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The Midwife as Surgical First Assistant

The Midwife as Surgical First Assistant

Midwife as Surgical First Assistant is an expanded practice area for the CNM and CM. The midwife who serves as first assistant in surgery, functions as a perinatal and birth professional in the perioperative setting. The workshop’s focus is on applying current evidence so midwives can participate and provide continuity of care for clients during a cesarean section. In this course, you will learn core knowledge and skills needed to perform as the surgical first assistant for cesarean, at a novice level. This virtual workshop is designed specifically for midwives and addresses the promotion of vaginal birth, shared decision-making and informed consent, and functioning as an active member of the perioperative team.

Attendees learn how to perform immediate pre-op preparation of the client for surgery, and during surgery provide optimal surgical exposure, participate in tissue dissection, ensure hemostasis, perform or facilitate wound closure, and perform other intraoperative functions to assist the surgeon in carrying out safe operations that optimize outcomes.

Following the workshop, each participant is responsible for set-up mentored experience in their clinical setting to gain competency in the skills needed to function efficiently, effectively, and with greater confidence as a member of the perioperative maternity care team.

Workshop Overview

Midwife as Surgical First Assistant Objectives
Midwives are encouraged to consider training to become a surgical first assistant as an expansion to their clinical practice. The Midwife Surgical First Assistant book is the initial step to gaining a foundation in assisting. The subsequent optional examination assesses the knowledge you have gained from studying the book and provides you with a certificate of completion. Earning the First Assistant Certificate of Completion is the next step to applying this newly expanded skill to your midwifery practice. In addition, please reference these additional resources:

The Midwife as First Assist at Cesarean Resource List
Midwife First Assistant Case Evaluation Form


INSTRUCTORS: Nicole Olshanski & Lauren Carratu

Members: $699.00
Non-Member: $899.00
Student: $399.00
*Student Non-Member: $599.00

*Contact [email protected] to receive Student Non-Member pricing and be prepared to submit proof of enrollment.

Please review the registration and cancellation policy prior to registering and note that by registering you agree to adhere to this policy in full. The registration and cancellation policy can be found here.

For this virtual training, all participants are required to be in a stationary location. In addition, registrants will need to have their cameras on for the entire training. This workshop is not recorded and can only be attended live.

Instructions for registration (READ IN FULL)
You will register for the First Assist Workshop and access prerequisite materials via the ACNM Learning Management System. To register for First Assist and purchase the First Assist materials you must be logged in to your account. If you had an account in the old Online Learning Center, then you have an account in the new system. Please use the email address that was previously tied to your old account. Click the link here to create a password. Click the link here to log in to your account.

If you are not a member or did not have an account in the old system, you will need to create a new account in the online learning center to register. Click the link here to create an account. If you have any trouble, please submit a request to the LMS Contact form.

Textbook & Exam (Required)
In addition, to the below workshop registration fee, the following required items will need to be purchased in the ACNM Learning Management System (Login required). Please note that the below are a prerequisite for attending this virtual workshop as you are required to take the exam at least 4 days before the workshop session and obtain a passing grade to participate in the virtual training.

You may either purchase the prerequisite items a la carte:


purchase the prerequisite items all together in a bundle:

Video Series (Required)
You are required to review The Midwife as Surgical First Assistant Video Series prior to the First Assist training day. These videos and the textbook are the foundation of the course and will be referenced heavily by the course instructors. Additionally, the series will assist you greatly in expanding your knowledge and being adequately prepared for the training.

You may access a link to the video series in the First Assist course description. 

Additional Materials
Once you are enrolled for a First Assist Workshop session, you will need to secure the below for the training:

  • Suture scissors: (recommended Straight, Blunt Points, 5.5”)
  • Needle holder: (recommended Mayo-Hegar Needle Holder, Straight, Serrated Jaws, 7.0”)
  • Tissue forceps: (recommended Straight, Standard Serrated Tips, 5.5”)
  • Retractor: (recommend Richardson, Army Navy, or Roux Retractors)

2024 First Assistant Virtual Workshop Dates - Registration is now open:

**All the dates listed are subject to change, but all learners enrolled will be given notice as soon as changes are made. Please review the Registration & Cancellation Policy for details on refund deadlines.

    American College of Nurse-Midwives
    409 12th St SW, Suite 600, Washington, DC 20024-2188
    Phone: 240.485.1800
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