Prenatal Care

[2013 new]

Introduction to this self-study CME activity


Appropriate prenatal care improves maternal and fetal health, reduces maternal mortality and morbidity and fetal loss, and reduces preterm birth, intrauterine growth restriction, congenital abnormalities, and failure to thrive.  This CME activity synthesizes recommendations for prenatal care based on scientific evidence, recommendations of the U.S. Public Health Service, clinical judgment regarding effectiveness of identifying and modifying risk, and the success of medical and psychological interventions.


Prenatal care involves the following three basic components:

(1) Early and continuing risk assessment

(2) Health promotion

(3) Medical and psychosocial interventions

and follow-up 


These components are addressed over a chronological sequence of prenatal care visits:

  • Preconception care
  • Prenatal visits
  • Delivery planning
  • Postpartum assessment

Additional information is presented on topics that may be relevant at any time:

  • Indications for referral to a high-risk provider
  • Cultural sensitivity



Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for optimal prenatal care for fetal and maternal health and how to implement those recommendations in routine care. 




This self-study activity is appropriate for primary care clinicians and other health care providers providing prenatal care.


Team Leaders

  • Mark C. Chames, MD
    Obstetrics / Gynecology

Team Members

  • Joanne M. Bailey, CNM, PhD
    Obstetrics / Gynecology
  • Grant M. Greenberg, MD, MA, MHSA
    Family Medicine
  • R Van Harrison, PhD
    Medical Education
  • Jocelyn H. Schiller, MD

Author Disclosures

Neither the team lead, the team members, nor the consultants have financial relationships with commercial companies whose products are discussed in this CME activity.

Other Acknowledgements

UMHS Guidelines Oversight Team

  • Grant M. Greenberg, MD, MA, MHSA
  • R Van Harrison, PhD

Literature Search Services

  • Taubman Medical Library

Production of Internet Format and Website Maintenance

  • Ellen Patrick, MA

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was prepared for release in December 2013, with credit available through November 2016. The activity was reviewed for currency of content in September 2016 and availability of credit extended through August 2019. Continuation of credit from that date depends on a thorough review of the content currency and accuracy. 

Method of Participation

  1. View the web pages. You may print the self-study text to read off-line.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.