<p> Researchers, epidemiologists and policy analysts rely on birth certificate data for population health surveillance on maternal and infant health trends. Inaccurate data collection can misguide and distort important conclusions for those that depend on these data. Registered obstetric and neonatal nurses are in the unique position to positively impact quality data collection for birth reporting. </p><p> Dr. Benner&rsquo;s Novice to Expert Nursing Theory (1982) and Dr. Knowles&rsquo; Adult Learning Theory (1980) provided a conceptual framework for the development of a quasi-experimental pilot to: 1. Investigate the obstacles and barriers that impact the obstetric and neonatal registered nurses&rsquo; ability to collect and document information for birth reporting; 2. Assess the influence of a new eLearning training system on obstetric and neonatal registered nurses&rsquo; knowledge and level of satisfaction. </p><p> Twenty-three registered nurses from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) with experience in labor and delivery, maternal and child health completed an eLearning system and a classic pre-test/post-test questionnaire that included Likert-scale assessment questions. Inadequate training in best practices was the main obstacle to birth reporting. Paired-sample t-test of pre/posttest scores were statistically significant. Findings suggested eLearning may serve as an effective educational tool for birth reporting. Further investigation in an expanded study is warranted including consideration for competency-based eLearning, and engaging healthcare organizations and nurse educators. </p>