A rapid cycle method for local adaptation of an obstetric emergencies training program

Area of Science:

• Obstetrics and Gynecology
• Medical Education
• Healthcare Management

Background:

• Obstetric emergencies pose significant risks globally.
• Standardized training programs require adaptation to local contexts.
• The PRactical Obstetric Multi-Professional Training (PROMPT) program is a key resource.

Purpose of the Study:

• To describe the adaptation of the PROMPT program for obstetric emergencies.
• To align training materials with local clinical practices in the Philippines.
• To assess the feasibility of implementing PROMPT in tertiary hospitals.

Main Methods:

• A feasibility study was conducted in eight urban tertiary hospitals in the Philippines.
• Multi-professional teams participated in a 2-day training course.
• Facilitated adaptation sessions reviewed and modified PROMPT algorithms for eclampsia, postpartum hemorrhage, and sepsis based on local practice and guidelines.

Main Results:

• The PROMPT algorithm for eclampsia management was used as an exemplar.
• Five of nine management steps for eclampsia were concordant with local practice.
• Amendments for 'call for help', 'magnesium sulfate loading dose', and 'magnesium sulfate maintenance dose' were successfully implemented.

Conclusions:

• The PROMPT training materials were rapidly and efficiently adapted for the Philippines.
• A facilitated, focused approach utilizing local expertise and evidence-based guidelines was effective.
• This adaptation demonstrates the potential for successful implementation of PROMPT in diverse settings.