We currently have ongoing projects in Nicaragua and Guatemala, where we offer two simulation-based training curriculums:
GO MOMS Curriculum:
Postpartum hemorrhage (B-Lynch, Intrauterine Balloon, Uterotonics)
Active management of the third stage of labor
Maternal cardiac arrest
In situ labor and delivery simulation
GO GYNS Curriculum:
Long Acting Reversible Contraceptives (LARC)
Vaginal hysterectomy (Including teaching videos donated by AAGL)
We debuted the GO MOMS/GO GYNS program in 2013 in Nicaragua—the second poorest country in the Western hemisphere that has a maternal mortality of 95/100,000 births in comparison with the USA rate of 17/100,000 births—at the Hospital Escuela Oscar Danilo Rosales Arguello (HEODRA), a public teaching hospital in Leon. HEODRA performs more than five thousand deliveries per year.
Our training was implemented over three visits and served 28 residents and 21 faculty.
GO MOMS in Guatemala began November 2016. Guatemala has the highest fertility rate in Central America, with 3.6 children per woman in 2009. It also has a higher maternal mortality rate than the rest of Latin America: in 1990, Latin America had an MMR of 124 maternal deaths per 100,000 births compared to Guatemala, which had an MMR of 205 maternal deaths per 100,000 births. In 2005, Guatemala still had a 1 in 71 lifetime risk of maternal death. The GO MOMS course is performed at the IGSS (Guatemalan Social Security Institute), a non-profit teaching hospital in Guatemala City.
Our initial training served approximately 50 resident and attending physicians.
GO MOMS had the opportunity to work twice in Costa Rica
In 2017, we performed a two-day course for 32 of the obstetrics and gynecology residents and attendings who serve the city of San Jose, the capital of Costa Rica.
Here are some of the comments we received following this first course:
Two of the attending physicians mentioned that they were thankful for the experience. The opportunity arose shortly after the course to use the skills presented. They performed two B-lynch procedures.
Several residents in Costa Rica say they were not familiar with delivering the posterior arm (used for shoulder dystocia) and that they planned to try it.
“One of the attendees had previously performed a uterine balloon tamponade (UBT) [for postpartum hemorrhage] but was having difficulty assuring the UBT stayed in the uterus. At the GO MOMS course, we were able to show him how to use vaginal packing allowing the UBT to stay in the uterus to be effective. He mentioned how grateful he was to learn this simple, but important, technique that he would now teach his residents.
The following year GO MOMS was invited to conduct a series of simulation based teaching sessions at the Annual OB/GYN National Conference in Costa Rica. This venue allowed the GO MOMS team to teach to over 70 advanced practice providers (obstetricians, midwives and nurses) coming from throughout the entire country.
Interested in initiating a GO MOMS or GO GYNS training? Learn more about our implementation methods and contact us: