Program Overview
With mortality rates in the United States on the rise and severe morbidity and near-miss mortality rates up 75% over the last 14 years, it is crucial that clinicians obtain the knowledge needed to contribute to optimal patient outcomes. High-risk and critically ill pregnant patients are encountered at every level of care, including the emergency department, and intensive care and medical/surgical units. AWHONN’s Critical Care Obstetrics Education (CCOE) library will prepare clinicians to identify high-risk and critically ill patients who need treatment, stabilization, or transfer to a higher level of care. This education will meet the needs of all staff in all settings.
Program Features
- Knowledge checks incorporated to assist in knowledge retention
- Online, narrated courses on the AWHONN learning management system
- Posttests to confirm knowledge retention
- PPH Stages Algorithm Version 1.4
Nursing Contact Hours Available
11.25 total nursing contact hours through May 31, 2028. All courses can be purchased at the AWHONN Store.
Who Should Enroll:
- Clinical nurses managing high-risk OB patients
- New or transitioning labor and delivery nurses building clinical confidence
- Hospital educators looking for quality, team-wide training
- Nurse leaders seeking readiness across their unit
Bundle for Success
We’ve taken our courses and combined them into essential learning bundles – making it easy and convenient while ensuring you get the resources you need.
Critical Care Obstetrics Education (CCOE) Eight-Course Bundle
Purchase all 8 courses with the CCOE Eight Course Bundle
- Disseminated Intravascular Coagulation (DIC) -1.25 nursing contact hours
- Diabetic Ketoacidosis (DKA) – 1.0 nursing contact hours
- Hemodynamic Function and Assessment – 1.5 nursing contact hours
- Venous Thromboembolism in Pregnancy (VTE) – 1.25 nursing contact hours
- Sepsis in Obstetric Care – 1.25 nursing contact hours
- Preeclampsia and Severe Hypertension (HTN) – 1.5 nursing contact hours
- Cardiac Disease in Pregnancy – 2.25 nursing contact hours
- Postpartum Hemorrhage (PPH) – 1.25 nursing contact hours
$200 for members/$215 for e-members/$250 for non-members
11.25 total nursing contact hours through May 31, 2028
CCOE Four-Course Bundle 1
Access the following four courses in this package:
- Sepsis in Obstetric Care – 1.25 nursing contact hours
- Preeclampsia and Severe Hypertension (HTN) – 1.5 nursing contact hours
- Cardiac Disease in Pregnancy – 2.25 nursing contact hours
- Postpartum Hemorrhage (PPH) – 1.25 nursing contact hours
$100 for members/$110 for e-members/$125 for non-members
6.25 total nursing contact hours through May 31, 2028
CCOE Perinatal Safety Standards Bundle
Access the following two courses in this package:
- Preeclampsia and Severe Hypertension (HTN) – 1.5 nursing contact hours
- Postpartum Hemorrhage (PPH) – 1.25 nursing contact hours
$49 for members/$59 for e-members/$69 for non-members
2.75 total nursing contact hours through May 31, 2028
CCOE Four-Course Bundle 2
Access the following four courses in this package:
- Disseminated Intravascular Coagulation (DIC) -1.25 nursing contact hours
- Diabetic Ketoacidosis (DKA) – 1.0 nursing contact hours
- Hemodynamic Function and Assessment – 1.5 nursing contact hours
- Venous Thromboembolism in Pregnancy (VTE) – 1.25 nursing contact hours
$100 for members/$110 for e-members/$125 for non-members
5 total nursing contact hours through May 31, 2028
Courses
Hemodynamic Function and Assessment
1.5 nursing contact hours through May 31, 2028
The purpose of this course is to provide clinicians with a review of the hemodynamic changes and associated assessments in pregnancy. Having the knowledge can assist the clinician to identify abnormal changes in the pregnant person and to initiate interventions to ensure the increased metabolic demands of the pregnant person and adequate uteroplacenta circulation for the fetus are achieved.
This foundational course provides critical clinical information necessary for understanding the physiologic changes that affect pregnant patients.
Disseminated Intravascular Coagulation (DIC)
1.25 nursing contact hours through May 31, 2028
The purpose of this course is to prepare clinicians to manage an obstetric patient in DIC. Predisposing obstetric conditions along with presenting signs and symptoms and laboratory values are discussed giving the clinician the knowledge for early recognition to prevention DIC.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Diabetic Ketoacidosis (DKA)
1.0 nursing contact hour through May 31, 2028
The purpose of this course is to review how the normal adaptation to pregnancy is a predisposing factor to diabetes. The review also includes the classifications of diabetes with focus on DKA, diagnosis of DKA, and evidence-based recommendations for the management of DKA.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Sepsis in Obstetric Care
1.25 nursing contact hours through May 31, 2028
The purpose of the course is to review the pathophysiology of sepsis providing clinicians with the knowledge to quickly identify risk factors and warning signs of sepsis. In addition, the course offers evidence-based recommendations for the management of sepsis.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Preeclampsia and Severe Hypertension (HTN)
1.5 nursing contact hours through May 31, 2028
The purpose of this course is to provide an overview of hypertensive disorders of pregnancy with a focus on severe hypertension and preeclampsia. Signs and symptoms and evidence-based recommendations for treatment are discussed.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Venous Thromboembolism in Pregnancy (VTE)
1.25 nursing contact hours through May 31, 2028
The purpose of this course is to prepare clinicians with the knowledge to identify factors that place the obstetric patient at risk for thromboembolic disorders and how to manage these disorders. In addition, a review of the pathophysiology of thromboembolic disorders is provided along with discussion of thrombophilias and types of thromboembolic events that may be encountered.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Cardiac Disease and Pregnancy
2.25 nursing contact hours through May 31, 2028
The purpose of the course is to provide a review of normal hemodynamic physiology in pregnancy to better understand the normal changes that occur in the cardiovascular system and to identify abnormal signs in a timely manner. Classifications of cardiac conditions are discussed along with management of these conditions during the antepartum and intrapartum periods. Cardiac disease in the postpartum period and long-term outcomes are also discussed.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Postpartum Hemorrhage (PPH)
1.25 nursing contact hours through May 31, 2028
The purpose of this course is to provide clinicians with evidence-based recommendations to be prepared for a hemorrhage, the knowledge to recognize early signs and symptoms of a hemorrhage, and the knowledge to initiate early management of and response to a postpartum hemorrhage.
AWHONN recommends that you take the Hemodynamic Function and Assessment course as a foundation for this course.
Tools included in this course are:
- AWHONN PPH Stages Algorithm Version 1.4
- PPH Risk Assessment Table Version 1.3
Note: One seat minimum to gain access to these tools
Group Purchase:
For group purchases and volume discount pricing, please contact productsales@awhonn.org.
Additional Questions?
Sales inquiry (for price information or a group quote): productsales@awhonn.org
Permissions inquiry (to-reuse our copyrighted material): permissions@awhonn.org
Online Learning Center questions (for admin access or to enroll learners): learning@awhonn.org
Accreditation Statement
Association of Women’s Health, Obstetric and Neonatal Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Accredited status does not imply endorsement by AWHONN or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with an educational activity.
AWHONN is approved by the California Board of Registered Nursing, Provider #CEP580.
FAQ
CCOE consists of 8 courses related to the care of critically ill perinatal people. Nursing contact hours can be earned for each course. The online courses are designed to provide clinicians with theoretical knowledge needed to provide care to high-risk and critically ill obstetric patients. The program is targeted toward clinicians including graduate and experienced nurses, who work in perinatal nursing, emergency department, and intensive care and medical/surgical units.
CCOE can be purchased in the AWHONN Learning Center. Each course is fully narrated. Participants may begin a course and come back to finish the course at a later time within a year or until the nursing contact hours expire, whichever comes first.
The nursing contact hour expiration for the most current version of CCOE is May 31, 2028.
Please note:
AWHONN cannot extend nursing contact hours or access for previous versions of CCOE. On the date the nursing contact hours expire, AWHONN removes access to the content, as it is out of date.
Please contact AWHONN’s Product Sales Team at productsales@awhonn.org for more information.
The Hemodynamic Function and Assessment course covers the physiologic adaptations of pregnancy, core concepts in the care of the pregnant people. These physiologic changes affect assessment parameters of hemodynamics and oxygen transport. Understanding these core concepts will assist you when assessing a critically ill pregnant patient.
All courses were released June 2023.
Feedback for CCOE can be submitted to ccoe@awhonn.org.
Please include the title of course for which you are providing feedback.
Yes. Preeclampsia and Severe Hypertension (HTN) and Postpartum Hemorrhage (PPH) both contain the education required by The Joint Commission. In addition to the education, the PPH course contains resources such as the updated PPH Risk Assessment Table Version 1.3, PPH Stages Algorithm Version 1.4, and a debriefing tool.
The PPH Risk Assessment Table Version 1.3 was updated in 2023 and the new PPH Stages Algorithm Version 1.4 was updated in 2025. Users can access these tools in the PPH course by purchasing seats of the Perinatal Safety Standards bundle, the CCOE 4 course Bundle 1, and the CCOE 8 course bundle.
Users can also get the PPH Risk Assessment and Staging Algorithm for free on the Postpartum Hemorrhage & Risk Assessment Tools page.