Essential Steps in the Management of Obstetric Emergencies (ESMOE)


Essential Steps in the Management of Obstetric Emergencies (ESMOE) training is proven to affect a reduction in maternal and neonatal morbidity and mortality rates in obstetric units.

During a 12-month period, April 2017 – March 2018, ICS facilitated ESMOE training to 440 Registered and Enrolled Nurses in Mediclinic hospitals nationally. ICS is awaiting outcomes data from Mediclinic South Africa regarding the impact of ESMOE training on their Obstetric Health Services.

The programme, delivered by an ESMOE Master Trainer, includes demonstration and evaluation of training packages in Essential Steps in Managing Obstetric Emergencies (ESMOE) key strategies, that when implemented, will reduce maternal and neonatal morbidity and mortality. 

ESMOE Training

ICS will provide an experienced ESMOE Master Trainer for the facilitation of ESMOE training. This training can be undertaken by Obstetricians, Paediatricians, Midwives and selected Enrolled Nurses working in obstetric units.

Results from global studies show that ESMOE training:

  • ensures that birth attendants are able to prevent, detect and manage the major obstetric complications and use the equipment, drugs and other supplies that are essential for their effective management
  • improves Health Care Providers capacity to deliver quality maternal and new-born health services
  • ensures best practice and an improved policy environment in maternal and new-born health
  • statistically increases knowledge and skills among trained health care providers, as well as renews enthusiasm, motivation and team work
  • is successful in ensuring the retainment of knowledge and skills through the skills-and-drills training that characterises the ESMOE programme
  • achieves better maternal health outcomes through ESMOE saturation training and simulation “fire drills” as a quality improvement strategy than conventional training

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