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Reducing Primary Cesarean Webinar Series

Reducing Primary Cesareans (RPC) - Webinar Series

Description - While we know that cesarean section can be lifesaving for both parents and babies, the surgery carries risks for both individuals in the short and long term. Cesarean section is expensive for our strained healthcare systems and requires a high level of teamwork and technology that may not be readily available at all times and in all settings. Therefore we want to make sure that every cesarean we do is medically necessary, and that the parent has fully consented to the procedure with awareness of the risks and benefits.

In this 8-module series we look at the evidence for how any provider- midwives, nurses, obstetricians, family practice doctors and other nursing specialties can integrate the gold standards of teamwork, communication, and respect to protect people’s capacity to deliver vaginally. We will also appreciate how to learn from our work, how to assess what works and what should be changed, and how to integrate changes quickly so that we are continuously ensuring the best care for all.

We believe that all hospitals and all providers should have the best evidence at their disposal to ensure that birthing people have the best experience. We hope this series gives you practical tools that can be implemented right away. We know you have the same goal as we do: that every birthing person has the best experience they can- both clinically and emotionally, and we know that by working together and sharing best practices we can work together towards achieving that goal.

Objectives - After Attending This Program You Should Be Able To
1. At the end of this session participants will be familiar with the core leadership skills to initiate and lead a QI improvement project.
2. Lessons learned by midwifery quality improvement leaders will be shared with stakeholders and the use of equity and inclusion approaches in the implementation of maternity care quality improvement initiatives will be detailed.
3. Participants will gain knowledge from several case exemplars focused on approaches hospitals have taken to assess staff readiness to implement intermittent auscultation (“IA”), labor lounges, labor support comfort measures, and other physiologic birth approaches hospitals have used to promote the safe reduction of primary cesarean births.

This series was developed by the American College of Nurse-Midwives' Reducing Primary Cesareans Project.
Additional support for this series was provided by the Alliance for Innovation on Maternal Health.

The materials were developed with support from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of a cooperative agreement with the American College of Obstetricians and Gynecologists under grant number UC4MC28042, Alliance for Innovation on Maternal Health. The contents do not necessarily represent the official views of, nor an endorsement by HRSA, HHS, or the U.S. Government. For more information, please visit

Acknowledgment of Financial Commercial Support
No financial commercial support was received for this educational activity.
Acknowledgment of In-Kind Commercial Support
No in-kind commercial support was received for this educational activity.
Satisfactory Completion
Learners must watch each video and complete an evaluation form to receive a certificate of completion. Your chosen sessions must be attended in their entirety. You must participate in the entire activity as partial credit is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certificationrequirement.

Joint Accreditation Statement

    In support of improving patient care, this activity has been planned and implemented by Amedco LLC and the American College of Nurse-Midwives. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education(ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center(ANCC), to provide continuing education for the healthcare team.


Amedco LLC designates this enduring material for a maximum of 5.5 AMA PRA Category 1 CreditsTM for physicians/midwives. Physicians and midwives should claim only the credit commensurate with the extent of their participation in the activity.


Amedco LLC designates this activity for a maximum of 5.5 ANCC contact hours.

Disclosure of Conflict of Interest
The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7SCS6.1-6.2,6.5)

Name                       Commercial Interest: Relationship

Katie Page Ferring Pharmaceuticals - received compensation from a grant from Ferring which supported the work of the RPC Project.

How to Get Your Certificate
1. Go to
2. Click on the Reducing Primary Cesareans(RPC)-Enduring link.
3. Evaluate the webinar series.
4. Print, download, or save your certificate for your records.

CMEs Offered: 5.5
Course Expiration: 12-08-2024