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
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.