High Risk Obstetric Simulation Workshop: Safe Motherhood through Team-Based Learning
19th July, 2026
Workshop 14
Course Director
Workshop Faculty
Dr Arvind Palaniswamy
USA
Dr GL Ravindra
Shivamogga
Dr Vennila Rajagopal
Chennai
Dr Shilpa K
Iowa
Dr Sheeba Nambiar
Coimbatore
Expert Observers
Dr N Basker
Chennai
Dr V Kamatchi Selvam
Chennai
Dr Giridharan
Chennai
Key Messages
- Safe obstetric anaesthesia relies not just on technical skills but on teamwork, communication, preparedness, and human factors, Safe Teams = Safe Mothers & Newborns
- Labour Analgesia
- Communication & counselling build trust with mothers and families
- Anticipate complications (failed block, wet tap) – reassure & manage calmly
- Advances like PIEB pumps / Remifentanil PCA improve maternal satisfaction
- Anaesthesia for Caesarean Section
- Time-critical decision-making is vital in obstetric emergencies.
- Choose wisely between regional and GA; prepare for conversion.
- Effective crisis communication with obstetrician & NICU team for maternal and foetal safety
- Obstetric Haemorrhage (PPH)
- Early recognition, timely activation of MTP, and coordination with blood bank/ICU
- Team dynamics & efficient resource use & clinical skills.
- PPH bundles – Bedside coagulation studies - visco-elastometry to streamline management
- Crisis Drills & Human Factors
- Closed-loop communication & leadership prevent chaos
- Essentials of Situational awareness and teamwork under high stress
- Managing family communication during crisis maintains trust and transparency
- Grand Scenario – The Unfolding Crisis
- Obstetric crises are dynamic, multi-step events requiring seamless escalation
- Integration of skills: labour analgesia, C-section, resuscitation drills Systems improvement from reflection, feedback, and shared learning
Floor Plan
| 07:30 Hrs | Registration & Orientation | LEAD TEAMS |
| NB: Post Simulation Debriefing – Team leads shall initiate and later All the faculties will share their input | ||
| 08:00 – 08:30 Hrs | Welcome address: You are the Team Today Briefing on workshop flow & simulation etiquette | Dr Sunil T Pandya |
| 08:30 – 10:00 Hrs | SIMULATION 1: LABOUR ANALGESIA THEME: Pain-free Labour, Safe Motherhood | Dr Bhavani S Kodali & Dr Ketan Kumar Parikh |
| ROLE PLAYS: Anaesthesiologist counselling patient & family Explaining benefits vs myths SIMULATION SCENARIOS: · Failed Block · Wet Tap Debriefing Focus: | ||
| Mini Talk (10 min) - Clinical Pearls Advances in labour analgesia: Setting up PIEB Pump Remifentanil PCA. | Dr Bhavani S Kodali | |
| 10:00 – 11:30 Hrs | SIMULATION 2: Anaesthesia for Caesarean Section THEME: From Induction to Incision – Making Every Second Count | Dr Manokanth M & Dr Arvind Palanisamy |
| Simulation Scenario: Emergency C-section under GA with difficult airway Conversion from regional to GA due to inadequate block Debriefing focus: Crisis communication with obstetrician & NICU team Safety checklist use, time-critical decision-making, maintaining maternal & foetal safety. | ||
| Mini Talk (10 min) - Clinical Pearls: GA vs Regional in C-Sections – Choosing Wisely | Dr Manokanth M | |
| 11:30 – 11:45 Hrs | TEA BREAK | |
| 11:45 – 13:15 Hrs | SIMULATION 3: Obstetric Haemorrhage (PPH Crisis) THEME: Recognize Early, Respond Rapidly, Rescue Completely | Dr Anju Grewal & Dr Kajal Jain |
| Simulation Scenario: Massive obstetric haemorrhage, rapid transfusion protocols, managing coagulopathy ROLE PLAY: Anaesthesia team activating MTP (Massive Transfusion Protocol). Communication with blood bank, ICU, family Debriefing Focus: Team dynamics, resource utilization, time-sensitive decisions | ||
| Mini Talk – Clinical Pearls PPH Bundles: Translating Protocols into Outcomes & Viscoelastometry | Dr Kajal Jain | |
| 13:15 – 14:00 Hrs | LUNCH | |
| 14:00 – 15:00 Hrs | SIMULATION 4: Crisis Drills & Human Factors Theme: When Seconds Decide Outcomes | Dr Ravindra G L |
| Simulation Scenarios: Sudden collapse - High Spinal Block or Amniotic Fluid Embolism Role Play: Closed-loop communication, crisis leadership. Dealing with family during crisis. Debriefing Focus: Human factors, situational awareness, leadership | ||
| Mini-Talk - Clinical Pearls Crisis Resource Management in Obstetrics | ||
| 15:00 – 15:45 Hrs | SIMULATION 5: Grand Scenario (Mega-Code) Theme: The Unfolding Crisis – All Hands-on Deck | Dr Manokanth M & Dr Shweta Mogal |
| Integrated Simulation: Labouring mother on epidural - sudden fetal distress - Emergency C-section – Category 1 CS - acute collapse - Cardiac arrest Debriefing: Full team reflection on roles, teamwork, escalation, and systems improvement | ||
| 15:45 – 16:30 Hrs | OPEN HOUSE Key take-home messages. Feedback collection / Safe Mothers, Safe Teams | Dr Sunil T Pandya |