Certified Childbirth Educator (CCCE)


Introduction

CAPPA is an international certification organization for Doulas, Childbirth Educators and Lactation Educators. Since our foundation in 1998, we have certified thousands of perinatal professionals. As one of the first and most comprehensive perinatal organizations in the world, CAPPA is respected for its longevity and its commitment to excellence in both education and unsurpassed student and member support. Choosing an organization for your education is an important decision. CAPPA offers stability that you can be confident in as you invest in your education and career.

CHILDBIRTH EDUCATOR SCOPE OF PRACTICE


Childbirth Educator Scope of Practice


CAPPA Childbirth Educators fill an important role in educating and supporting families and the community by providing comprehensive, evidence-based information As respected professionals, CAPPA Childbirth Educators work in public-health clinics, hospitals, care-providers’ offices, and private settings throughout the world.


How CAPPA Childbirth Educators work with families


Childbirth Educators works with families during pregnancy, offering support, encouragement, information, and referrals as needed.  Childbirth Educators can be found working in a variety of settings to offer their services to families. Families can find them working as public health educators, hospital/community educators, in care providers’ offices and in private practice as educators.


How CAPPA Childbirth Educators work within the healthcare system


Childbirth Educators are educators, not clinicians. Therefore Childbirth Educators work within the healthcare system by offering appropriate referrals when their observance uncovers situations that require healthcare attention or support.


Clinical Limitations of CAPPA Childbirth Educators


CAPPA Childbirth Educators are non-clinical professionals. CAPPA Childbirth Educators do not dispense medical advice, diagnose medical conditions, or prescribe/administer medications or treatments of any kind. Educators do not offer information that directs families to act against medical advice.


CAPPA Standards


CAPPA Childbirth Educators work within CAPPA’s standards of practice to uphold the following (available to read as individual documents): code of conduct, a grievance policy, mission statement, vision statement, organization philosophy, and social media policy. CAPPA Childbirth Educators use current evidence based information in their practice. They maintain their knowledge and skills through continuing education. They work within the legal framework of their individual community and region.


CAPPA Certified Childbirth Educators:



  • Offer non-biased perinatal information, support, encouragement, guidance, referrals, and education to families

  • Provide information on birth options and resources

  • Encourage informed decision making

  • Model and teach effective communication

  • Help families understand their rights according to current healthcare policy and legal statues

  • Work closely with the birthing woman and her family as she explores her values and needs surrounding birth

  • Provide the woman with non-medical comfort techniques for labor, such as positions and movement, comforting touch, visualization, breathing techniques, and affirmation

  • Provide support to the birthing woman’s partner or family

  • Provide culturally sensitive and adult based education

  • Refer to healthcare professionals when support requires clinical assessment, a need for prescription, or medical diagnosis

  • Seek to foster a cooperative, respectful, and positive atmosphere with the birth team


The CAPPA Childbirth Educator is not a clinician and therefore does not:



  • Diagnose medical conditions

  • Prescribe or give dosages of herbal or over-the-counter medications

  • Administer treatment of medical conditions

  • Perform clinical procedures


POSITION PAPER


Evidence-Based Practice In Childbirth Education


Using evidence-based information in practice is one of the four cornerstones of the CAPPA Approach. But what is evidenced-based practice? It is defined as “the use of research and scientific studies as a base for determining the best practices in a field” (Richford, para 1, 2015). To determine clinical care, many medical practitioners use the definition of evidence-based medicine, which incorporates rigorous medical studies, clinical experience, and patient preferences (Sackett, 1996). Since childbirth educators are not clinicians, educators use evidence-based information to inform expectant parents and to improve teaching methods.


Childbirth educators’ duties are two-pronged. First, they must obtain the most recent studies. By providing evidence-based studies as resources, educators enable expectant parents to make informed decisions and introduce them to choices in birthing options. Second, educators must obtain studies that guide their own teaching practice and help determine their teaching topics or teaching methods.


History of Childbirth Education


Since the beginning of time, women have shared their birth experiences with other women. Birth was viewed as a normal part of life. Generations of grandmothers, mothers, sisters, aunts, and others who attended births passed their birth wisdom down. When American women began to birth in the hospital in large numbers, much of this woman-to-woman education was lost.


Due to loss of woman-to-woman education, formal childbirth education became necessary and expected. With the arrival of formal childbirth education classes in the 1960s, women and their partners began to have an academic-style introduction to the birth wisdom that was once shared organically. With the rise of the internet, women began to find information online; as a result, class attendance in academic-style classes has decreased.


Today, expectant parents need more than just academics. A birthing woman needs a place where connecting with her baby, other expectant families, and her partner is honored and supported. They need access to an expert who can answer questions regarding information that they have already acquired. Perhaps most importantly, women need support and encouragement to acknowledge the inner wisdom their bodies provide to birth their babies in the manner that is best for them.


CAPPA Approach


CAPPA professionals approach their work with expectant families during the perinatal year with a desire to educate, support, and to see all families succeed. The CAPPA Approach is built on the CAPPA Vision, which supports four cornerstone tenets. These cornerstones are:



  • Using evidence-based information in practice

  • Embracing positive mental attitudes

  • Approaching all situations with a loving, non-judgmental mindset

  • Building bridges amongst support and healthcare professionals


The four cornerstones mutually support one another and are strengthened by the commitment of CAPPA members and professionals. A synergy exists between the four cornerstones that make The CAPPA Approach a strong foundation upon which to build education and support services to growing families.


The CAPPA Approach differs from a method in that it allows the freedom for CAPPA professionals to incorporate their own style, meet the particular needs of their community, and teach the curriculum that best matches their skill set. CAPPA professionals are able to utilize a large variety of techniques, skills, and coping strategies that are both evidence-based and personalized to the individual, as opposed to being limited to a set, static method. Additionally, The CAPPA Approach differs from a method in that it embraces new evidence-based information, and can grow and transform to stay relevant to the families served by CAPPA professionals.


CAPPA celebrates the fact that the human body is designed to support pregnancy and give birth safely and normally the majority of the time. When women have a supportive environment and the information they need, then pregnancy, childbirth, and breastfeeding can unfold without unnecessary and unwanted interventions. When families are educated about all of their options, they can make decisions that reflect their healthcare needs and their personal values. In most situations and for most women, childbirth without intervention is the safest way to give birth. CAPPA recognizes and appreciates the fact that medical advancements and technologies are important tools when needed. CAPPA encourages women to trust their bodies throughout the perinatal experience. CAPPA professionals are trained to dispel myths about pregnancy, childbirth, the postpartum period, and breastfeeding.


CAPPA believes that all women have the right to make informed decisions regarding their options throughout pregnancy, childbirth, postpartum, and breastfeeding. CAPPA supports and encourages families to choose healthcare providers and the place of birth that most reflects and supports their values and needs. CAPPA trains professionals to provide unbiased education. The CAPPA Approach does not use guilt as a motivator but instead encourages families to make intuitive and informed decisions. CAPPA professionals have the opportunity and responsibility to help parents recognize their own values without imposing their own personal biases.


CAPPA professionals encourage parental responsibility during pregnancy and beyond. We recognize that these decisions include selecting healthcare professionals and the place of birth, as well as feeding and parenting decisions that are compatible with a family’s personal needs and values. These personal decisions are the sole responsibility of the parents. CAPPA recognizes a family’s right to make the decisions that are best for them. While respecting parental decisions, it is important to note that CAPPA also supports the professional’s own boundaries and values. Additionally, CAPPA professionals encourage breastfeeding as the norm and do not promote the use of artificial milk.


Women have the right to be surrounded by those they love and trust during the perinatal period. A woman’s emotional support team is as vital to her pregnancy, birth, and postpartum experience as her healthcare team. Research has shown that women accompanied by a complete support team during pregnancy, childbirth, postpartum, and breastfeeding have better outcomes overall and have higher satisfaction with their experiences.


The CAPPA Philosophy forms the principles for how CAPPA professionals work with families. The CAPPA Vision and four cornerstones of The CAPPA Approach serve as a strong framework that guides the CAPPA Mission.


Conclusion


CAPPA educators are required to locate reliable online information and teach expectant couples how and where to find this information. By providing evidence-based resources and encouraging open communication with care providers, expectant couples can make informed decisions that are best suited for their families. In addition, CAPPA educators use evidence-based information in their teaching to make classes fun and informative.


 


References:


CAPPA (2014). CAPPA Childbirth Educator Manual. Publisher: Author.


Richford, N. (2015) Definition of evidence based practice. Retrieved from


http://www.ehow.com/about_5048440_definition-evidence-based-practice.html.


Sackett, D.L., Rosenberg, W., Muir Gay, J., Haynes, R.B., Richardson, W.S. (1996). Evidence based medicine: What it is and what it isn’t. BMJ, 312. doi: http://dx.doi.org/10.1136/bmj.312.7023.71.


 


This Position Paper was approved by the CAPPA Board of Directors. Copyright remains with CAPPA, PO Box 547, Flowery Branch, GA, 30542 www.cappa.net.


Copyright CAPPA 2015. CAPPA hereby grants permission for reprint with complete attribution.


 


TRADITIONAL (IN-PERSON) COURSE


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TRADITIONAL (IN-PERSON) COURSE


This course is designed for students who choose to take the in-person training class.



 


Course Requirements



  • 2 years to complete your course from the date of your CAPPA in-person training class.

  • CAPPA certification candidates must be at least 18 years of age. No person under 18 years of age may attend CAPPA training classes.

  • Be a member of CAPPA.

  • Enroll in the Childbirth Educator Traditional Course in CAPPA Academy.

  • Attend a CAPPA Childbirth Educator training class.

  • Read the CAPPA Childbirth Educator training manual and the required books from the CAPPA required reading list.

  • Complete Part I of the HUG Your Baby Training.

  • Order, read, and complete all online content, including videos, from the Understanding Breastfeeding BookUnderstanding Birth Book, and the Mother and Baby Care Book available in the CAPPA shop. Details/forms are provided within CAPPA Academy.

  • Complete a total of 1 student teaching hours with a certified instructor. Details/forms are provided within CAPPA Academy.

  • Observe two labors/births totaling at least 10 hours. Details/forms are provided within CAPPA Academy.

  • Create a resource list with information on local support for parents.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


ONLINE DISTANCE LEARNING COURSE


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ONLINE DISTANCE LEARNING COURSE


This course is designed for students who are unable to take the in-person training class.



 


Course Requirements



  • 2 years to complete your course once you enroll.

  • CAPPA certification candidates must be at least 18 years of age.

  • Be a member of CAPPA.

  • Enroll in the Online Distance Learning Course.

  • Read the CAPPA Childbirth Educator training manual and the required books from the CAPPA required reading list.

  • Complete Part I of the HUG Your Baby Training.

  • Order, read, and complete all online content, including videos, from the Understanding Breastfeeding BookUnderstanding Birth Book, and the Mother and Baby Care Book available in the CAPPA shop. Details/forms are provided within CAPPA Academy.

  • Complete a total of 1 student teaching hours with a certified instructor. Details/forms are provided within CAPPA Academy.

  • Observe two labors/births totaling at least 10 hours. Details/forms are provided within CAPPA Academy.

  • Create a resource list with information on local support for parents.

  • Submit class outline and curriculum, including all handouts.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


DUAL/TRANSFER COURSE


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DUAL/TRANSFER COURSE


This course is designed for students who have already been certified or have trained with ICEA or Lamaze. (Documentation required.)



 


Course Requirements



  • 1 year to complete your course once you enroll.

  • CAPPA certification candidates must be at least 18 years of age.

  • Be a member of CAPPA.

  • Enroll in the Childbirth Educator Dual/Transfer Course in CAPPA Academy.

  • Read the CAPPA Childbirth Educator training manual and the required books from the CAPPA required reading list.

  • Create a resource list with information on local support for parents. A guide for creating this list is included within CAPPA Academy.

  • Submit childbirth class evaluations from five students and/or evaluations from your supervisor.

  • Submit a one-hour video of yourself teaching. Details/forms are provided within CAPPA Academy.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


ACCELERATED COURSE


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ACCELERATED COURSE


This course is designed for students who are: an RN, CPM, or chiropractor with at least 1 year clinical experience; a certified labor doula with CAPPA or DONA; or an experienced childbirth educator able to document at least 36 hours of teaching. CAPPA members may apply for the Accelerated Course by sending proof of qualifications to info@cappa.net.



 


Course Requirements



  • 1 year to complete your course from the date of your CAPPA in-person training class.

  • CAPPA certification candidates must be at least 18 years of age. No person under 18 years of age may attend CAPPA training classes.

  • Be a member of CAPPA.

  • Enroll in the Childbirth Educator Accelerated Course in CAPPA Academy.

  • Attend a CAPPA Childbirth Educator training class.

  • Read the CAPPA Childbirth Educator training manual and the required books from the CAPPA required reading list.

  • Order, read, and complete all online content, including videos, from the Understanding Birth Book available in the CAPPA shop. Details/forms are provided within CAPPA Academy.

  • Create a resource list with information on local support for parents.

  • Complete a total of 1 student teaching hours with a certified instructor. Details/forms are provided within CAPPA Academy.

  • In order for candidates to be eligible for CAPPA certification they must sign and agree to the following forms: Code of Conduct and Social Media Policy, Grievance Policy, Mission Statement, CAPPA Approach / Philosophy Statement, Vision Statement, and Scope of Practice.

  • Pass the multiple choice exam and essays. An 85% passing grade is required.

  • Please view all of CAPPA’s Policies and Procedures.


HOSPITAL ADMINISTRATORS CLICK HERE


Is your hospital in need of Certified Childbirth Educators? CAPPA faculty can come to your hospital and train your staff or community members to become CAPPA Certified Childbirth Educators.


The CCCE training program is designed to train and certify professionals to work with with families during pregnancy, offering support, encouragement, information, and referrals as needed.  Childbirth Educators can be found working in a variety of settings to offer their services to families. Families can find them working as public health educators, hospital/community educators, in care providers’ offices and in private practice as educators.


CAPPA is an international certification organization for Doulas, Childbirth Educators and Lactation Educators. Since our foundation in 1998, we have certified thousands of perinatal professionals. As one of the first and most comprehensive perinatal organizations in the world, CAPPA is respected for its longevity and its commitment to excellence in both education and unsurpassed student and member support. Choosing an organization for your education is an important decision. CAPPA offers stability that you can be confident in as you invest in your education and career.


For more information, email info@cappa.net or call 770-965-9777.


The Executive Director for the Childbirth Educator Program is Brenda Bach (cccedirector@cappa.net).
brenda-bach3

PHONE: 770-965-9777
EMAIL: INFO@CAPPA.NET

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