THE LEARNING OUTCOMES:
This 90-minute interactive workshop equips midwives/birth providers with the knowledge and skills to promote physiological birth and newborn transition to improve quality of care and perinatal outcomes in low-resource settings. Participants will gain tools to transform childbirth experiences and outcomes in their communities by centering equity and adaptability. 1. Gain knowledge and demonstrate skills in the use of physiologic birth tools and how to implement their use in low-resource settings 2. Understand evidence-based emergency skills that can be applied in low-resource settings for better outcomes 3. Obtain skills in physiologic cord clamping, somersault maneuver, and bedside neonatal resuscitation

THE PROCESS/ACTIVITIES:
20 minutes: Interactive lecture on hormonal cascade, optimizing physiologic birth 20 minutes: Interactive lecture on fetal heart assessment, physiologic cord clamping, somersault maneuver(video), bedside newborn resuscitation 20 minutes: Instructor-guided practice with supporting movement in labor using: birth ball, peanut ball, birthing stool, rebozo, hammock 20 minutes: Instructor-guided practice with fetal heart assessment, somersault maneuver, bedside neonatal resuscitation 10 minutes: Wrap up questions, discussion of site-specific supports and interventions

AUDIENCE PARTICIPATION:
The audience will participate through actively utilizing tools and practicing skills, guided by three experts. Additional reading Healy M, Nyman V, Spence D, Otten RHJ, Verhoeven CJ. How do midwives facilitate women to give birth during the physiological second stage of labour? A systematic review. 2020. Asefa A. Unveiling respectful maternity care as a way to address global inequities in maternal health. BMJ Glob Health. 2021;6(1). Martis R, Emilia O, DS N, Brown J. Intermittent auscultation of fetal heart rate in labour for fetal well-being. Cochrane Database Syst Rev. 2017. American College of Obstetricians and Gynecologists. Committee opinion No. 684: delayed umbilical cord clamping after birth. Obstet Gynecol. 2017;129(5):e5-e10.