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TABLE 1

HMS Modules

ModuleCompetencies
BAB Completea Active management of third stage of labor; early detection and management of PPH including management of shock, manual removal of placenta, uterine balloon tamponade, and cervical laceration repair 
Preeclampsia & Eclampsiab Correct assessment and classification of hypertensive disorders of pregnancy, administration of loading and maintenance doses of magnesium sulfate and antihypertensive medications, management of convulsions 
ECL&Bc Respectful care and women’s choice; infection prevention; classification, management, and monitoring of labor; early identification of complications; identification of poor progress of labor; supportive care during all stages of labor and birth 
Threatened Preterm Birth Cared Gestational age assessment; diagnosis of conditions leading to preterm birth: preterm labor, preterm prelabor rupture of membranes, severe preeclampsia and eclampsia, chorioamnionitis, and antenatal hemorrhage; treatment of maternal infection; advanced care for preterm newborns: resuscitation, safe oxygen use, thermal care, feeding support, treatment of infection 
Prolonged & Obstructed Labor Timely identification of prolonged or obstructed labor, treatment of infection, correct use of augmentation, rapid referral for obstructed labor, management of shoulder dystocia, and maneuvers for breech birth 
Vacuum Assisted Birth Decision-making for client selection for vacuum delivery and correct use of vacuum device, assessment and management of maternal and neonatal complications from vacuum birth 
ModuleCompetencies
BAB Completea Active management of third stage of labor; early detection and management of PPH including management of shock, manual removal of placenta, uterine balloon tamponade, and cervical laceration repair 
Preeclampsia & Eclampsiab Correct assessment and classification of hypertensive disorders of pregnancy, administration of loading and maintenance doses of magnesium sulfate and antihypertensive medications, management of convulsions 
ECL&Bc Respectful care and women’s choice; infection prevention; classification, management, and monitoring of labor; early identification of complications; identification of poor progress of labor; supportive care during all stages of labor and birth 
Threatened Preterm Birth Cared Gestational age assessment; diagnosis of conditions leading to preterm birth: preterm labor, preterm prelabor rupture of membranes, severe preeclampsia and eclampsia, chorioamnionitis, and antenatal hemorrhage; treatment of maternal infection; advanced care for preterm newborns: resuscitation, safe oxygen use, thermal care, feeding support, treatment of infection 
Prolonged & Obstructed Labor Timely identification of prolonged or obstructed labor, treatment of infection, correct use of augmentation, rapid referral for obstructed labor, management of shoulder dystocia, and maneuvers for breech birth 
Vacuum Assisted Birth Decision-making for client selection for vacuum delivery and correct use of vacuum device, assessment and management of maternal and neonatal complications from vacuum birth 

Adapted from Jhpiego. Helping Mothers Survive. 2020. Available at: https://hms.jhpiego.org/. Accessed June 2, 2020.

a

Jhpiego. Bleeding after Birth Complete. 2020. Available at: https://hms.jhpiego.org/bleeding-after-birth-complete/. Accessed June 2, 2020.

b

Jhpiego. Pre-eclampsia & Eclampsia. 2020. Available at: https://hms.jhpiego.org/pre-eclampsia_eclampsia/. Accessed June 2, 2020.

c

Jhpiego. Essential Care for Labor & Birth. 2020. Available at: https://hms.jhpiego.org/essential-care-labor-and-birth/. Accessed June 2, 2020.

d

Jhpiego. Threatened Preterm Birth Care. 2020. Available at: https://hms.jhpiego.org/threatened-preterm-birth-care/. Accessed June 2, 2020.

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