Keystone 10 Module 5: Birth Practices & Breastfeeding

These instructional modules were developed in collaboration between the Pennsylvania Keystone 10 Quality improvement Project and Johns Hopkins School of Nursing.  They are intended to provide education which prepares hospital maternity staff to create an environment that is aligned to advance to 10 steps to successful breastfeeding and to meet the Keystone 10.

Running times for each of the 15 training modules vary, however total time for each module is 60 minutes in length. With completion of pre- and post-tests, this training meets the 15 hour didactic requirement of Keystone 10. Staff will still need to complete their competencies at their own site. Hospital staff can either complete the modules online here or can work with their hospital administrators to offer them for continuing education credits. In addition Keystone 10 offers face to face trainings and also trains trainers. For more information please email Dottie Schell at

Suggested Additional Reading

Lawrence, R.A. & Lawrence, R.M. (2016)  Breastfeeding: A Guide for the Medical Profession (8th ed.) Philadelphia, PA. Elsevier 

A Department of Health data:

Target Audience

Physicians, nurses, and other health care professionals who provide prenatal care, inpatient maternity care, and postpartum care.

Learning Objectives

At the completion of this module participants will be able to:

  • Identify hospital birth policies and procedures that support exclusive breastfeeding.

  • Describe the impact labor events have on breastfeeding.

  • Communicate to patients the benefits of early and uninterrupted, safe skin-to-skin contact during the first hour post birth.

  • Exhibit the ability to help initiate breastfeeding by observing feeding cues.

  • Recall strategies to support breastfeeding after a Cesarean birth.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance
Course opens: 
Course expires: 

Beverly Ann Curtis, DNP, PPCNP-BC, IBCLC, Pediatric Nurse Practitioner — Facilitator and Consultant for the Pennsylvania AAP and PA DOH Keystone 10 Initiative. Pediatric Nurse Practitioner at Keystone Pediatrics, Chambersburg Pennsylvania. Director, Outpatient Keystone Breastfeeding Center.
No relationships with industry relevant to the content of this educational activity have been disclosed.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Allegheny General Hospital and Pennsylvania Chapter American Academy of Pediatrics. Allegheny General Hospital is accredited by the ACCME to provide continuing medical education for physicians.

Allegheny General Hospital designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance


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