Emergencies in Clinical Obstetrics (ECO) Course


Course Description

The Emergencies in Clinical Obstetrics (ECO) course has been created from the most updated evidence-based literature to train all levels of providers to work together during obstetric emergencies. It includes standardized lectures to provide the necessary background as well as clinical checklists for reference during the course and to use at their institutions. The simulation stations provide hands-on opportunities to practice individual skills and the critical teamwork and communication skills necessary to care for women during obstetric emergencies. 

The five units include  breech vaginal delivery, shoulder dystocia, postpartum hemorrhage, umbilical cord prolapse, and teamwork and communication during obstetric emergencies. At the completion of this course, you will have a solid understanding of why simulation training is so important for obstetric patient safety as well as know how to implement and run the course itself.

Introduction Video

Dr. Shad Deering, MD, FACOG, ECO Master Trainer 

Instructor Requirements

The primary course director must have attended a prior ECO course. The train-the-trainer ECO course is recommended.  Please scroll to the bottom of the page to view publicly available courses??

Participant Objectives

By the end of this course, participants should be able to:

  • Describe evidence-based protocols for common obstetric emergencies

  • Demonstrate correct technique and performance of key responsibilities during simulated obstetric emergencies

  • Practice teamwork and communication for simulated cases complicated by shoulder dystocia, postpartum hemorrhage, umbilical cord prolapse and vaginal breech delivery

Frequently Asked Questions 

Is the registration fee per course or per participant? 
Per course. The order form will prompt you with the number of courses that will be trained.

Do we have to register the instructors before the course?
Yes. All instructors must be identified, and must submit disclosure forms regardless of ACOG membership status. Access disclosure form details..

Must participants be ACOG members before taking the course?
No. But you must return the sign-in sheets to eco@acog.org after the training session/s is/are completed.

Do participants earn a certificate upon completion?
Yes. It is worth 5 CME credits* for DOs and MDs, plus ABOG MOC Part IV.

Can nurses, midwives, and other health professionals participate in the course and receive CME credit*?
Yes. All nurses and other health care professionals can take the certificate of completion to their accrediting institution, where up to 5 CME credits can be translated. 

Is there a required trainer to participant ratio? 
Yes. The ratio is 1 trainer: 15 participants for the didactic session, and 1 trainer: 5 participants for the simulation session. 

How can I train this course at my institution? 
Please contact ACOG staff at acog@eco.org

How do I register?
Use the button at the bottom of this page to access and submit the ECO course order form. After you submit the form, you’ll get an email with further instructions. 


Completion Requirements

In order to receive continuing medical education (CME)* and maintenance of certification (MOC) credit for the course:

  • The Course Director must:

    • Complete the online registration form, list the course date and location, and disclose accordingly

    • Complete and email the questionnaire to ACOG (to be sent after purchase)

    • Return the participant sign-in sheet to ACOG for participants to receive CME credit.

  • Participants must

    • Attend all didactic sessions

    • Successfully complete the simulation exercises demonstrating correct performance for each emergency

    • Successfully complete the ECO Posttest  

CME Credit: The course is approved for up to 5 CME credits* through ACOG.    
MOC Credit: Participants are also eligible for MOC Part IV credit from ABOG.

*ACCME Accreditation

The American College of Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credit(s)™

The American College of Obstetricians and Gynecologists designates this live activity for a maximum of 5 AMA PRA Category 1 Credits™ Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

College Cognate Credit(s)

The American College of Obstetricians and Gynecologists designates this live activity for a maximum of 5 Category 1 College Cognate Credits. The College has a reciprocity agreement with the AMA that allows AMA PRA Category 1 Credits™ to be equivalent to College Cognate Credits.

The American Board of Obstetricians and Gynecologists (ABOG) has decided to allow providers attending simulation programs that meet specific criteria to be given credit for part IV of their Maintenance of Certification (MOC). The ECO course was designed with attention to these requirements and is eligible for this.


No courses at this time
Questions? Email eco@acog.org


No courses at this time
Questions? Email eco@acog.org

Directions: Choose which best fit your institutional needs.

Includes registration fee, and for new institutions includes flash drive with slides, one set of 12x18" station poster labels, one set of 12x18" station checklists  

OPTION A: $250

  • Instructor Manual PDF (to be printed at your institution) 
  • Participant Manual PDF (to be printed at your institution)

OPTION B: $50 

  • Set of four 12x18" clinical checklists (Postpartum Hemorrhage / Breech Vaginal Delivery / Umbilical Cord Prolapse / Shoulder Dystocia) posters (specify number)

Please allow at least four weeks (20 business days) to process, if requesting printed materials, or at least two weeks (10 business days) if requesting electronic materials.

This course is available for purchase by course trainers only. For individual registration, please register for the ACOG Annual Clinical & Scientific Meeting, or check above under "Upcoming Courses" for a registration link to a course that may be taking place in your area. 



Anne Arnold
Director, Educational Programs


American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998