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The Basic Emergency Obstetric and Newborn Care (BEmONC) in Crisis Settings, Select Signal Functions outreach refresher training is designed for clinical trainers conducting brief training on the key components of BEmONC. The target audience for this training is health care workers who are currently attending or will attend births in the acute phase of an emergency response. This includes midwives, nurses, general practice physicians, obstetricians/gynecologists, and others.

The content is based on the most recent clinical evidence by the World Health Organization (WHO) and IAWG’s 2018 Inter-Agency Field Manual for Reproductive Health in Humanitarian Settings. It covers the necessary skills and professional behaviors for handling common obstetric emergencies at multiple levels of care, including:

  • postpartum infection
  • pre-eclampsia/eclampsia
  • postpartum hemorrhage

Elements of essential newborn care and newborn resuscitation are also covered in this course. However, if participants are proficient in newborn resuscitation, time can be allocated to practicing other lifesaving skills and/or actual clinical practice (supervised) with clients, if the opportunity arises.

Additionally, the training includes discussions and activities that promote the sustainability of services and address ongoing training needs where there is high staff turnover. The course is designed for in-person training workshops in crisis settings with limited resources. The training can take place onsite or offsite in a nearby referral facility.

Course components include:

  1. Presentation slides
  2. Case studies
  3. Interactive activities
  4. Pre- and post-tests
  5. Skills checklists and other job-aids


Unit 1: Course Overview
Unit 2: What is Emergency Obstetric and Newborn Care (EmONC) and Why is it Needed?
Unit 3: Respectful Maternity Care in Emergencies
Unit 4: Rapid Assessment and Management
Unit 5: Prevention and Management of Postpartum Hemorrhage
Unit 6: Manual Removal of the Placenta
Units 5+6: Skills Practice
Unit 7: Transport and ReferralUnit 8: Prevention and Management of Peripartum Infection
Unit 9: Prevention and Management of Severe Pre-Eclampsia and Eclampsia
Unit 10: Essential Newborn Care and Newborn Resuscitation
Unit 11: Evaluation and Closing