PART III. INSTRUCTIONS ON COURSE ORGANIZATION · 2013-10-10 · For this course facilitators should be good teachers. They will lecture, guide participants through printed materials,

PART III. INSTRUCTIONS ON COURSE ORGANIZATION

Facilitator’s Manual

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CRITERIA FOR SELECTING FACILITATORS A group of motivated facilitators is needed. Facilitators will work on modules in pairs and will supervise clinical practice in a maternity hospital. Their tasks are described in detail in the Facilitator’s Manual. Note: Each facilitator may have weak and strong areas. If a facilitator is weak in some areas, it is important to assign a second facilitator of the pair, who is strong in these areas. For this course facilitators should be good teachers. They will lecture, guide participants through printed materials, role-play exercises, discussions, clinical practice, etc. It is very important for facilitators to be observant and notice when participants encounter difficulties to provide clear explanations and to secure effective feedback. Facilitators must be organized. They must follow the course plan/schedule and ensure timely arrival to clinical sessions and materials availability. They must be flexible to properly allocate time. For instance, if a baby with a rare symptom indicator enrolled out-patients department, they should hold up their current work and present the patient to the group. Facilitators must complete facilitator’s training and be always present throughout training course delivery. They have to be energetic and motivated to work with participants all day long and then participate in facilitator meetings for discussion of completed work and preparation for the next day of training. Facilitators should currently work at a maternity hospital and, if possible, be employees of the hospital where training is delivered. Facilitators must have approved skills of clinical training. Facilitator must be fluent in effective perinatal care methods and have experience of their use. Completion of an Effective Perinatal Care (EPC) training course as a participant or instructor is a prerequisite. Facilitators must be proficient in their clinical skills to quickly select mothers and newborns at the hospital. They must understand clinical diagnosis and prognosis of parturient woman’s and baby’s condition to avoid tangled cases and detect critically ill children who require urgent treatment. A facilitator should be able to handle ill babies easily and demonstrate positive and solicitous approach to their problems. Facilitators must possess good organizational skills. Their actions must be effective to accomplish all tasks of a clinical session, including clinical case analysis. They have to be able to keep to the point, avoiding unnecessary directions or discussions. Facilitators have to be friendly and sociable towards hospital personnel, mothers and training participants. They must serve as an example while communicating with mothers. It would be useful if at least one facilitator had completed a training course and has an experience of assessing breast-feeding and teaching mothers to improve positioning of babies during feeding and attaching the baby to the breast. An experience of supervising newborns and 1-month babies would also be an asset. While preparing for their role, facilitators, if possible, should work as facilitator’s assistants in a hospital during some other training course in order to see how patients are selected and clinical sessions are organized, and how to communicate with participants. Optionally, an


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experienced instructor may assist them for a few days during facilitator’s training or training course delivery.

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MODEL OF THE TRAINING COURSE’ AGENDA

“Effective Perinatal Care”

Time Topic

DAY 1 – Monday

09:00-10:00

(60 min)

• Opening

- Registration of participants - Greetings - Presentation of participants - Interactive presentation «Training course objectives, information on the course»

10:00-10:45

(45 min)

• MODULE 1C. Safe Motherhood and Effective Perinatal Care: Are Changes

Necessary? - Activity 1 – Presentation (45 min)

10:45-11:00

Coffee break

11:00-13:00

(120 min)

• Module 2C. Introduction to Evidence-Based Medicine

- Activity 1 – Introduction (5 min) - Activity 2 – «Brainstorming» (15 min) - Activity 3 – Presentation (40 min) - Activity 4 – Case study (30 min)

13:00-14:00

Lunch

14:00-15:45

(105 min)

• Module 3С. Counselling Skills in Maternal and Neonatal Care

- Activity 1 – Introduction (10 min) - Activity 2 – Group work (20 min) - Activity 3 – Interactive presentation (50 min) - Activity 4 – Demonstration of effective counselling (15 min) - Activity 5 – Role plays (10 min)

15:45-16:00

Coffee break

16:00-16-45

(45 min)

• Module 3С. Counselling Skills in Maternal and Neonatal Care (continuation)

- Activity 5 – Role plays (continuation) (40 min) - Activity 6 – Conclusions (5 min)

16:45-17:45

(60 min)

• “The Icebreaker”

17:45-18:00 • Day summary by facilitators and group representatives


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Time Topic

DAY 2 – Tuesday

Midwifery Group

Neonatal Group

09:00-09:30 • Group representatives report on topics of Day 1

09:30-10:45

(75 min)

• Module 1MO. Antenatal Care - Activity 1 – Introduction (5 min) - Activity 2 – «Brainstorming» (10 min) - Activity 3 – Interactive presentation (55 min) - Activity 4 – Conclusions

(5 min)

• Module 1N. Complete Examination of a Newborn - Activity 1 – Introduction

(10 min) - Activity 2 – Group discussion

exercise (10 min) - Activity 3 – Interactive

presentation (45 min) - Activity 4 – Case studies (10 min)

10:45-11:00

Coffee break

11:00-12:00

(60 min)

• Module 4C. Assessment of Foetal Well-Being During Pregnancy and Labour.

Assessment of Small for Gestational Age (SGA) Foetuses - Activity 1 – Introduction (5 min) - Activity 2 – Work in small groups (10 min) - Activity 3 – Interactive presentation (40 min) - Activity 4 – Conclusions (5 min)

12:00-13:00

(60 min)

• Module 5C. Management of Normal Labour and Delivery

- Activity 1 – Introduction (20 min) - Activity 2 – Interactive presentation (40 min)

13:00-14:00

Lunch

14:00-15:45

(105 min)

• Module 5C. Management of Normal Labour and Delivery (continuation)

- Activity 2 – Interactive presentation (continuation) (105 min)

15:45-16:00

Coffee break

16:00-17:45

(105 min)

• Module 5C. Management of Normal Labour and Delivery (continuation)

- Activity 2 – Interactive presentation (continuation) (85 min) - Activity 3 – Conclusions (20 min)


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DAY 3 – Wednesday

Midwifery Group

Neonatal Group


09:15-10:45

(90 min)

• Module 2MO. The Use of Partograph

- Activity 1 – Introduction (5 min) - Activity 2 – Presentation (50 min) - Activity 3 – Small group work (30 min) - Activity 4 - Conclusions (5 min)

• Module 1N. Complete

Examination of a Newborn (continuation) - Activity 5 – Case studies

(continuation) (20 min)- Activity 6 – Newborn

examination (75 min) 10:45-11:00

Coffee break

11:00-13:00

(120 min)

• Module 6C. Initial Rapid Assessment of the Newborn and Principles of

Neonatal Care - Activity 1 – Introduction (5 min) - Activity 2 – Interactive presentation (75 min) - Activity 3 – Work in groups (20 min) - Activity 4 – Role play (10 min) - Activity 5 – Conclusions (10 min)

13:00-14:00

Lunch

14:00-15:45

(105 min)

• Module 7C. Breastfeeding

- Activity 1 – Introduction (5 min) - Activity 2 – Interactive presentation (20 min) - Activity 3 – Massage demonstration on breastfeeding mother (10 min) - Activity 4 – Interactive presentation (continuation) (15 min) - Activity 5 – Role play (10 min) - Activity 6 - Interactive presentation (continuation) (15 min) - Activity 7 – Role play: Counselling and helping mother to breastfeed (10 min) - Activity 8 - Interactive presentation (continuation) and conclusions (20 min)

15:45-16:00

Coffee break

16:00-17:45

(105 min)

• Module 8C. Postpartum Care of Mothers and Newborns

- Activity 1 – Introduction (5 min) - Activity 2 – Small group work (20 min) - Activity 3 – Interactive presentation (35 min) - Activity 4 – Small group work (20 min) - Activity 5 – Role play #1 (10 min) - Activity 6 – Role play #2 (10 min) - Activity 7 – Conclusions (5 min)



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DAY 4 – Thursday


09:15-10:45

(90 min)

• Module 9C. Neonatal Resuscitation


10:45-11:00

Coffee break

11:00-12:00

(60 min)

12:00-13.00

(60 min)

• Module 9C. Neonatal Resuscitation (continuation)

- Activity 2 – Interactive presentation (continuation) (10 min) - Activity 3 – Conclusions (10 min) - Activity 4 – Small group work (40 min)

• Module 10C. Integration of Prevention of Mother To Child HIV Transmission

into Effective Perinatal Care - Activity 1 – Introduction (5 min) - Activity 2 – Interactive presentation 1st part (15 min) - Activity 3 – Group discussion (10 min) - Activity 4 – Interactive presentation 2nd part (15 min) - Activity 5 – Interactive presentation 3rd part (15 min)

13:00-14:00

Lunch

14:00-14:40

(40 min)

14:00-15:45

(65 min)

• Module 10C. Integration of Prevention of Mother To Child HIV Transmission

into Effective Perinatal Care (Continuation) - Activity 5 – Interactive presentation 3rd part (continuation) (35 min) - Activity 6 – Conclusions (5 min)

• Module 11C. Infections in Pregnancy, Childbirth and Postpartum


15:45-16:00

Coffee break

16:00-17:45

(105 min)

• Module 11C. Infections in Pregnancy, Childbirth and Postpartum

(continuation) - Activity 2 – Interactive presentation (continuation) (50 min) - Activity 3 – Conclusions (5 min) - Activity 4 – Interactive presentation (45 min) - Activity 5 – Conclusions (5 min)


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DAY 5 – Friday

Midwifery Group

Neonatal Group


09:15-10:45

(90 min)

• Module 3MO. Hypertension in

Pregnancy - Activity 1 – Introduction (5 min) - Activity 2 – Small group work (20 min)- Activity 3 – Interactive presentation

(40 min) - Activity 4 – Discussion of cases (20 min) - Activity 5 – Conclusions (5 min)

• Module 2N. Post- Resuscitation

Neonatal Care - Activity 1 – Introduction (10 min) - Activity 2 – «Brainstorming»

(10 min) - Activity 3 – Interactive

presentation (55 min) - Activity 4 – Work in small

groups (15 min)

10:45-11:00

Coffee break

11:00-13:00

(120 min)

• Module 4MO. Obstetric Haemorrhages

- Activity 1 – Introduction (15 min)- Activity 2 – Small group work

(15 min) - Activity 3 – Interactive presentation

(75 min) - Activity 4 – Conclusions (15 min)

• Module 3N. Breathing Difficulty

- Activity 1 – Introduction (10 min) - Activity 2 – «Brainstorming»


presentation (60 min) - Activity 4 – Conclusions (10 min)- Activity 5 – Group work (30 min)

13:00-14:00

Lunch

14:00-15:45

(105 min)

• Module 12C. Preterm Labour

- Activity 1 – Introduction (10 min) - Activity 2 – Work in small groups (10 min) - Activity 3 – Interactive presentation by obstetrician-gynaecologist

with discussion of small group work results (50 min) - Activity 4 – Interactive presentation by a neonatologist (30 min) - Activity 5 – Conclusions (5 min)

15:45-16:00

Coffee break

Midwifery Group Neonatal Group

16:00-17:45

(105 min)

• Module 5MO. Prelabour Rupture of

Membranes - Activity 1 – Introduction (5 min) - Activity 2 – Small group work (25 min)- Activity 3 – «Brainstorming» (15 min) - Activity 4 – Presentation (40 min) - Activity 5 – Conclusions (20 min)

• Module 4N. Neonatal Jaundice

- Activity 1 – Introduction (5 min) - Activity 2 – «Brainstorming»


presentation (75 min) - Activity 4 – Conclusions (10 min)


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DAY 6 – Saturday

Midwifery Group

Neonatal Group


09:15-10:15

(60 min)

10:15-10:45

(30 min)

• Module 6MO. Labor Induction: Who?

Why? How? - Activity 1 – Introduction (5 min)- Activity 2 – Work in small groups (15 min) - Activity 3 – Interactive presentation (35 min) - Activity 4 – Conclusions (5 min)

• Module 7MO. Unsatisfactory Progress

of Labour. Intrapartum Oxytocin Administration - Activity 1 – Introduction (5 min) - Activity 2 – Small group work (15 min) - Activity 3 – Interactive presentation

(10 min)

• Module 5N. Neonatal Bacterial

Infections - Activity 1 – Introduction (5 min) - Activity 2 – Interactive

presentation (85 min)

10:45-11:00

Coffee break

11:00-11:30

(30 min)

11:30-13:00

(90 min)

• Module 7MO. Unsatisfactory Progress

of Labour. Intrapartum Oxytocin Administration (continuation).

- Activity 3 – Interactive presentation (continuation) (15 min)

- Activity 4 – Small group work (10 min) - Activity 5 – Conclusions (5 min)

• Module 2MO. The Use of Partograph (continuation). - Activity 5 – Practical use of a

partograph (90 min)


Infections (continuation). - Activity 2 – Interactive

presentation (continuation) (15 min)

- Activity 3 – Conclusion (10 min) - Activity 4 – Small group work (90 min)

13:00-14:00

Lunch

14:00-14:50

(50 min)

14:50-15:45

• Module 13C. Sudden Infant Death Syndrome (SIDS)

- Activity 1 – «Brainstorming» (10 min) - Activity 2 – Interactive presentation (35 min) - Activity 3 – Conclusions (5 min)

• Module 14C. Postpartum Depression, Loss and Tragedies

- Activity 1 – Introduction (5 min) - Activity 2 – Group work (10 min)

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(55 min)

- Activity 3 – Presentation (35 min) - Activity 4 – Conclusion (5 min)

15:45-16:00

Coffee break

16:00-17:45

(105 min)

• Module 5C. Management of normal labour and deliveries (continuation) - Activity 4 – Practice with a manikin

“Active Management of the Third Stage of Labour” (60 min)

- Activity 5 – Discussion and preparation of the clinical week

(45 min) Dividing of midwifery group into 2 subgroups for the clinical week.

• Module 6N. Care of a Newborn with Birth Defect/Congenital Malformation or Birth Trauma - Activity 1 –Introduction (5 min) - Activity 2– Work in small groups

(15 min) - Activity 3– Interactive

presentation (50 min) - Activity 4 – Work in small

groups (25 min)- Activity 5 – Conclusions

(10 min)

17:45-18:00 • Summary of theoretical week. Preparation for clinical week.

DAY 7 - Sunday – DAY OFF


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Clinical Sessions

12 Hour shift Option

Time

Topic

DAY 8 – Monday

Midwifery subgroup 1 – working hours: 09:00-21:00 (visiting labour – depends on the situation at the maternity ward) Midwifery subgroup 2 – working hours: 09:00-14:00 Neonatal group – working hours: 09:00-18:00 Lunch – 13:00 – 14:00 Coffee breaks – 10:45 and 15:45

Midwifery Group

Neonatal Group

9:00-13:00 (225 min)

• Module 5C. Management of

Normal Labour and Delivery (continuation) - Activity 6 – Preparation of the

individual delivery rooms

• Module 7N. Low-Birth Weight

Baby/ ”Small Baby” Care and Feeding - Activity 1 – Introduction (5 min) - Activity 2 – Interactive

presentation (90 min) - Activity 3 – Conclusions

(15 min) • Module 6С. Initial Rapid

Assessment of the Newborn and Principles of Neonatal Care (continuation) - Activity 6 – Assessing the

preparation of a delivery room (warm, clean, light, family-oriented, safe, equipped)

• Clinical work Topics for discussion: • Module 3MO. Hypertension in

Pregnancy (continuation)

• Clinical work Topics for discussion: • Module 7N. Low-Birth Weight

Baby/“Small Baby” Care and Feeding (continuation)

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- Activity 6 - Management of severe preeclampsia and postoperative period in women with severe preeclampsia/ eclampsia (60 min)

• Module 1MO. Antenatal Care

(continuation) - Activity 5 - Practice: consulting

pregnant women on the topic: Birth Planning (105 min)


(continuation) - Activity 9 – Assessment of

breastfeeding, breastfeeding counselling session (120 min)

• Demonstration and discussion

of films: “Caesarean section” “Vacuum extraction of foetus”, “Delivering together”, “Postpartum contraception”

- Activity 4 – Cases study (45 min) - Activity 5 – Examination of

small baby (90 min)- Activity 6 – Demonstration of

Cup-feeding of Small Baby (30 min) - Activity 7 – Demonstration of

Insertion of gastric tube (15 min)

• Module 6С. Initial Rapid

Assessment of the Newborn and Principles of Neonatal Care (continuation) - Activity 7 - Assessing newborn

care in the delivery room at birth


(continuation) - Activity 5 – Small group work (45 min)


DAY 9 – Tuesday

Midwifery subgroup 1 – working hours: 09:00-14:00 Midwifery subgroup 2 – working hours: 09:00-21:00 (visiting labour – depends on the situation at the maternity ward) Neonatal group – working hours: 09:00-18:00 Coffee breaks – 10:45 and 15:45

09:00-10:00

(60 min)

• Participation in the morning clinical conference • Reports by group representatives

- Midwifery subgroup 1 – shifting results - Review on clinical cases

10:00-13:00

(165 min)


- Activity 5 – Practical exercise on bag and mask assembling - Activity 6 – Practical exercise on neonatal resuscitation

13:00-14:00

Lunch

Midwifery Group

Neonatal Group


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Pregnancy (continuation) - Activity 6 – Management of

severe preeclampsia and postoperative period in women with severe preeclampsia/ eclampsia (60 min)

• Clinical work Topics for discussion: • Module 6С. Initial Rapid

Assessment of the Newborn and Principles of Neonatal Care (continuation) - Activity 7 - Assessing newborn

care in the delivery room at birth

• Module 1MO. Antenatal Care (continuation) - Activity 5 - Practice: consulting

pregnant women on the topic: Birth Planning (105 min)

• Module 10C. Integration of

Prevention of Mother To Child HIV Transmission into Effective Perinatal Care (Continuation) - Activity 7 – Checking potential

stigmatization in maternity (60 min) - Activity 8 – Role play: Infant

feeding counselling for HIV-positive mother (30 min)

• Module 2N. Post- Resuscitation Neonatal Care (continuation) - Activity 4 (continuation) – Work

in small groups (20 min) - Activity 5 – Practical work:

assessment of 1 or 2 newborns after neonatal resuscitation

(140 min)

If babies after resuscitation are not available –





DAY 10 – Wednesday

Midwifery subgroup 1 – working hours: 09:00-21:00 (attending labour – depends on the situation at the maternity ward) Midwifery subgroup 2 – working hours: 09:00-14:00 Neonatal group – working hours: 09:00-18:00 Coffee breaks – 10:45 and 15:45

09:00-10:00

(60 min)



10:00-13:00

(165 min)


- Activity 5 – Practical exercise on bag and mask assembling - Activity 6 – Practical exercise on neonatal resuscitation

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13:00-14:00

Lunch

Midwifery Group

Neonatal Group

• Clinical work Topics for discussion: • Module 8C. Postpartum Care of

Mothers and Newborns (continuation) - Activity 8 – Practical work:

counseling women in postpartum contraception

• Module 4C. Assessment of

Foetal Well-Being During Pregnancy and Labour and Assessment of Small for Gestational Age (SGA) Foetuses (continuation) - Activity 5 – Revision of the

delivery or pregnancy records (60 min)

• Module 11C. Infections in

Pregnancy, Childbirth and Postpartum (continuation) - Activity 6 – Practical work:

hand washing


Assessment of the Newborn and Principles of Neonatal Care (continuation) - Activity 7 - Assessing

newborn care in the delivery room at birth


(continuation) - Activity 5 – Group work (30 min) - Activity 6 – Practical work:

Oxygen administration for breathing difficulty (30 min)

- Activity 7 – Demonstration of assessment of an infant with breathing difficulty (50 min)

• Module 10C. Integration of

Prevention of Mother To Child HIV Transmission into Effective Perinatal Care (Continuation) - Activity 7 – Checking potential

stigmatization in maternity (60 min) - Activity 8 – Role play: Infant

feeding counselling for HIV-positive mother (30 min)

If babies with breathing difficulty are

not available –

• Module 7C. Breastfeeding (continuation) - Activity 9 – Assessment of



Infections (continuation) - Activity 5 – Examination of a

newborn with infection (or a newborn receiving antibiotic therapy) (150 min)



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DAY 11 – Thursday

Midwifery subgroup 1 – working hours: 09:00-14:00 Midwifery subgroup 2 – working hours: 09:00-21:00 (visiting labour – depends on the situation at the maternity ward) Neonatal group – working hours: 09:00-18:00 Lunch – 13:00 – 14:00 Coffee breaks – 10:45 and 15:45

09:00-10:00

(60 min)



Midwifery Group

Neonatal Group

• Clinical work • Clinical work

Topics for discussion: • Module 7C. Breastfeeding



• Demonstration and discussion

of films: “Caesarean section” “Vacuum extraction of foetus”, “Delivering together”, “Postpartum contraception”

• Module 8C. Postpartum Care of

Mothers and Newborns (continuation) - Activity 8 – Practical work:

counseling women in postpartum contraception

• Module 4C. Assessment of

Foetal Well-Being During Pregnancy and Labour and Assessment of Small for Gestational Age (SGA) Foetuses (continuation) - Activity 5 – Revision of the

delivery or pregnancy records (60 min)


Pregnancy, Childbirth and Postpartum (continuation) - Activity 6 – Practical work:

hand washing

Topics for discussion: • Module 6С. Initial Rapid

Assessment of the Newborn and Principles of Neonatal Care (continuation) - Activity 7 - Assessing

newborn care in the delivery room at birth


(continuation) - Activity 6 – Examination of 2

jaundiced newborns and discussion on these cases

(120 min)

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DAY 12 – Friday

09:00-9:45

(45 min)



09:45-10:45

(60 min)

• Module 15C: How to Improve Existing Practices: Strategy of Changes

- Activity 1- Presentation (60 min)

10:45-11:00

Coffee break

10:30-11:30

(60 min)


(continuation) - Activity 2 - General discussion “Is it necessary to change the existing

system of perinatal care for women and children in maternities?” (60 min)

11:30-13:00

(90 min)


(continuation) - Activity 3 - Participants develop plan of action (90 min)

13:00-14:00

Lunch

14:00-15:45


(continuation) - Activity 4 - Presentation of developed plans of action (105 min)

15:45-16:00

Coffee break

16:00-18:00

• Conclusion - Conclusion by facilitators - Feedback of the training participants - Certification - The final word


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24 Hour Shift Option The 24 hour Shift Option requires flexibility. The priority is actual clinical experience. Every effort is made to review the modules per the outlined schedule. The Course Director will adjust the time and/or order of the modules as needed.

Time

Topic

DAY 8 – Monday TEAM A Midwifery multidisciplinary team 1 – working hours: 09:00 through 08:00am Midwifery multidisciplinary team 2 – working hours: 09:00 through 08:00am TEAM B Midwifery multidisciplinary team 1 – working hours: 09:00 through 13:00am Midwifery multidisciplinary team 2 – working hours: 09:00 through 13:00am Neonatal group – working hours: 09:00-18:00 (The course director will decide if neonatologists and midwifes will be requested to attend birth after 18:00 pm) Lunch – 13:00 – 14:00 Coffee breaks – 10:45 and 15:45

Midwifery Group Neonatal Group 9:00-13:00 (225 min.)

• Module 5C. Management of Normal Labour and Delivery (continuation).

• Module 7N. Low-Birth Weight Baby/ ”Small Baby” Care and Feeding


Assessment of the Newborn and Principles of Neonatal Care (continuation).


Pregnancy (continuation). • Module 1MO. Antenatal Care

(continuation).

• Module 7C. Breastfeeding (continuation).

• Demonstration and discussion of films: “Caesarean section”

• Clinical work Topics for discussion: • Module 7N. Low-Birth Weight

Baby/ ”Small Baby” Care and Feeding (continuation).



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• “Vacuum extraction of foetus”, “Delivering together”, “Postpartum contraception”.

• Module 4N. Neonatal Jaundice (continuation).

17:45-18:00

• Day summary by facilitators and group representatives • Review options for night clinical work e.g. continue care for labouring

women, postpartum/breastfeeding rounds, clinical chart reviews.

DAY 9 – Tuesday

TEAM B Midwifery multidisciplinary team 1 – working hours: 08:00 through 08:00am Midwifery multidisciplinary team 2 – working hours: 08:00 through 08:00am Neonatal group – working hours: 09:00-18:00

Lunch – 13:00 – 14:00 Coffee breaks – 10:45 and 15:45

08:00-08:30

Clinical report from Team A to Team B

09:00-10:00

(60 min.)


10:00-13:00 (165 min.)

• Module 9C. Neonatal Resuscitation (continuation).

13:00-14:00

Lunch

Midwifery Group


Pregnancy (continuation). • Module 1MO. Antenatal Care

(continuation).

Neonatal Group



• Module 2N. Post- Resuscitation

Neonatal Care (continuation).

If babies after resuscitation are not available –


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• Module 7C. Breastfeeding (continuation).


(continuation).

17:45-18:00



DAY 10 – Wednesday

TEAM A Midwifery multidisciplinary team 1 – working hours: 08:00 through 08:00am Midwifery multidisciplinary team 2 – working hours: 08:00 through 08:00am Neonatal group – working hours: 09:00-18:00


08:00-08:30

Clinical report from Team B to Team A

09:00-10:00

(60 min.)


10:00-13:00 (165 min.)

• Module 9C. Neonatal Resuscitation (continuation).

13:00-14:00

Lunch

Midwifery Group Neonatal Group • Clinical work

Topics for discussion: • Module 8C. Postpartum Care of

Mothers and Newborns (continuation).

• Module 4C. Assessment of Foetal

Well-Being during Pregnancy and Labour and Assessment of Small for Gestational Age (SGA) Foetuses (continuation).




Infections (continuation).

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• Module 11C. Infections in Pregnancy, Childbirth and Postpartum (continuation).

17:45-18:00



DAY 11 – Thursday

TEAM B Midwifery multidisciplinary team 1 – working hours: 08:00 through 18:00 to 20:00 Midwifery multidisciplinary team 2 – working hours: 08:00 through 18:00 to 20:00 Neonatal group – working hours: 09:00-18:00


08:00-08:30

Clinical report from Team A to Team B

09:00-10:00

(60 min.)


Midwifery Group

Neonatal Group

• Clinical work

Topics for discussion: • Module 7C. Breastfeeding

(continuation). • Demonstration and discussion of

films: “Caesarean section” “Vacuum extraction of foetus”, “Delivering together”, “Postpartum contraception”.

• Module 8C. Postpartum Care of


• Clinical work Topics for discussion: • Module 4N. Neonatal Jaundice

(continuation). • Module 8C. Postpartum Care of


• Module 6N. Care of a Newborn

with Birth Defect/Congenital Malformation or Birth Trauma (continuation).


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• Module 4C. Assessment of Foetal Well-Being During Pregnancy and Labour and Assessment of Small for Gestational Age (SGA) Foetuses (continuation).


Pregnancy, Childbirth and Postpartum (continuation).

17:45-18:00

• Day summary by facilitators and group representatives • Assess whether the midwifery multidisciplinary teams will stay to complete

a labour in progress. Report to maternity staff when leaving facility.

DAY 12 – Friday

09:00-9:45 (45 min.)


09:45-10:45 (60 min.)


10:45-11:00

Coffee break

10:30-11:30 (60 min.)


(continuation).

11:30-13:00 (90 min.)


(continuation).

13:00-14:00

Lunch

14:00-15:45


(continuation).

15:45-16:00

Coffee break

16:00-18:00 • Conclusion. Closing of the course.

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GENERAL MODULES Модуль 1G

Effective Perinatal Care Opening ceremony


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Модуль 2G

«The Icebreaking»


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Effective Perinatal Care (EPC)

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Module 2G

“The Icebreaker”

Objectives

By the end of this section:

• Participants are expected to know each other closer and get acquainted with the facilitators

• Favourable environment for further training course delivery should be created

Plan and Duration of the Section: Classroom activities – 60 minutes

Activity 1 – “The Icebreaker” 60 min.

Preparations • Make sure that the list of participants and facilitators is available • Make sure that all participants have Participant’s Manuals • Make sure that other facilitators are aware of their responsibilities for the

current section

Materials and Audio-visual Equipment Materials

• Small cards with pair numbers corresponding to the total amount of participants and facilitators

Equipment • Video-projector or OHP • Flipchart • Colour markers


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Classroom Activities

Activity – “The Icebreaker” • Explain that the goal of this section is to allow all course participants to make a closer

acquaintance with each other and with course facilitators. • Emphasize that this acquaintance is game-like and any initiative is welcome to make

this section more interesting and cheerful. Remember that the main objective of this activity is to establish contact with the participants to create a warm and friendly atmosphere.

• Display slides 2G-1 and 2G -2 which outline the point of this activity. Explain that

several minutes will be allocated to acquaintance, i.e. each participant and facilitator will have to introduce themselves to the group using a lottery method.

• Participants and all free facilitators are offered to draw a “lucky number” which will let

them to find their pair. • When everybody receives a “lucky number”, give each pair 5-7 minutes to talk to each

other and exchange information about themselves. After this time each pair has to introduce themselves to a group. Presenting should be made using a principle “introduce your partner rather than yourself”.

• To shorten presentation time and avoid long stories you may offer to limit presentations

to a certain number of sentences (e.g. ask them to use 4-5 key phrases) or certain number of topics (e.g. topics presented on slide 2G-3).

• Try to make these mutual presentations interesting rather than formal and boring.

Remember that the main objective is to create a favourable environment and atmosphere among course participants.

• After the acquaintance emphasize that many of the present participants have very

valuable experience. Obviously each participant would have something to share or learn.

• Remind the participants to have their nametags on so that everybody can see them and

use in communication. Alternative methods for participants’ acquaintance • If there is no time or at your own will you may try other alternative acquaintance

methods. • For instance, you may offer a short game to “heat up” the participants, help them to

know each other better and feel at ease. • The two suitable games “Acquaintance without words” and “I am…” are described

below.

Effective Perinatal Care (EPC)

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Acquaintance without words (Non-verbal acquaintance) Method 1 For a group of 20-30 participants: This game may take up to 30 minutes and requires a flipchart, markers and adhesive tape. Goal: effective communication between people can also occur without use of words. Stages: Break the group in pairs who have to get acquainted without words using any non-verbal communication methods (pictures, signs, poses, signals). One can point to a wedding ring to indicated marital status or simulate running to denote morning runs. Allow 2-3 minutes for a detailed acquaintance so that each participant could guess what his/her partner is trying to inform. At the end ask how accurately have you 1) described yourself, and 2) guessed the meaning of your partner’s signs. Method 2 For a group of 20-30 participants: This game takes 15-20 minutes and requires paper, markers and adhesive tape. Goal: Help the participants to get acquainted with each other Stages: Ask each participant to write his/her name on a sheet of paper ending with “I am…”, followed by six different items. With this sheet attached to their chest participants walk around the room and read the items written below participants’ names. Ask the participants to spend only 30 seconds for each acquaintance. At the end of activity these sheets may be attached to a wall thus creating a Group Gallery (if photographs are available, they can also be attached to these sheets).


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Documents

PART III. INSTRUCTIONS ON COURSE ORGANIZATION · 2013-10-10 · For this course facilitators should be good teachers. They will lecture, guide participants through printed materials,