The vast majority of maternal deaths are avoidable. The presence of a trained health-care worker during delivery is crucial in reducing maternal deaths.

We are a team of Ob/Gyns from the San Francisco Bay Area who use evidence-based education and simulation-based training to teach physicians, medical residents, and students how to improve maternal and child health outcomes in Central America through two training curriculums: GO MOMS and GO GYNS.

Through GO MOMS and GO GYNS, we train educators and physicians in low-resource environments to implement and sustain simulation-based training (SBT) programs for obstetrical and gynecological complications. Both of our programs incorporate advanced simulation components:

  1. Obstetrics: GO MOMS (Global Outreach- Mobile Obstetrics Medical Simulation) focuses on postpartum hemorrhage management, active management of the third stage of labor, preeclampsia/eclampsia management, shoulder dystocia, and in situ labor and delivery simulation.
  2. Gynecology: GO GYNS (Global Outreach- Gyn Surgery) focuses on long-acting reversible contraceptives (LARC), vaginal hysterectomy, and pessary treatment for uterine prolapse.
 Medical students guided by Dr. Kay Daniels and Dr. Antonia Nicosia practice making and inserting balloon tamponades in Guatemala.

Medical students guided by Dr. Kay Daniels and Dr. Antonia Nicosia practice making and inserting balloon tamponades in Guatemala.

 Dr. Kay Daniels, Dr. Amy Huibonhoa, and resident Carolyn Haunschild engage medical residents in responding to postpartum hemorrhage as a team during a simulation in Guatemala. 

Dr. Kay Daniels, Dr. Amy Huibonhoa, and resident Carolyn Haunschild engage medical residents in responding to postpartum hemorrhage as a team during a simulation in Guatemala. 

 Dr. Antonia Nicosia observes a medical student through hands-on simulation in Nicaragua.

Dr. Antonia Nicosia observes a medical student through hands-on simulation in Nicaragua.

Para nosotros fue de mucho beneficio el curso de simulación, les cuento que el 2 de diciembre una de mis pacientes privadas presento hemorragia postparto que no respondió a medicamentos y coloque balón intrauterino con condón por 24 horas, con resultado fue exitoso, la hermana de esta paciente años atrás tuvo también en su primer parto hemorragia postparto, lamentablemente en esa ocasión no recibió el tratamiento debido y falleció, en nombre de nuestras pacientes guatemaltecas y en particular de mi paciente Eva muchas gracias. Nos gustaría continuar con mas cursos de simulación de complicaciones obstétricas o de ginecología para los residentes de Guatemala en el futuro.
— Dr. Edgar Herrarte
Translation:
Your simulation course was very beneficial to us. I would like to share that on December 2 one of my private patients suffered a postpartum hemorrhage. She did not respond to medication and I placed an intrauterine balloon for 24 hours with successful results. Years earlier, this patient’s sister had a postpartum hemorrhage in her first pregnancy. Unfortunately, at that time, she did not receive the necessary treatment and passed away. In the name of our patients in Guatemala, particularly my patient, Eva, thank you. We would like to continue with simulations of obstetric or gynecology complications for the residents of Guatemala in the future.
— Dr. Edgar Herrarte