Module I – Introduction (Held on July 11th, 2019 – San Pedro de Macorís).

• Opening remarks and program introduction 

• Discussion: "how do you provide prenatal care?"

• Overview of pregnancy history-taking, abdominal examination, and stages of labor

• Overview of pregnancy complications

• Overview of newborn baby care and neonatal resuscitation

Click the following links to see news (in Spanish):

Enfermeras del SRS Este que ofrecen servicios en zona rural reciben taller sobre atenciones obstétricas

Enfermeras de zonas rurales son capacitadas en atención obstétrica

Module II – Preserving the Lives of Mothers and Babies (Held on August 15th, 2019 – San Pedro de Macorís)

• Discussion: Maternal and neonatal deaths – Why do mothers and babies die? What can the nurse do to improve maternal and neonatal outcomes? 

• Newborn baby care (newborn initial evaluation and follow-up: history-taking and physical exam; neonatal resuscitation: "the golden minute"; risk factors for infections, jaundice, and hypoglycemia; proper handwashing and hygiene; breastfeeding; local care protocols).

Click the following links to see meeting recording (in Spanish):

Módulo 2 - Asegurando a la Mamá y a su Bebé.

Module III – Pregnancy (Held on December 4th, 2019 – San Pedro de Macorís)

• Overview of reproductive anatomy and physiology

• Fetal development and circulation

• Before conception: how to prepare for pregnancy

• Obstetric evaluation: maternal history taking, physical exam, and additional tests  

• Breastfeeding

• Obstetric complications (pre-eclampsia, anemia, kidney infections) 

• Common problems during pregnancy

• The adolescent mother 

• Local care protocols 

• Introduction to the S.T.A.B.L.E. program

Module IV – Labor and Delivery*

• Labor and delivery evaluation: history-taking and physical examination

• Management of normal labor and delivery (stages of labor)

• Signs of danger during labor and delivery

• Additional review of pre-eclampsia

• Complications of the third stage of labor (uterine atony and hemorrhage)

• Episiotomy

Click the following links to see meeting recordings (in Spanish):

Módulo 4, Parte 1, ZOOM: El Parto

Módulo 4, Parte 2, ZOOM: El Parto

Module V – Postpartum* 

• Postpartum evaluation: history-taking and physical examination

• Postpartum complications

• Family planning

• Breastfeeding

* Due to COVID-19 Pandemic, five two-hour interactive videoconferences were held during August and September 2020 to discuss module IV and V topics and study cases. 

In addition to the workshop, and to provide ongoing support, a web-based chat (WhatsApp group) between the nurses, the program staff, and regional health authorities is available since the start of the program. Nurses are encouraged to use this channel to share their achievements, patient-care questions, workplace limitations, or any other personal experience or comment. DOFMI’s staff also recorded additional educational material to be shared through the web-based chat.

Click the following links to see videos on Sanitation of Incubator and Equipment and on Sexually Transmitted Diseases (in Spanish):

• Limpieza de Incubadoras

• Clase sobre Enfermedades de Transmisión Sexual

The nurses received a work binder with crucial information for each module. Medical equipment and tools were also issued to each facility (e.g., newborn resuscitation equipment, pulse oximeters, measuring tapes, gestational wheels, Doppler fetal heartbeat monitor).