The Story of ICOE

The Obstetrical and Gynaecological Society of Malaysia (OGSM) has been running obstetric emergency courses in Malaysia since 2009. Its very first course was the Life Saving Skills: A Course in Obstetric Emergencies and Neonatal Resuscitation, also known as the LSSC. It was developed by the Liverpool School of Tropical Medicine and was supported by the Royal College of Obstetricians and Gynaecologists (RCOG) and the World Health Organization (WHO). The OGSM conducted this course across the country and had a successful run until 2013. During its 5-year run, a total of 753 participants were successfully trained. This course was adopted and modified by the Ministry of Health Malaysia (MOH) that now conducts it across Malaysia on a regular basis training hundreds of doctors and midwives.

The LSSC trainers and its support staff had gained valuable insights into the various mechanisms and challenges involved in conducting a sustainable and professionally run obstetric emergencies course independently. Armed with these invaluable experiences and knowledge, it became clear that the OGSM was now capable of conducting consistent, comprehensive and quality training for doctors and midwives. The goal was to create a course that could be customised in its curriculum to local and regional needs whilst incorporating various cadre of medical professionals. Thereafter The Intensive Course in Obstetric Emergencies (ICOE) was conceptualised and created.

ICOE was created with the aim to enhance and maintain skills in handling obstetric emergencies, with a co-ordinated, systematic and multi-professional approach while adhering to guidelines. In its own way, the aspiration was for ICOE to contribute to the reduction of maternal and perinatal morbidity and mortality from obstetric emergencies in Malaysia and the region.

The contents of the ICOE are targeted towards practising obstetricians and midwives. It is a simulation based, hands-on course using models of various fidelities together with lectures that incorporates recent updates from various internationally recognised organisations. This adult teaching methodology is enhanced by practicing skills using various equipment, participating in workshops and demonstrations. It is structured to emphasise interactive feedback so as to achieve specific objectives.

Piloted in September 2014, ICOE has been successfully conducted in Malaysia and several countries in the Asia Pacific region. It has gained endorsement from the Asia Oceania Federation of Obstetrics and Gynaecology (AOFOG) and continues to receive positive feedback from external quality assessors. The adaptability of the ICOE modules allowed us to conduct abridged versions in Coimbatore and Chennai, India where a total of 130 participants were trained. We have also conducted 'theme based' modules focussing on specific topics such as cardiotocography (CTG), postpartum haemorrhage (PPH) and shoulder dystocia in Bangladesh, Myanmar and Malaysia.

The growing demands of mothers' expectations and the medicolegal climate pose challenges to the practitioners. Inevitably one has to keep abreast with current trends and updates in both knowledge and skills, especially as institutions are increasingly being required to reappraise practitioners. In view of these, we believe that the knowledge and skills transferred to participants during ICOE present a suitable platform for professional development and to meet future challenges.

Evaluation of the course has shown significant impact in improving skills across various categories of staff. To ensure that the ICOE continuously maintains its high standards, annual evaluation of the course by external assessors is in place to assess its quality and long-term impact in obstetrics.

Up to December 2018, a total of 1,340 medical professionals have been trained . With the overwhelming and encouraging response from ICOE participants locally and regionally, we continuously endeavour to push the boundaries in improving the learning experience provided by ICOE to its participants.

The journey of ICOE however, is not without its challenges. Besides funding, these include retention and retraining of trainers, lack of secretarial and research support. These challenges push us to strive harder for the continuing success of ICOE.

The ICOE story is just beginning. The increasing request from the region coupled with the passion of the trainers, makes it enticing to want to grow further. However, we still need more data analysis to reaffirm our belief that the ICOE is making a difference to childbirth. We may not make it safer everytime everywhere but if the ICOE can make a difference sometime somewhere, then it makes the journey all worthwhile.





OGSM member - RM 990 (inclusive of handbook)
Non-OGSM - RM 1090 (inclusive of handbook)
International delegate - RM 1390 (inclusive of handbook)
More information click HERE


Midwives (Local) - RM 990 (inclusive of handbook)
International delegate - RM 1390 (inclusive of handbook)
More information click HERE

REGISTRATION (Train the Trainers (TOT))

Fee RM200
To register click HERE