Transfers from home births and birth centers to hospitals happen regularly and are an important part of safe care for birthing people and babies. We know that approximately 10-20% of planned community births (homebirth and birth center births) transfer to the hospital when pain medication or labor augmentation is needed, or when complications arise.
Yet midwives, emergency services personnel, nurses, and receiving hospital providers don't receive training on how to work together as a care team. We often find ourselves trying to provide care in stressful emergency situations without the information or skills we need to do so effectively.
We're ready to change that and work together to improve care! This one-of-a-kind course:
- is a curriculum designed by and for midwives, emergency services personnel, nurses, and receiving hospital providers
- shares new collaborative methods for improving home birth and birth center to hospital transfers
- teaches communication skills critical to keep calm and clear during stressful situations
- includes clinical best practices
- models scenarios demonstrating these best practices for communication and care
- teaches creative tools for bridging relationships with other provider types
- includes everything you need to know about the other providers involved to support optimal care and smooth transfer across all settings of a community birth transfer
This course will help all provider types work together smoothly so we can improve outcomes and the experience of care for mothers and babies.
HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course meets the California Board of Nursing criteria for 4 hours of continuing education. Provider approved by the California Board of Registered Nursing, Provider Number 17686, for 4 contact hours. (This is widely accepted nationwide as continuing education for nurses and midwives.)
This course has been approved by the NARM Bridge Program for Category III.
This course has been approved by ACNM for 4 hours of continuing education. The approval numbers for this course are 2019/085 through October 16th, 2021, and 2021-116 through November 17th, 2023.
This course is free for all volunteer EMS personnel! For a free enrollment, please email [email protected] with: your name, your email, and the name of the organization you volunteer with (Example: Campbell County Volunteer Fire Department).
Note: Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.
- 1.1 Intro
- 1.2 The Problem
- 1.3 What is community birth?
- 2.1 Midwives
- 2.2 Emergency Medical Services (EMS)
- 2.3 Receiving Hospital Providers
- 3.1 Working Together
- 3.2 Home Birth Summit Model Practices for Midwives
- 3.3 Home Birth Summit Model Practices for Hospital Providers
- 3.4 Quality Improvement and Home Birth Summit Policy Development
- 3.5 Success Story: The "Poster Midwife"
- 4.1 Best Practices for Improving Transfer
- 4.2 Best Practices for Communication: Prenatal Planning and Education
- 4.3 Communication: Calling 9-1-1
- 4.4 Communication: Midwives and EMS
- 4.5 Communication: EMS and Receiving Providers
- 4.6 Communication: Midwives and Receiving Providers
- 4.7 Model Practices Role-Play: Maternal Hemorrhage Scenario
- 5.1 Maternal Emergency Transfer Best Practices
- 5.2 Newborn Emergency Transfer Best Practices
- Article (bonus section): The Laryngeal Mask Airway and Its Use in Neonatal Resuscitation: A Critical Review of Where We Are in 2017/2018
- 6.1 When Conflict Arises
- 6.2 Model Practices Role-Play: Newborn Resuscitation Scenario
- 6.3 Interview with Dr. Wendy Smith
- 7.1 Conclusion
- Initiating Midwife-Hospital Communication
- Flier to Initiate Midwife-Hospital Communication
- Home Birth Summit Best Practice Guidelines: Transfer from Planned Home Birth to Hospital
- Home Birth Summit Maternal Transfer Form
- Home Birth Summit Newborn Transfer Form
- Printable PDF: Sample Hospital Transfer Plan
- Printable PDF: Sample Hospital Transfer Worksheet
- Homebirth: An Annotated Guide To The Literature
- Baby Friendly Hospital Initiative - Baby Friendly USA
- Midwives Model of Care™
- Philosophy of the American College of Nurse-Midwives
- ACOG Committee Opinion #664: Refusal of Medically Recommended Treatment During Pregnancy
- Further Resouces
- Evaluation Questions
- Post-Test for CE Certificate
Silke Akerson, CPM, LDM, MPH
Midwife & Herbalist
“I found this course to be thorough, concise, and well thought out. I have been a practicing homebirth midwife since 1982 and have been doing, teaching, and pushing for these very things for years. There were even a few things I had not thought o...”→Read More
“I found this course to be thorough, concise, and well thought out. I have been a practicing homebirth midwife since 1982 and have been doing, teaching, and pushing for these very things for years. There were even a few things I had not thought of. I hope that this training will help all of us to be able to practice in a little more perfect world.”→Read Less
“Very good.”→Read Less