Date: October 14th 2018
Time: 09:00 – 15:00 including a lunch break
Location: to be confirmed
Organisers: Royal College of Obstetrics and Gynaecology (UK)
This workshop is part of a training package which promotes the appropriate and safe use of instrumental delivery to ensure all practitioners performing instrumental delivery and second stage Caesarean Section (LSCS) are appropriately trained in technique but also in decision-making.
The target audience will be doctors (or trained professionals who are competent to perform LSCS) as the context will mostly be in settings where the women are being considered for LSCS.
We decided to concentrate on quality improvement in management of the second stage as there are so many other courses addressing wider issues of safety in childbirth.
Whilst we are obviously passionate about reducing maternal morbidity and mortality, this approach is unique in its focus, and its potential to reduce unnecessary Caesarean sections and save lives.
The benefits will not only be to reduce iatrogenic fistulae (in parts of Africa, some claim iatrogenic is now more common than obstructive fistulae), but also to reduce LSCS rates. The RCOG is best placed to lead this, given its reputation and experience in delivering high quality training.
The course will also train doctors in Caesareans at full dilatation, knowing when this is needed, and when it is, how to do it safely.
The workshop will be ‘hands on’ and skills based and accompanied by a handbook
There is also a professional and advocacy aspect to this programme (as we heard from our members around the world) and there is a role for the RCOG (potentially with FIGO and other partners) in clearly recommending doctors to gain skills in instrumental delivery, rather than see LSCS as the ‘easy option’ in every case.
This workshop is based on our Essential Gynaecological Skills programme.(EGS). EGS is a training package aiming to reduce morbidity and mortality related to gynaecological conditions for women in low-middle income countries.
After successfully trialling the training content with healthcare workers in Sri Lanka, Nigeria and Bangladesh, the RCOG has now moved to a full scale, one-year pilot programme in Nigeria, to look more closely at the reach and impact of this kind of training.
This workshop looks at improving women’s access to high quality gynaecological care by filling the gap in available and capable health providers who can deliver these services.
In many low middle-income countries, the number of specialists is extremely limited, with even more limited coverage outside the main urban centres.
By supporting task shifting of gynaecological services to non-specialists such as medical officers and nurses, the programme aims to increase access to essential gynaecological services for women and girls.
The EGS programme includes training the trainers in teaching skills as well as to sensitizing senior managers to the need for respectful and rights-based gynaecological care.