A New Approach to Teaching Obstetric Anaesthesia in Low-Resource Areas

Area of Science:

• Obstetrics and Gynecology
• Anesthesiology
• Global Health

Background:

• Maternal mortality remains a critical issue in low- and middle-income countries (LMICs).
• Unsafe anesthesia practices, particularly during Cesarean sections, significantly contribute to maternal deaths.
• Healthcare providers in LMICs often manage complex obstetric cases with limited resources and skills.

Purpose of the Study:

• To introduce the SAFE-OB (Safety in Anesthesia For Everybody - Obstetrics) course.
• To evaluate the effectiveness of the SAFE-OB course in improving obstetric anesthesia care.
• To assess the sustainability and local ownership of the SAFE-OB training program.

Main Methods:

• The SAFE-OB course employs a systematic approach to anticipate, prepare for, and manage obstetric anesthesia emergencies.
• The course has been implemented across various countries in Africa, Asia, and Latin America.
• Follow-up assessments were conducted to evaluate changes in provider skills and knowledge.

Main Results:

• Initial follow-up data indicate improvements in anesthesia providers' skills and knowledge.
• Trainees demonstrated effective translation of learned skills to their clinical practice.
• The course design incorporates strategies for local ownership and long-term sustainability.

Conclusions:

• The SAFE-OB course presents an effective strategy for enhancing obstetric anesthesia care in resource-limited settings.
• Improved provider competency through targeted training can contribute to reducing maternal mortality.
• Sustainable, locally-adapted educational programs are crucial for improving global maternal health outcomes.