GO MOMS was originally designed to bring the latest effective treatments for obstetrical emergencies from the developed world to the developing world. Using lectures, videos and simulations in the native language, this teaching program has been proven to be successful.

However during the implementation of GO MOMS, new research conducted in the USA found that we have a higher maternal mortality  rate than previously thought. Although not all the conditions causing harm are the same between developed and developing countries many are, such as hemorrhage, hypertensive disease and shoulder dystocia. 

With this in mind we are developing the GO MOMS-USA  educational program for hospitals here in the USA. Our goal is to provide the needed educational program to help decrease the maternal mortality and morbidity rate we are experiencing in the USA.

Mississippi

September 2018 GO MOMS launched the GO MOMS-USA program.

We began in Mississippi where we were invited by the Mississippi Maternal Perinatal Quality Collaboration (MMPQC) and Blue Cross & Blue Shield of Mississippi (BCBSMS).

Prior to our GO MOMS visit we conducted a hospital assessment survey. This information allows us to shape our teaching to a specific site. We received responses from 7 of the participating hospitals. Results showed that we were teaching to a large clinical range of hospitals.

  • Deliveries per year ranged from: 200-2500 births per year

  • Cesarean delivery rate: 28-38%

  • Use of vacuum or forceps: 0%-17.8%

  • Maternity level of care: Birth center – Level 4

  • NICU level: 1-4

  • Leading cause of maternal morbidity- either unknown or HTN disorder

  • BCBSMS reported PPH as the leading cause of death

  • Most of the hospitals were > 20 miles away from a referral center

  • Staffing was OB/Gyns but most did not have 24/7 in hospital providers

  • Most needed training was identified as PPH management

  • Some of the providers were familiar with B lynch and Bakri but not all

  • Medications –none were acquainted with TXN

GO MOMS course 2018

The course consisted of a 4 hour session repeated in the AM and PM for different groups of providers.

We included a lecture overview of simulation, followed by task training for:

  • Shoulder dystocia maneuvers

  • B lynch

  • Bakri balloon

  • Maternal cardiac arrest management with CPR training

  • QBL

Following the task training we performed full simulations for:

  • Postpartum hemorrhage

  • Maternal cardiac arrest

The following day we provided modeling and guidance for the simulation team at Forrest General Hospital in Hattiesburg to perform a postpartum hemorrhage training in their simulation center.

GO MOMS conducted a post course survey. We received 29 responses (5 MDs, 1 CNM, 23 RNs) and found the most valuable parts were:

  • Learning how to use the bakri in a simulated setting

  • Performing a Blynch

  • Team communication practice in a simulated setting

  • When asked if they would attend another simulation course or recommend one to others there was an overwhelming response of 5 (scale of 1-5 with 5 being very likely)

  • Future teachings were suggested for eclampsia/htn crisis

The GO MOMS team’s is grateful to our hosts and the participants in the Mississippi program for enhancing our understanding of the educational needs in the USA, allowing us to adjust our curriculum.

If your institution is interested in having GO MOMS-USA provide a simulation based multidisciplinary/interdisciplinary educational program at your hospital please contact kdaniels@stanford.edu