Learn newborn resuscitation using the tools and providers commonly present at home births and birth centers.

Safe resuscitation of a newly born child in a community setting differs from a hospital based resuscitation in many ways. This course covers how to utilize the advantages of the community birth setting to provide appropriate and safe care based on the ILCOR (International Liaison Committee on Resuscitation) Neonatal Task Force’s latest recommendations. Utilizing a step at a time protocol, this physiologically based approach increases oxytocin levels while decreasing stress hormones, leading to optimal outcomes.

Upon completion of this course, the learner will be able to:

1. Explain how to set up a resuscitation tray for a community based resuscitation
2. Describe resuscitation steps for a newborn who does not respond appropriately to stimulation, including inflation breaths with appropriate rate, depth, and count, and ventilation breaths with appropriate rate, depth, and count
3. Explain where to stand, where to place newborn relative to mother, how to maintain warmth, how to open the airway, and how to manage others in the room during a community based newborn resuscitation
4. Explain when and how to use chest compression during a newborn resuscitation
5. Explain the primary purpose of chest compressions in newborn resuscitation
6. Explain the criteria for when to transport a newborn who has been resuscitated after a community birth, including
* if unable to inflate the lungs
* after use of ventilation breaths
* after use of chest compressions
7. Explain the difference between one-provider and two-provider resuscitation
8. Discuss use of non-professionals (such as a parent) in an emergency newborn resuscitation

HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course is provider approved by the California Board of Registered Nursing, Provider Number 17686, for 6 contact hours, through November 30th, 2025. (This is widely accepted nationwide as continuing education for nurses and midwives. This course is accepted by NARM as Category 1 CE for CPM renewal.)

Accepted by NARM for the Midwifery Bridge Certificate, Category 2.

This course was previously approved by MEAC for 6 hours of continuing education through June 7th, 2023. The MEAC approval numbers for this course are M1819-71-0627DE (6/7/2019 - 6/30/2021), and M2021-70-0528DE (7/1/2021 - 6/30/2023).

Please note this course is for continuing education, and may be used for NARM CPM renewal as Category 1 (accredited CEUs). It may not be used to fulfill the requirements for NRP or CPR training.

Note: Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.

For information regarding our refund policy and other Frequently Asked Questions, please refer to our FAQ. If you have additional questions, please email [email protected].

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Questions? Email [email protected]

Course curriculum

  • 01
    1: Background
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    • 1.1 Introduction
    • 1.2 What is BRN?
    • 1.3 First, Do The Calm
    • Printable PDF: BRN Common Reasons for Resuscitation
    • 1.4 Common Reasons for Resuscitation
    • Printable PDF: BRN Basic Points
    • 1.5 BRN Basic Points
  • 02
    2: Normal Physiology
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    • 2.1 Alveoli
    • 2.2 Blood Volume
    • 2.3 Normal Hypoxia of Labor
    • 2.4 Lung Fluid
    • 2.5 The Importance of Delayed Cord Clamping
    • 2.6 Eight Ways to Provide Biodynamic Care Immediately After the Birth
  • 03
    3: Oxygen Use in Newborn Resuscitation
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    • Cochrane Database of Systematic Reviews: Air versus oxygen for resuscitation of infants at birth
    • 3.1 Oxygen Use For Newborns
    • 3.2 O2 Saturation in the Newborn
    • Printable PDF: Downfalls of Using Color Assessment
    • 3.3 Color Assessment
    • 3.4 When To CONSIDER Using Oxygen
    • 3.5 What About Blow By?
    • Cochrane Database of Systematic Reviews: Air versus oxygen for resuscitation of infants at birth (Internal Use Only)
  • 04
    4: An Environment for BRN
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    • 4.1 A Biodynamic Environment During Resuscitation
  • 05
    5: BRN A Step At A Time: Assessment
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    • Printable PDF: BRN A Step At A Time
    • Printable PDF: BRN Algorithm (Flowchart)
    • 5.1 Immediate Assessment (first 30 seconds)
    • 5.2 Stimulation
    • 5.3 Postural Drainage
    • Printable PDF: BRN Identifying A Preterm Newborn
    • 5.4 Preterm Infant Transport
    • 5.5 What About Meconium?
    • 5.6 At 30 seconds...
  • 06
    6: Equipment, Supplies, and How To Use Them
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    • Printable PDF: What to include on the resuscitation tray
    • 6.1 Setting Up The Tray
    • Article abstract: Oronasopharyngeal suction versus wiping of the mouth and nose at birth: a randomised equivalency trial.
    • 6.2 The Downfalls of DeLee
    • 6.3 The (Surprising!) Correct Use of the Bulb Syringe
    • 6.4 Don't Forget To...
    • 6.5 The Dangers of Intubation
    • Article: The laryngeal mask airway and its use in neonatal resuscitation: a critical review of where we are in 2017/2018.
    • 6.7 The BV in BVM for PPV
    • 6.8 Choosing the Correct Mask, To Use Correctly
    • 6.9 Using The BVM
  • 07
    7: BRN A Step At A Time: Inflation
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    • 7.1 At 36 seconds...
    • 7.2 Mouth to Mouth
    • 7.3 Mouth to Mouth Practice
    • 7.4 BVM Inflations
    • 7.5 Putting It Together Through Inflations
    • 7.6 Practice Makes Perfect
  • 08
    8: BRN A Step At A Time: Ventilations
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    • 8.1 Ventilations
    • 8.2 Practicing Ventilations
  • 09
    9: BRN A Step At A Time: Chest Compressions
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    • 9.1 When and Why Chest Compressions May Be Needed
    • 9.2 Preparing for Compressions
    • 9.3 Performing Chest Compressions
    • 9.4 Considerations for Compressions
    • Article: Effect of umbilical cord milking in term and near term infants: randomized control trial.
    • 9.5 Practicing 1&2&3&Breathe
  • 10
    10: Putting the Steps Together
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    • 10.1 Single Provider Resuscitation
    • 10.2 Two Provider Resuscitation
    • 10.3 Real Time Resuscitation
  • 11
    Link to Post-Tests/CE Certificates
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    • Evaluation Questions
    • Post-test to Generate CE Certificate
  • Holly Scholles, MA, CPM, LDM

    Instructor Bio:

    Holly Scholles, MA, CPM, is a homebirth midwife with over 40 years of experience, and was the founder and president of Birthingway College of Midwifery. She is also an anthropologist specializing in human reproduction and medical anthropology.

    Holly Scholles

    MA, CPM

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Take the course, print your CEU certificate, retain access for later reference.


  • By Sheryl Anderson

    “Great class!!! Wonderful resource for OOH birth....thank you!”

    “Great class!!! Wonderful resource for OOH birth....thank you!”

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