PTP (Perinatal Training Program) - Maternity Crisis Management Training

Regular training is imperative for potentially catastrophic emergencies that can arise in childbirth. The Perinatal Training Program's Maternity Crisis Management (MCM) track provides exciting new content covering high-risk, low incidence OB emergencies, enabling clinicians to be prepared. Topics in this training track include Shoulder Dystocia, Antepartum Hemorrhage, Postpartum Hemorrhage, Cord Presentation/Prolapse, Uterine Rupture/Inversion, and Hypertensive Disorders of Pregnancy.   

K2 Medical Systems Inc is an Approved Provider of Continuing Nursing Education by Connecticut Nurses’ Association, an Accredited Approver by the American Nurses Credentialing Center’s Commission on Accreditation. (5 CNE contact hours)

MCM Screenshot Gallery:

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Why is Maternity Crisis Management Training so important?

High risk, low incidence OB emergencies require skill and decisive action to avoid catastrophic consequences

  • Shoulder Dystocia, occurring in more than 1% of deliveries, is often unanticipated and considered a primary cause of perinatal mortality and morbidity, and maternal morbidity. ACOG Practice Bulletin: Shoulder Dystocia, No. 40, Nov. 2002
  • Postpartum hemorrhage occurs in 10 – 15% of women after delivering and is a leading cause of maternal death. Bateman et al, 2010
  • Preeclampsia and hypertensive disorders of pregnancy affect up to 10% of all pregnancies worldwide and is a leading contributor to prematurity. In the United States, these disorders have increased by 25% over the past 2 decades, accounting for a 17% maternal mortality rate. It is estimated that there would be a 50-70% reduction in maternal morbidity and mortality with improved recognition, diagnosis and treatment of these disorders, especially preeclampsia(CMQCC, 2014).

Avoidable Poor Outcomes Increase Litigation & Cost

The Answer is Training!


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MCM Topics covered:

Antepartum Hemorrhage

  • Risk factors of APH
  • Main Causes of APH - placenta previa, placental abruption and vasa previa.
  • The priniciples of APH management
1 CNE contact hour


Cord Presentation and Prolapse

  • Risk factors of Cord Presentation and Prolapse
  • Identification/Recognition of Cord Presentation and Prolapse
  • Management of Cord Presentation and Prolapse
0.5 CNE contact hour


Postpartum Hemorrhage

  • Risk factors of PPH
  • Main causes of PPH
  • The principles of PPH management
  • Updated definitions in accordance with ACOG and CMQCC* Guidelines
  • An explanation of QBL- the use of quantified blood loss evaluation, for standardized care and improved outcomes
  • Staging of hemorrhage defined
  • Active Management of Third Stage Labor (AMTSL) redefined as recommended by ACOG, CMQCC, and AAP to support delayed cord clamping benefits for the newborn, and decrease risk of PPH
  • Introduction to the use of Tranexamic Acid (TXA), in accordance with 2017 ACOG and 2017 CMQCC (California Maternal Quality Care Collaborative) recommendations to improve maternal outcomes in PPH
1 CNE contact hour


Shoulder Dystocia Chapter

  • Definition and Causes of Shoulder Dystocia
  • Maternal and Neonatal Complications
  • Management and Maneuvers
  • Post-Partum Care and On-going
  • Risk Management
1 CNE contact hour


Uterine Rupture/Inversion

  • Risk factors of Uterine and Inversion
  • Incidence of Uterine and Inversion
  • Complications of Uterine Rupture and Inversion
  • Recognition of Uterine Rupture and Inversion
  • Management of Uterine Rupture and Inversion
0.5 CNE contact hour

Hypertensive Disorders of Pregnancy

  • Definitions of hypertensive disorders in accordance with ACOG and CMQCC* Guidelines
  • A discussion of the effects of hypertension and preeclampsia on maternal and fetal systems
  • Review of preeclampsia symptoms respective of organ system involvement
  • Discussion of lab values, medication regimens, fetal surveillance and timing of delivery
  • Role of magnesium sulfate, seizure prophylaxis, and management of eclampsia
  • Prevalence of hypertensive disorders in the postpartum period and the role of consistent patient education
 1.0 CNE contact hour