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Considerations for our Midwifery Led Resuscitation Course
While you can get NRP in many forms from in-hospital and out of hospital formats, our course is unique in so many ways-from the experience of our instructors in EMS and community birth, to our focus on collaboration and communication throughout the resuscitation, and our midwifery informed focus on wellness of the clients and the care givers at all times.
This all day course features skills stations that focus on repeated practice of initial steps, ventilation, and compressions until muscle memory is well-developed for these skills. All aspects of NRP will be covered in the skills stations, including use of bag-valve masks, T-piece resuscitators, LMA's, medications, and I/O and UVC placement. The instructors will also help your staff navigate introduction of T-piece resuscitators, I/O placement, and other possible new skills to your birth center, and practice all scenarios in ways you would be likely to encounter in community based birth.
The time commitment for this course is different than others you may have taken. Our goal is for each learner to feel confident with both ventilation and the advanced skills, and we have found that this takes time to achieve. Instructors are available to discuss course content with birth centers to help them understand what we teach, and how it is different from courses they may have taken in the past.
At the end of the hands on course and required evaluations every learner will have access to their NRP eCard which is good for 2 years.
We only offer the Advanced NRP course, though it may be appropriate for certain individual learners to choose and obtain the Essentials e-Card (e.g. doulas, admin staff). Essentials learners will still be expected to attend/participate in the full day. If you have questions regarding if Essentials is appropriate for you as an individual learner, please contact us.
There are several reasons that we only offer the Advanced training. For years, birth centers have struggled to obtain quality Neonatal Resuscitation Program (NRP) Provider training, and when they've been able to obtain it, the training has usually been hospital-based. Preliminary PDR™ and MANAStats data, as well as CABC Sentinel Event trends show that neonatal resuscitation skills are an area that need to be addressed in birth centers across the nation. These data sets illustrate that birth center staff need to become more familiar with NRP skills and equipment. As instructors, we know the key to most successful neonatal resuscitation is effective ventilation. However, we have seen the need for advanced skills where midwives did not have the training and it may have made the difference in an outcome. We believe that the families who choose our care expect us to be fully trained and ready, and that our babies deserve every chance for life.
NARM and CABC also support learners obtaining Advanced NRP training. NARM states
“NRP Advanced is required effective March 1, 2023 for certification or recertification. NARM will continue to accept unexpired NRP Essentials (plus BLS for Health Care Providers) or NRP Advanced as meeting the NRP Requirement. Cards issued after March 1, 2023 must be for the Advanced NRP course.”
CABC indicators state
“At each birth there shall be two Clinical Staff currently trained in Neonatal Resuscitation endorsed by the American Academy of Pediatrics/American Heart Association, including all NRP modules, in order to provide, or assist in providing, NRP services and promote a smoother transition of care during transfer.”
If you have any questions about the content of our courses, please feel free to reach out to us. There are many ways we can modify our courses to be appropriate to your needs!
Hosting a Course with Midwives Untethered
Midwifery Led Resuscitation
This all-day intensive focuses on muscle memory through repeated practice of initial steps, ventilation, and compressions. The afternoon transitions into drill scenarios tailored to your specific birth space. Successful learners (who have completed the online Part One) receive an AHA/AAP NRP eCard.
Skills Stations Include:
Bag-valve mask, T-piece, and advanced airway management.
Emergency vascular access (I/O and UVC).
EMS & Hospital transfer integration.
Provider Wellness: Debriefing and navigating potential trauma.
This course requires that all learners desiring an NRP card complete the online NRP 9th Edition Part 1 prior to the course. Learners must complete the online training before the INSTRUCTOR-LED EVENT. Learners DO NOT have to get an NRP card in order to take this course. Many learners choose to take the course with their group of caregivers when they are not due (or do not desire a card). The cost is the same for the course per learner whether the learner is obtaining a card or not, as the work of teaching each learner is the same for our instructors.
If you are a midwife, a nurse or birth assistant, or a paramedic, you should register for the ADVANCED course. If you are one of two staff attending any birth at a CABC-Accredited birth center, you must complete the ADVANCED course.
If you are a CPM pursuing and renewing NARM certification you should complete the ADVANCED course.
If you are a doula, an EMT, a receptionist, or some other support role at birth, you may register for the ESSENTIALS course or the advanced course, depending upon what your facility or provider requests of you.
This online portion costs $75.00 for each individual and is in addition to the price of the course with Midwives Untethered
Maternal and Neonatal Outliers Course
This 8 hour day reviews unusual occurrences, focusing on management and transfer considerations in the community setting. We explore up-to-date evidence and drill together, covering 5 host-selected topics (intermittent auscultation, hemorrhage, pre-eclampsia, prolapsed cord, shoulder dystocia, amniotic fluid embolism and disseminated intravascular coagulation, maternal sepsis and neonatal hypoglycemia). Like our NRP course, this day combines discussion & simulation with integrated debriefing.
Learners will be asked to review written discussion sheets on each topic prior to the in person course.
If IA is one of the chosen topics, learners will pay an additional $70 to Primary Maternity Care to complete the one hour online prerequisite which must be completed prior to taking our hands on course
Hosting Requirements & Logistics
Host center/group must designate a contact person to coordinate the course
Prerequisites: Learners must review required content prior to the course. (e.g. NRP Part One online, T-piece/CPAP webinar, or Intermittent Auscultation primer).
Enrollment: Min 8 / Max 12 learners. The host and Mu share recruitment responsibilities.
Tuition:$300 per day ($250 for AABC members) or $500 for bundled 2 day event. Excludes fees required by Primary Maternity Care (IA) and AAP/RQI (NRP) for online pre-course preparation. Those who register seven (7) days or less prior to the course will be charged an additional $50.00 late registration fee.
Equity Discount: Mu acknowledges our responsibility to those who have suffered discrimination in accessing midwifery care and education. We offer a discount for up to two learners who are culturally congruent with their community. Learners should contact instructor to apply the discount, which is granted on a first-come basis and may not be added to the AABC discount.
Booking Fee:$500 non-refundable fee reserves your dates.
Host Benefit: Covers 2 learners (a $100 savings) and includes special access to our digital content.
Deadlines: a minimum of 8 learners must register 30 days prior. Final additions (up to 12) allowed until 48 hours before class.
EMS Integration: Invite up to two local EMS providers for $50 each (does not count toward minimum learner count). Contact instructor please.
Venue & Meals: Hosts provide a working lunch and beverages. You may choose to ask learners to contribute toward your costs.
Instructor Support: Host provides transportation from/to airport and lodging the night before and the night of the course (birth center or private home is fine).
Families: Babes in arms are welcome.
Next Steps
Please contact us with your preferred timeframe or any questions. We look forward to working with you!
Hosting a Caregiver Wellness Course
Contact us to discuss the varying options for our wellness offerings