What we do

Training

Across the world childbirth is not as safe as it could, and should be

This is a tragedy for families for whom the injury was potentially preventable.
The rising treatment and litigation costs are an enormous loss of resource to health care.

The aim of the PROMPT Maternity Foundation is to reduce preventable harm for mothers and their babies.

The PROMPT Maternity Foundation provides a multi-professional training programme which was initially introduced to North Bristol NHS Trust. It has been shown to improve outcomes for real women and their babies. The introduction of PROMPT training at Southmead Hospital has resulted in:


Internationally, interest has grown and PROMPT training has been adopted in a number of countries outside of the UK.  Many of these countries have conducted their own research trials and have demonstrated similar results to those achieved at Southmead Hospital, including:

  • USA
  • Australia
  • Zimbabwe
  • Philippines

 

Teams that train together, work together.

There is growing evidence that training together, in multi-professional teams, improves both team-working and clinical outcomes. No-one can predict which team members will be available when emergencies happen. This is why PROMPT training is based on the following principles:

  • Train 100% of the maternity team
  • Train in multi-professional groups
  • Repeat the training annually

Effective team-working is central to improving clinical outcomes, through improving:

  • Communication
  • Team roles and leadership
  • Situational awareness

The 2016 NHS England report ‘Better Births’ stressed that effective multi-professional teams trained together, thereby improving communication and developing a shared understanding of complex clinical problems. The report presented PROMPT training as an example of best practice in multi-professional obstetric training.

 

PROMPT training uses a variety of teaching methods to embed the latest evidence-based practice into labour ward teams’ clinical care. We encourage the use of:

  • Lectures
  • Hands-on skills stations
  • Simulation scenarios in the clinical area

Lectures

Our lectures cover the key aspects of safe obstetric care in labour, and the management of obstetric conditions and emergencies. Key topics include:

  • Team-working
  • Electronic fetal monitoring in labour
  • Pre-eclampsia and eclampsia
  • Maternal sepsis
  • Maternal haemorrhage
  • Shoulder dystocia
  • Vaginal breech birth
  • Anaesthetic emergencies
  • Basic life support
  • Maternal collapse and advanced life support

Skills stations

The skills stations on PROMPT allow the entire labour ward team to practice a variety of practical skills. In this way, even team members who would not usually perform the skills have a better understanding of what each skills involves, and therefore how they can best provide support and assistance.

Our skills stations include:

  • Management of shoulder dystocia
  • Management of vaginal breech delivery

Examples of how these skills are taught on PROMPT can be seen on the PROMPT YouTube channel.

Simulation scenarios

PROMPT simulation scenarios are designed to take place in the clinical area, thereby replicating the environment, equipment and challenges that occur when real emergencies occur. We encourage the use of patient actors to emphasise communication skills; and low-tech, cost-effective but realistic props to support the learning needs without unnecessary expense.

Our scenarios concentrate on team-working skills as well as clinical skills, giving clinical staff a deeper understanding of why teams perform the way they do rather than just how they perform.

PROMPT provides the tools to run over 20 potential simulation scenarios, including:

  • Pre-eclampsia and eclampsia
  • Maternal haemorrhage
  • Maternal sepsis
  • Maternal critical care
  • Twin birth
  • Uterine inversion
  • Local anaesthetic toxicity
  • Maternal collapse
  • Newborn resuscitation

 

The development of PROMPT (Practical Obstetric Multi-Professional Training) has led to the publication of the PROMPT ‘Course in a Box’, which in January 2017 saw the launch of its 3rd edition. This brings the course right up-to-date with all the latest evidence, including:

National recommendations for multi-professional obstetrics emergencies training for all maternity staff in the UK (National Maternity Review 2016), coupled with data demonstrating improved outcomes for mothers and babies, has led to PROMPT being adopted by most units in the UK.

To book onto one of our courses, please email us on enquiries@promptmaternity.org.uk, or click here to see our upcoming course dates.

Learn more

Book here to secure a place on one of our courses

Click here for information on PROMPT Train the Trainers (T3) and PROMPT Critical Care (CiPP)

Click here for information on Pre-hospital PROMPT

Click here for information on Undergraduate PROMPT

Or email us if you’d like to know more