Hot Topic: ‘The Big 3’ Training

This presentation was recorded during the live meeting titled "Kentucky Symposium for Maternal and Infant Outcomes" on August 27-28, 2025. If you attended that event and claimed credit you should not claim credit for this module.

Almost half of maternal mortality is pregnancy-associated. There is a significant increase in Kentucky’s maternal deaths due to PG-associated causes (particularly associated with Opioid epidemic) and >50% of maternal deaths are not addressed in a medical setting. The Big 3 causes of pregnancy-associated deaths are Violence, mental health, and  sub stance use.  All 3 can be addressed in healthcare or community settings and All 3 are Preventable with training and interprofessional teamwork.

Target Audience

This course targets physicians, midwives, advanced nurse practitioners, nurses, community health workers, peer support specialists, social workers, doulas, emergency medical technicians, pharmacists, public health officials, and individuals with lived experience.

Learning Objectives

Upon completion of this activity, participants will be able to:
1. Describe The Big 3 factors that contribute to injuries and deaths among pregnant and postpartum patients (i.e., intimate partner violence (IPV), anxiety and depression, and substance use).
2. Discuss major consequences of The Big 3​ 

Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    This Enduring activity is designated for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

  • 0.25 AMA PRA Category 1 Credit™ Participation

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    This Enduring activity is designated for a maximum of 0.25 AMA PRA Category 1 Credit™ Participation. Learners should claim only credit commensurate with the extent of their participation in the activity.

  • 0.25 ANCC (UK Healthcare CECentral)

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    The maximum number of hours awarded for this Continuing Nursing Education activity is 0.25 nursing contact hour(s).

  • 0.25 ASWB

    As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course.

    Social workers completing this course receive 0.25 clinical continuing education credit(s).

  • 0.25 Certified Community Health Work
    This training is approved by the Office of Community Health Workers Program to provide 0.25 continuing education unit(s) for Certified Community Health Workers.
  • 0.25 EMS (Kentucky Board of Emergency Medical Services)
    The Kentucky Board of Emergency Medical Services (KBEMS) certifies that this educational activity is designated for 0.25 KBEMS contact hour(s). Approval Number:
  • 1.00 Public Health
    University of Kentucky College of Public Health certifies that this educational activity was designated for 1.00 hour(s) of Public Health Continuing Education (CPHCE) credit. This course is approved for continuing education by the University of Kentucky College of Public Health.
Course opens: 
02/15/2026
Course expires: 
02/15/2029
Part of: 
2025 Kentucky Symposium for Maternal and Infant Outcomes
Speaker(s)

Ann Coker

has no relevant financial relationships to disclose at this time.

Available Credit

  • 0.25 AMA PRA Category 1 Credit™

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    This Enduring activity is designated for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

  • 0.25 AMA PRA Category 1 Credit™ Participation

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    This Enduring activity is designated for a maximum of 0.25 AMA PRA Category 1 Credit™ Participation. Learners should claim only credit commensurate with the extent of their participation in the activity.

  • 0.25 ANCC (UK Healthcare CECentral)

    In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

    The maximum number of hours awarded for this Continuing Nursing Education activity is 0.25 nursing contact hour(s).

  • 0.25 ASWB

    As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course.

    Social workers completing this course receive 0.25 clinical continuing education credit(s).

  • 0.25 Certified Community Health Work
    This training is approved by the Office of Community Health Workers Program to provide 0.25 continuing education unit(s) for Certified Community Health Workers.
  • 0.25 EMS (Kentucky Board of Emergency Medical Services)
    The Kentucky Board of Emergency Medical Services (KBEMS) certifies that this educational activity is designated for 0.25 KBEMS contact hour(s). Approval Number:
  • 1.00 Public Health
    University of Kentucky College of Public Health certifies that this educational activity was designated for 1.00 hour(s) of Public Health Continuing Education (CPHCE) credit. This course is approved for continuing education by the University of Kentucky College of Public Health.
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