If you have a group of four or more people who would like to enroll in this course at a discounted group rate, you're in the right place!

The curriculum may be viewed below.

A full description of the course may be viewed on the general course page.


Pricing for groups of 4 to 20 are at the rate of $75/student. If your group is in that range, calculate your fee from the graph below, and send ONE lump payment via PayPal to jesica@HiveCE.com. Within two business days of receiving payment, an access code will be sent via email for you to distribute to your group. 

Please let us know whether you would like this access to be for the general group, or for your own private group, which would include a private group discussion area. If this access code should be sent to a different email address than the one used in Paypal, please let us know.


For groups larger than 20, you may register through the automated system below.

Within two business days of registering, an access code will be sent via email for you to distribute to your group. Please let us know whether you would like this access to be for the public course, or for your own private version, which would include a private discussion area.

The breakdown for pricing can be seen here:

For groups larger than 100, additional enrollments above 100 are priced at $30/person.


This course has been approved by MEAC for 4 hours of continuing education. The approval number for this course is M1920-17-1001DE, and this approval is current through October 1st, 2021.

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 number for this course is 2019/085, and this approval is current through October 16th, 2021.

Course curriculum

  • 01
    1: Introduction
    Show details
    • 1.1 Intro
    • 1.2 The Problem
    • Readings
    • 1.3 What is community birth?
    • Learn More About Community Birth
  • 02
    2: Care Providers Involved In Community Birth
    Show details
    • 2.1 Midwives
    • Midwives Model of Care™
    • Philosophy of the American College of Nurse-Midwives
    • 2.2 Emergency Medical Services (EMS)
    • 2.3 Receiving Hospital Providers
    • Baby Friendly Hospital Initiative - Baby Friendly USA
  • 03
    3. Solutions for Smooth Transfer
    Show details
    • 3.1 Working Together
    • 3.2 Home Birth Summit Model Practices for Midwives
    • Home Birth Summit Best Practice Guidelines: Transfer from Planned Home Birth to Hospital
    • 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"
    • Smooth Transitions
  • 04
    4. Best Practices for Communication During Community Birth Transfers
    Show details
    • 4.1 Best Practices for Improving Transfer
    • 4.2 Best Practices for Communication: Prenatal Planning and Education
    • Printable PDF: Sample Hospital Transfer Plan
    • Printable PDF: Sample Hospital Transfer Worksheet
    • 4.3 Communication: Calling 9-1-1
    • 4.4 Communication: Midwives and EMS
    • Clinician Fact Sheet: The Importance of a Low-Stress Environment for Birth and the Immediate Postpartum
    • Citizens for Midwifery Directory of State Midwifery Organizations
    • 4.5 Communication: EMS and Receiving Providers
    • 4.6 Communication: Midwives and Receiving Providers
    • Home Birth Summit Maternal Transfer Form
    • Home Birth Summit Newborn Transfer Form
    • ACOG Committee Opinion #664: Refusal of Medically Recommended Treatment During Pregnancy
    • 4.7 Model Practices Role-Play: Maternal Hemorrhage Scenario
  • 05
    5. Clinical Best Practices During Community Birth Transfers
    Show details
    • 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
  • 06
    6. Challenging Situations
    Show details
    • 6.1 When Conflict Arises
    • 6.2 Model Practices Role-Play: Newborn Resuscitation Scenario
    • 6.3 Interview with Dr. Wendy Smith
  • 07
    7. Conclusion and Further Resources
    Show details
    • 7.1 Conclusion
    • Further Resouces
    • Maternal and perinatal outcomes by planned place of birth among women with low-risk pregnancies in high-income countries: A systematic review and meta-analysis.
    • Homebirth: An Annotated Guide To The Literature
  • Silke Akerson

    Instructor Bio:

    Silke Akerson, CPM, LDM, MPH is a midwife and herbalist in Portland, Oregon. She has been in home birth practice since 2000, has worked in midwifery leadership and policy since 2010, and is currently the executive director of the Oregon Midwifery Council. She has been working collaboratively with emergency services personnel and receiving hospital providers on transfer improvement for the past 9 years. She is passionate about continuing education for midwives and allied providers as ways of ensuring quality care for all families and encouraging continued growth for ourselves as practitioners.

    Silke Akerson, CPM, LDM, MPH

    Midwife & Herbalist

Group Enrollments for CE Credit

Take the course, print the CE certificate, retain access for later reference.