CALIFORNIA DIGNITY IN PREGNANCY
AND CHILDBIRTH PROJECT

Courses Meeting the Requirements of the Dignity in Pregnancy & Childbirth Act (SB 464) and the Amended Dignity in Pregnancy & Childbirth Act

Essential Information:

The Dignity in Pregnancy & Childbirth (DiPC) Course and Refresher, responsive the CA SB 464 the Dignity in Pregnancy & Childbirth Act, are provided free of charge when accessed by individuals directly on our website due to grant received in 2023 from The California Health Care Foundation.

Any individual who chooses "California" as their state when registering on this website automatically receives those courses for free (through 2028).

A new set of requirements was added for 2025 as a result of CA AB 2319, the Amended Dignity in Pregnancy & Childbirth Act. We (Humanitas Institute, formerly Diversity Science) developed a 2 minute course that, in combination with the courses above, bring learners into compliance with CA AB 2319. We do not have grant funding for this addition. It carries a $15.00 fee for individual learners. Learner license packs carry discounts.
The Core Dignity in Pregnancy & Childbirth Course Project was developed by Diversity Science (the former name of our company, now Humanitas Institute, with the guidance of Lead Subject Matter Expert  developed by Rachel Hardeman, PhD (Project Director) with input from additional Subject Matter Experts.

The Refresher Course was led by Michelle van Ryn, PhD, at Humanitas Institute, additional Humanitas Institute Subject Matter Experts, and course designers, with input from additional Subject Matter Experts.

Accessing the Course

Individual Perinatal Care Providers:

After you click the button below, you will go to the course page. You must be registered and logged in on this site for the courses to be visible to you. When you registered, if you selected "California" as your state, the Dignity in Pregnancy & Childbirth Course and Refresher will be free.  The required Intersectionality and Gender Inclusive Care course carries a $15 fee, including CE. Individual hardship scholarships are available.
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Organizational Representatives

You may provide access to courses on our LMS or on yours. Click the blue button below to open and fill out the organizational access information form. If you hate forms, just email us at solutions@humanitasinst.org.

Course Information

Studies show that perinatal care the vast majority of providers are committed to and place a high value on providing high-quality and equitable care.

So, why do you need these courses?

Unfortunately, a large body of research shows a major gap between healthcare clinicians’ and providers’ value of equitable care and Black patients’ experiences and outcomes. A massive body of evidence shows that Black women, on average, receive poorer quality of care and have higher rates of suffering, complications, morbidity, and death than their White counterparts.

These courses will give you the tools to live your values and provide the kind of high-quality, respectful care you want for all your patients.

The Core Dignity in Pregnancy & Childbirth Course was developed by Diversity Science (former name, now Humanitas Institute) with the guidance of Lead Subject Matter Expert Rachel Hardeman, PhD  and input from additional multiple community members and Subject Matter Experts.

The Refresher Course and the AB 2319 Add-on course (Gender Inclusive Care and Intersectionality), were led by Michelle van Ryn, PhD, at Humanitas Institute (formerly Diversity Science) with the a team of additional Subject Matter Experts.

All courses were evaluated by practicing perinatal care providers before release. 
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Dignity in Pregnancy & Childbirth

Must be Completed First
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⏰ Duration: 60 minutes plus optional activities.

 Certificate of Completion is awarded upon course completion.

🏆 0.5 ANCC / ACCME Continuing Education credit available. After course completion, you’ll have the option to purchase an exam to earn 1 hour of CME or CE.

This course is split into three parts. Each uses the example of real-life, composite stories to illustrate how racial bias, however unintended, can undermine care. Each part also provides specific, concrete, evidence-based strategies for interrupting racial bias.

After completing the course, learners will be able to:

  • Teach co-workers important concepts and correct myths and misunderstandings.
  • Describe the research evidence on racial inequalities in perinatal care and outcomes.
  • Explain why well-intentioned providers who are consciously and genuinely committed to fairness and high-quality care can still behave in racially biased ways.
  • Apply evidence-based strategies for interrupting racial biases and protecting patients from racism.
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Refresher Course: Dignity in Pregnancy & Childbirth

Completed Two Years After Core Course

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⏰ Duration: 45 minutes plus optional content.

 Certificate of Completion is awarded upon course completion.

🏆 0.5 ANCC / ACCME Continuing Education credit available. After course completion, you’ll have the option to purchase an exam to earn 1 hour of CME or CE.

 The course uses a series of new interactive activities to prepare learners to educate their coworkers to interrupt racial biases and live their values in the care they provide to Black women and birthing people.

After completing the course, learners will be able to:

  • Describe the research evidence on racial inequalities in care and the resulting unnecessary suffering, illness, disability, and death.
  • Explain the visible and invisible ways  unintended biases affected the care process for Melissa and her husband.
  • Understand the connection between the historical enslavement of people from West Africa and current-day stereotypes.
  • Apply concrete and evidence-based actions to interrupt racial bias, help buffer patients from racial bias, and provide equitable care for all patients.
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Gender Inclusive Care and Intersectionality

Must be completed in addition to Dignity in Pregnancy & Childbirth

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⏰ Duration: 20 minutes 

🏆 0.5 ANCC / ACCME Continuing Education credit available

 Certificate of Completion is awarded upon course completion.



This course meets the requirements of CA AB 2319 and equips perinatal care providers with the essential knowledge and practical skills needed to deliver compassionate, inclusive, and high-quality care to all birthing patients. You will explore the concept of intersectionality—how interconnected aspects of identity shape healthcare experiences—and examine the unique needs of transgender and non-binary individuals during pregnancy, childbirth, and postpartum care. Practical tools and strategies are provided to help you recognize and thoughtfully interrupt automatic assumptions that could unintentionally affect the quality of care. Additionally, you will learn actionable techniques to create affirming, safe, and respectful healthcare environments for patients of diverse identities. This course meets the requirements of California AB 2319, the amended Dignity in Pregnancy and Childbirth Act.