Activity ID



June 22, 2023

Format Type


CME Credit



CME Provider

Louisiana Medical Mutual Insurance Company (LAMMICO)


The first 60 minutes of life, known as the “Golden Hour,” requires preparation and coordination between the perinatal and neonatal healthcare teams if neonatal resuscitation or stabilization is anticipated. Perinatal first-responders typically begin neonatal resuscitation while neonatal second-responders provide advanced skills during post-resuscitation/pre-transport stabilization. Current maternal levels of care guidelines and the new Neonatal Resuscitation Program (NRP) (7th ed.) updates recommend that every hospital provide newborn stabilization care. Unfortunately, nationwide adoption of these guidelines is lacking, and proper stabilization of newborns has suffered. Improper care delivered during the “Golden Hour” has short- and long-term consequences that affect neurologic development, increase mortality risk and foster malpractice claim allegations. Inconsistencies and inaccuracies in care delivery, coordination and planning during this timeframe are underlying causes of poor outcomes. This monograph defines the perinatal first-responder’s role and responsibilities in newborn resuscitation/stabilization as defined by new national guidelines and includes critical thinking drills to improve skills in the early detection and management of hypoxic fetal heart rate patterns.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Examine a EFM case study and complete several EFM critical thinking drills that assess your EFM diagnostic skills and knowledge of the new Neonatal Resuscitation Program (NRP) (7th ed.) guidelines
Distinguish hypoxic FHR patters and individual characteristics from non-hypoxic features and treat signs of fetal hypoxemia early
Apply the new NRP (7th ed.) guidelines into your clinical practice and incorporate at least two risk mitigation strategies to improve newborn stabilization care at your own facility


obstetrics, electronic fetal monitoring. perinatal care


Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban

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