Ten percent of maternal mortalities occur from cardiopulmonary arrest (CPA). One in 12,000 birth-related hospitalizations is complicated by CPA because of hemorrhage, heart failure, amniotic fluid embolism, or sepsis. Our hospital averages 14,000 births annually, and an event could happen at any time. Outcomes depend on early identification and treatment of the underlying cause, the speed of intervention by the response team, resuscitation principles during pregnancy, and the challenge of dealing with two lives. The fetus should be delivered after 4 min if the pregnant woman does not have return of spontaneous circulation (ROSC). A series of four 2-hour, simulation-based code education sessions was developed. Sessions focused on the adult code with emphasis on obstetric patients. The goal was to train at least 20 team members throughout the hospital to respond to codes 24 hours a day, 7 days per week. Develop an emergency hysterotomy tray for extraction of the fetus for use in code situations. Evaluate the emergency response system and initiate text messages through the internal phone system for improved communication. Session 1: code cart scavenger hunts, first-responder basic life support, teamwork, closed-loop communication, defibrillator safety in automatic external defibrillator (AED), role assignment, and code record documentation. Session 2: Documentation is the main focus with use of the defibrillator in manual mode. Session 3: Obstetric-specific interventions are the main objective with use of the emergency hysterotomy tray for delivery of the fetus and activation of the neonatal resuscitation team. Session 4: incorporation of advanced airway management, use of the rapid sequence intubation kit, and the respiratory therapy box on the code cart. Twenty participants completed training in March–December 2018. Real-time analysis with time to AED pad application and shock, if advised, occurred within 2 min, and left uterine displacement was performed within the 1st min. Epinephrine was administered within 3 min. Ongoing evaluation with mock codes showed an increasing need for education for the medical providers regarding current American Hospital Association resuscitation standards. Encouraged use of algorithms on the code cart. Improve response time and interdisciplinary coordination of care in pregnant women.