery
Fundus- Superior part of the body of the uterus
CCT- Controlled Cord Traction
VBAC- Vaginal Birth
MROP- Manual Removal of Placenta
RPOC- Retained Products of Conception
Accoucheur- the practitioner who manages the birth
Tocolytics- medication used to supress the uterus from contracting
LUSCS- Lower Uterine Segment Caesarean Section
En caul- the birth of a fetus and placenta entirely encased in an unruptured amniotic sac
Postpartum- post birth
Chorion- Outermost layer of membrane that encloses the fetus
Amnion- Inner layer of the membrane that encloses the fetus
Wharton’s jelly- Gelatinous layer of the umbilical cord
PPH- Postpartum Haemorrhage
