OBI & Labor Management for the Practicing Clinician

This webinar will focus on the use of strategies to avoid dystocia, accurate use of updated Labor Dystocia criteria outlined in the ACOG Practice Bulletin No. 8 First and Second Stage Labor Management. We will identify some specific changes focusing on latent labor management and will confirm the criteria for active labor and second stage. We will highlight strategies to implement evidence based practices to support adherence to the dystocia criteria as part of the Obstetrics Initiative.

This recorded training is by invitation only for the members of The Obstetrics Initiative.

A recording of the live OBI 2025 Webinar Series lecture held on February 25, 2025.

Release Date: March 3, 2025

Expiration Date: March 2, 2026

Approximate Time to Complete: 53 minutes

Click on Begin Activity to get started, or see Registration section for more detailed instructions.

1. Accurately identify the criteria for differing types of labor dystocia.
2. Discuss strategies for management of labor dystocia and potential for prevention of it.
3. Review approaches for management of latent phase labor as a case example.
4. Identify opportunities to engage all maternity care team members in strategies to increase compliance with use of dystocia criteria in alignment with the Obstetric Initiative.

There is no fee for this module, however, registration is required. If you don't already have a profile in the CE portal you will need to create one during the registration process.

Instructions for Completion

1. Click Begin Activity

2. Click Register and complete the process. Click on the activity link at the bottom the confirmation pop-up window to return to the module (a direct link to the module is also provided in the registration confirmation email)

3. Click Launch Video

4. Upon completion of the module, click Attestation and answer the 1 attestation question, click Check Answer, click the green button in the upper right corner.

5. Complete the CE Evaluation (if you are not automatically directed to the evaluation upon completion of the attestation, go to My CME > Evaluations & Certificates)

Need Assistance? [email protected]

In support of improving patient care, this enduring activity has been planned and implemented by to Corewell Health Southeast Michigan and The Obstetrics Initiative. Corewell Health Southeast Michigan 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.

Medicine CME: to Corewell Health Southeast Michigan designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing CE: to Corewell Health Southeast Michigan designates this activity for a maximum of 1.0 ANCC contact hour. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Attention PHYSICIAN participants: Credit will be reported to CME Passport within 30 days of completion of the evaluation. If you do NOT want your credit reported to CME Passport, you must opt out at https://beaumont.cloud-cme.com > Sign In > My CME > Profile. For more information about CME Passport, visit http://cmepassport.org.

IPCE: This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

Disclosure of Financial Relationships: All individuals involved with this accredited CE activity have no relevant financial relationships with ineligible companies to disclose.

Unapproved Use: It is the policy of Corewell Health Southeast Michigan to require the disclosure of all references to off-label or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this accredited CE activity may reference off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.

Disclaimer: The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient's medical condition.

Additional Resources:

First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics & Gynecology 143(1):p 144-162, January 2024. | DOI: 10.1097/AOG.0000000000005447

Zhang J, Landy HJ, Ware Branch D, Burkman R, Haberman S, Gregory KD, Hatjis CG, Ramirez MM, Bailit JL, Gonzalez-Quintero VH, Hibbard JU, Hoffman MK, Kominiarek M, Learman LA, Van Veldhuisen P, Troendle J, Reddy UM; Consortium on Safe Labor. Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol. 2010 Dec;116(6):1281-1287. doi: 10.1097/AOG.0b013e3181fdef6e. PMID: 21099592; PMCID: PMC3660040.

PMID: 36796400 Outcomes of Elective Induction of Labor at 39 Weeks from a Statewide Collaborative Quality Initiative. Langen ES, Schiller AJ, Moore K, Jiang C, Bourdeau A, Morgan DM, Low LK.Am J Perinatol. 2023 Feb 16. doi: 10.1055/s-0043-1761918. Online ahead of print.PMID: 36796400

PMID: 36720433 Attitudes of Clinicians and Patient Safety Culture Before and After the ARRIVE Trial. White VanGompel E, Carlock F, Singh L, Keer E, Brown J, Kane Low L.J Obstet Gynecol Neonatal Nurs. 2023 May;52(3):211-222. doi: 10.1016/j.jogn.2022.12.007. Epub 2023 Jan 28.PMID: 36720433

PMID: 36028146 Reliability and Validity of a Perinatal Shared Decision-Making Measure: The Childbirth Options, Information, and Person-Centered Explanation. Breman RB, Resnick B, Ogbolu Y, Dada S, Low LK.J Obstet Gynecol Neonatal Nurs. 2022 Nov;51(6):631-642. doi: 10.1016/j.jogn.2022.08.001. Epub 2022 Aug 23.PMID: 36028146

PMID: 35476768 We Are Not Asking Permission to Save Our Own Lives: Black-Led Birth Centers to Address Health Inequities. Welch L, Branch Canady R, Harmell C, White N, Snow C, Kane Low L.J Perinat Neonatal Nurs. 2022 Apr-Jun 01;36(2):138-149. doi: 10.1097/JPN.0000000000000649.PMID: 35476768

PMID: 35089177 A Qualitative Study Focused on Maternity Care Professionals' Perspectives on the Challenges of Providing Care During the COVID-19 Pandemic. Brown J, Moore K, Keer E, Kane Low L.J Perinat Neonatal Nurs. 2022 Jan-Mar 01;36(1):46-54. doi: 10.1097/JPN.0000000000000623.PMID: 35089177

PMID: 34825764 Perspectives of Doulas of Color on their Role in Alleviating Racial Disparities in Birth Outcomes: A Qualitative Study. Kathawa CA, Arora KS, Zielinski R, Low LK.J Midwifery Womens Health. 2022 Jan;67(1):31-38. doi: 10.1111/jmwh.13305. Epub 2021 Nov 26.PMID: 34825764

PMID: 32795425 Promotion of Maternal-Infant Mental Health and Trauma-Informed Care During the COVID-19 Pandemic. Choi KR, Records K, Low LK, Alhusen JL, Kenner C, Bloch JR, Premji SS, Hannan J, Anderson CM, Yeo S, Cynthia Logsdon M.J Obstet Gynecol Neonatal Nurs. 2020 Sep;49(5):409-415. doi: 10.1016/j.jogn.2020.07.004. Epub 2020 Aug 12.PMID: 32795425 Free PMC article.

PMID: 32538163 Understanding fear of childbirth among underrepresented populations in the United States. Roosevelt LK, Low LK.J Health Psychol. 2021 Dec;26(14):2811-2821. doi: 10.1177/1359105320922306. Epub 2020 Jun 15.PMID: 32538163

Mitigation of Relevant Financial Relationships

Corewell Health Southeast Michigan adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.