Life Support in Obstetrics (ALSO) is a a highly structured two days
EmOC training session developed by the American Academy of Family
Physicians (AAFP). Over the last 15 years ALSO has been taught to more
than 75.000 health providers in USA, Europe and a number of developing
course focuses on hands-on and teamwork based training using mannequins
in simulated situations of obstetric emergencies. A few lectures are
given on the most important EmOC topics. The ALSO manual provides
extensive, up-to-date evidence based information on all aspects of
EmOC. The course is evaluated by a practical “mega-delivery”
examination and a written multiple choice questionnaire.
Africa there are ALSO organizations with well established programs in
Kenya, Malawi, Rwanda, Tanzania, Nigeria and Sudan. Courses are being
planned in Uganda, Zambia and Ethiopia.
The ALSO course has both required and optional lectures and workstations.
ALSO prioritizes hands-on practice in workstations. Lectures are kept at a minimum.
The Required workstations are:
Post Partum Haemorrhage
Intra-Partum Fetal Surveillance
Obstetric Case discussions
Optional Workstations are:
Post abortion care
Birth Crisis and Maternal resuscitation.
ALSO is introduced to new countries, adjustments are made accordng to
national guidelines, health system resources and the most prevalent and
important maternal health issues. In Malawi the electronic fetal
monitoring workshop was replaced by a workshop on partogram and
structured intermittent fetal heart auscultation. In Tanzania, patient
By Bjarke Lund Sørensen
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