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Has your client ever been told that their baby is getting too big at the end of pregnancy? This class will answer all of your questions: Are big babies at higher risk for complications such as shoulder dystocia? Can we accurately tell if a client is going to have a big baby? What is the evidence for inductions and Cesareans for suspected big babies? What is the relationship between gestational diabetes and macrosomia?

The course is taught by Rebecca Dekker, PhD, RN, and Erin Wilson, MPH. The course includes 2 hours 30 minutes of video lessons and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 150 minutes. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 3 nursing contact hours from Evidence Based Birth®, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

The AAFP has reviewed Evidence Based Perinatal Care, and deemed it acceptable for AAFP credit. Term of approval is from 01/01/2024 to 12/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, Macrosomia (Big Babies) and Gestational Diabetes, is approved for 3 AAFP Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Our current AAFP credits (see above) are accepted by the American Midwifery Certification Board for renewal of both CNM and CM certifications. See the AMCB’s continuing education policy here: https://www.amcbmidwife.org/certificate-maintenance-program/continuing-education-policy

Course objectives:

1. Describe the pattern of routine care for suspected big babies in the U.S.
2. Discuss whether big babies are more likely to lead to shoulder dystocia and other birth complications
3. Determine whether ultrasound is an accurate predictor of newborn weight
4. Describe the evidence on induction and elective Cesarean for suspected big babies
5. Review professional guidelines on big babies and gestational diabetes
6. Discuss the pathophysiology, psychosocial aspects, health outcomes, and management of gestational diabetes

The fee for taking this course is $69. 

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The large 2018 ARRIVE trial (A Randomized Trial of Induction Versus Expectant Management) found a lower rate of Cesarean with induction at 39 weeks’ gestation compared to expectant management. This study led many physicians around the world to recommend elective induction at 39 weeks despite the ARRIVE trial not finding a difference in the primary outcome of perinatal death or severe neonatal complications.

The practice implications of the ARRIVE trial findings are very controversial. In this class, we will take an in-depth look at the ARRIVE trial and the latest research evidence on late term induction, including other recent randomzied, controlled trials, and a 2019 meta-analysis on risks of stillbirth and neonatal death with advancing gestation at term.

In this class we also look specifically at the evidence on elective induction for pregnant people who are 35 years or older. In addition to presenting the research, we will cover the epidemiology, history, and professional guidelines, as well as the controversies, limitations and strengths of both recent and “historical” studies. After attending this class, you will walk away with confidence in your ability to talk with clients about the potential harms and benefits of labor induction versus expectant management at 39-42 weeks.

This 3-hour class is taught by Rebecca Dekker, PhD, RN, APRN, and Anna Bertone, MPH, and includes 3 hours of videos and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 180 minutes. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 3 nursing contact hours from Evidence Based Birth®, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

The AAFP has reviewed Evidence Based Perinatal Care, and deemed it acceptable for AAFP credit. Term of approval is from 01/01/2024 to 12/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, Due Dates and Advanced Maternal Age, is approved for 3 AAFP Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Our current AAFP credits (see above) are accepted by the American Midwifery Certification Board for renewal of both CNM and CM certifications. See the AMCB’s continuing education policy here: https://www.amcbmidwife.org/certificate-maintenance-program/continuing-education-policy

Course objectives:

1. Discuss how “Due Dates” are calculated and the accuracy of these calculations, and compare ultrasound to last menstrual period (LMP) for pregnancy dating
2. Describe the risks of going past “due”, including the risk of stillbirth at 39, 40, 41, and 42+ weeks
3. Review and critically analyze the evidence on benefits and risks of elective induction versus expectant management, including the evidence from the ARRIVE trial that shows 39-week induction decreases the Cesarean rate, and the recent meta-analysis of the SWEPIS and INDEX trials that shows 41-week induction improves perinatal outcomes without increasing the Cesarean rate.
4. Describe the epidemiology, history, and current Cesarean rates for pregnant people who are of advanced maternal age (AMA)
5. Describe the benefits and risks associated with being pregnant over the age of 35
6. Discuss the most recent evidence on the potential benefits and harms of induction versus expectant management for AMA, including the relationship between elective induction and risk of Cesarean
7. Discuss the research evidence on fetal monitoring for AMA

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Failure to Progress is one of the top causes of Cesareans in first time birthing people. But in reality, “failure to progress” is a vague diagnosis that has been based on Friedman’s Curve– an outdated graph from the 1950s that provided thresholds to identify normal and abnormal labors.

If more healthcare providers stopped using Friedman’s Curve and learned the new, evidence-based definitions of normal and abnormal labor, we could see a drastic decrease in the overall Cesarean rate.

The course is taught by Rebecca Dekker, PhD, RN, and includes 2 hours of video lessons and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 120 minutes. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 2 nursing contact hours from Evidence Based Birth, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

The AAFP has reviewed Evidence Based Perinatal Care, and deemed it acceptable for AAFP credit. Term of approval is from 01/01/2024 to 12/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, Friedman’s Curve and Failure to Progress, is approved for 2 AAFP Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

See the AMCB’s continuing education policy here: https://www.amcbmidwife.org/certificate-maintenance-program/continuing-education-policy

Course objectives:

1. Discuss the problem of “failure to progress” and its relationship to the Cesarean rate
2. Discuss the history of Friedman’s Curve and the current debate over its use
3. Describe the latest research studies on the normal course of labor in modern birthing cohorts
4. Discuss the latest research on complications related to longer labors
5. Review the current definitions of labor arrest and failed inductions
6. Examine research coming from institutions that have switched to the new labor arrest guidelines
7. Discuss pharmacologic and non-pharmacologic ways to help facilitate labor progression

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In this presentation, we will take an in-depth look at the research evidence on three topics: 1) labor induction for birthing people who experience term PROM, 2) antibiotic use versus alternative treatments for Group B Strep, and 3) newborn procedures for term infants during the “golden hour.”

We will cover the epidemiology, history, guidelines, and research on interventions related to these topics, as well as the controversies, limitations and strengths of the available evidence. After attending this class, you will walk away with confidence in your ability to talk with clients about the potential harms and benefits of labor induction versus waiting for spontaneous labor in PROM, antibiotics for Group B strep, and at least 5 newborn procedures that commonly occur during the golden hour.

This 3-hour class is taught by Rebecca Dekker, PhD, RN, APRN, and Anna Bertone, MPH, and includes 3 hours of videos and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 180 minutes. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 3 nursing contact hours from Evidence Based Birth®, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

It can be used for the NARM Midwifery Bridge Certificate (Category 1, recognizing and responding to complications of pregnancy).

The AAFP has reviewed Evidence Based Perinatal Care, and deemed it acceptable for AAFP credit. Term of approval is from 01/01/2024 to 12/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session Premature Rupture of Membranes and Group B Strep, is approved for 3 AAFP Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Our current AAFP credits (see above) are accepted by the American Midwifery Certification Board for renewal of both CNM and CM certifications. See the AMCB’s continuing education policy here: https://www.amcbmidwife.org/certificate-maintenance-program/continuing-education-policy

Course objectives:

• Discuss the potential benefits and risks of induction versus expectant management for PROM at term.
• Describe the effects of GBS on parent and infant outcomes and discuss the effectiveness of prophylactic antibiotic treatment
• Describe best practices for newborns in the golden hour
• Discuss the evidence for procedures that often take precedence over skin-to-skin and parent-infant bonding

The fee for taking this course is $69. REGISTER NOW >

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Is waterbirth a safe and evidence-based option? Should birthing people be able to choose whether or not to eat and drink during labor? Should the recent opinion statements from the American College of Obstetricians and Gynecologists be used to set hospital policy?

Developed especially for birth professionals and healthcare workers who are looking to reverse bans on water birth and eating and drinking during labor, this class has everything you need to learn the truth about the evidence for these options, and how to educate and work with your hospital administration to offer this option in your community.

This 3-hour class is taught by Rebecca Dekker, PhD, RN, APRN, and includes 3 hours of videos and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 150 minutes. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 3 nursing contact hours from Evidence Based Birth®, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

Course objectives:

1.  Use change theory to describe how to overcome hospital bans on evidence-based options.
2. Describe how to set up meetings with stakeholders and how to increase pressure from consumers.
3. Discuss the evidence on eating/drinking during labor and waterbirth.
4. Describe how you can apply change theory to these options. 

The fee for taking this course is $69. REGISTER NOW >

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How does evidence based care differ from routine care? What is the history of evidence based medicine? How can health care professionals and birth professionals talk with their clients about evidence based care? What strategies can you teach to your clients to increase their chances of getting evidence based care during childbirth?

The course is taught by Rebecca Dekker, PhD, RN, and includes 7 hours of video lessons and lecture handouts for taking notes. Since the course is online, you can work on it at your own pace. Purchase of the course gives you unlimited 6 month access to this course, including access to course updates within that timeframe. This course is designed for nurses, advanced practice nurses, midwives, doulas, and childbirth educators. There are no pre-requisites for taking this course.

Average completion time of this activity is 7-8 hours. By viewing each video and by successfully completing a quiz with at least an 80% score, you will earn 8 nursing contact hours from Evidence Based Birth, a continuing education provider for the Kentucky Board of Nursing (KBN Provider # 7-0081). Partial credit will not be awarded.

If you are a certified midwife or certified nurse midwife, this class can be used for the NARM Midwifery Bridge Certificate (Category 3, informed consent and shared decision-making; principles of research, evidence based practice, critical interpretation of professional literature; and statistics on home birth transfer).

The AAFP has reviewed Evidence Based Perinatal Care, and deemed it acceptable for AAFP credit. Term of approval is from 01/01/2024 to 12/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This session, How to Help Families Get Evidenced Based Care, is approved for 7 AAFP Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Our current AAFP credits (see above) are accepted by the American Midwifery Certification Board for renewal of both CNM and CM certifications. See the AMCB’s continuing education policy here: https://www.amcbmidwife.org/certificate-maintenance-program/continuing-education-policy

Course objectives:

1. Describe how routine care at birth compares to evidence-based care (1.5 hours)
2. Describe the different models of care (midwifery, obstetrics, family practice) and the most recent research evidence behind midwifery practice; List methods and strategies that families can use to find care providers who use evidence-based practice (1.5 hours)
3. Describe the different birth settings available (hospital, birth center, home), the pros and cons of each birth setting, and why out-of-hospital birth is controversial in the U.S. (2 hours)
4. Discuss the role of the birth doula, and the research evidence behind continuous labor support (1 hour)
5. Describe the evidence behind the different childbirth educator options available to families, as well as the evidence for birth planning (1 hour)
6. Discuss the ethical and legal concepts of informed consent and informed refusal in childbirth (1 hour)

The fee for taking this course is $347. 

Includes: 7 hours video lessons and lecture handouts for taking notes. You only receive access to the Q & A in the forums if you purchase the EBB professional membership (see below). 

+ Complimentary access to our Due Dates and Advanced Maternal Age class ( listed above – a $69 value)

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