Emergencies in Clinical Obstetrics (ECO) Course


Course Description

Given the new focus on implementing patient safety programs in a comprehensive manner that includes hands-on simulation training and the mounting evidence that this can improve maternal and fetal outcomes, the American College of Obstetricians and Gynecologists (ACOG) has developed the Emergencies in Clinical Obstetrics (ECO) Course.

This course focuses on four common obstetric emergencies and includes evidence-based didactics and hands-on simulation stations that emphasize technical, teamwork, and communication skills for the following topics:  

  1. Shoulder Dystocia                                                           

  2. Postpartum Hemorrhage

  3. Umbilical Cord Prolapse

  4. Breech Vaginal Delivery

Instructor Requirements

The primary course director must have attended a prior ECO course. The train-the-trainer ECO course is recommended.  The next ECO course will be administered on Tuesday, May 9th at the ACOG Annual Clinical & Scientific Meeting in San Diego, California.


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 and page from the introduction of the participant manual to their accrediting institution, where the CME can be translated.

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 CME credit through ACOG.
MOC Credit: Participants are also eligible for MOC Part IV credit from ABOG.  

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.

Directions: Choose which best fit your institutional needs.


  •  Includes flash drive with slides and shipping fee

OPTION A: $225

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


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


  • Pre-printed Instructor Manual (specify number; 1 per 15 participants)

 OPTION D: $30

  • Pre-printed Participant Manual (specify number; max 15 per instructor)

To purchase, Click Here


Anne Arnold
Director, Educational Programs


American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998