Suggested agenda for Threatened Preterm Birth (PTB) Care training: 2 days

Time / # min / Activity/Session / Facilitator/Notes
DAY ONE
8:00 / 60 / Formal Introductions, expectations, norms, pretest
9:00 / 10 / Flipchart Intro: threatened preterm birth care
  • Introduce materials

9:10 / 10 / Perinatal team approach
9:20 / 10 / Assess system readiness and prepare
9:30 / 20 / Assess woman’s condition (Quick Check)
  • Facilitators role play quick check

9:50 / 35 / Estimate Gestational Age (GA)
  • Facilitators role play GA estimation
  • Review fundal ht. measurement; use of GA wheel and calendar method

10:25 / 15 / BREAK
10:40 / 45 / Exercise: Estimating GA
  • Complete case studies in pairs

11:25 / 10 / Determine risk of PTB
11:35 / 40 / Exercise: recognize four conditions that lead to preterm birth
  • Small group work

12:05 / 20 / Counsel the woman and her support people
  • Facilitator role play counseling using checklist

12:25 / 60 / LUNCH
1:25 / 25 / Offer dexamethasone
1:50 / 30 / Offer magnesium sulfate (MgSO4)
2:20 / 40 / Exercise: counsel woman, prepare and give loading dose of magnesium sulfate
  • Demonstrate first, then have participants practice in small groups

3:00 / 30 / Exercise: Deciding to initiate dexamethasone and MgSO4
  • Small group work

3:30 / 30 / Review day 1 and discuss day 2
4:00 / CLOSING
Time / # min / Activity/Session / Facilitator/Notes
DAY TWO
8:00 / 15 / Welcome and Review/discussion of day one
8:15 / 20 / Offer Nifedipine
8:35 / 20 / Offer Erythromycin
8:55 / 30 / Exercise: Practice counseling four interventions
  • Small group work: role plays

9:25 / 25 / If severe pre-eclapsia (PE): continue MgSO4 until 24 hours postpartum or after the last convulsion, whichever is later
  • Review diagnosis of PE
  • Discuss ‘managing eclampsia’ smartphone app if applicable

9:50 / 25 / If antepartum hemorrhage (APH): determine cause of bleeding and manage hemorrhage
  • Large group discussion: diagnosis and management of APH by cause

10:15 / 15 / BREAK
10:30 / 45 / Plan for follow up doses
  • Charting exercise

11:15 / 60 / Exercise: Mastering the Action Plan
  • Unfolding case studies in small groups

12:15 / 15 / Mobilize perinatal team, prepare for PTB and care of small baby
12:30 / 60 / LUNCH
1:30 / 60 / Measure actions and outcomes
  • Small group exercises: calculating indicators and creating graphs

2:30 / 20 / Use the information and take action
2:50 / 10 / Use of providers guide
3:00 / 30 / Post test
3:30 / CLOSING