In this dynamic class, Holly dissects the complex tangle of fetal assessment, and translates the latest recommendations of ACOG along with the original consensus of the National Institutes of Child Health and Human Development (NICHD), to create recommendations specific to the out-of-hospital setting, and in accordance with the Biodynamic model of midwifery.

This class includes video footage from her live presentation in 2016, along with handy reference guides to use in your practice, exercises and quizzes to reinforce the information from the lecture, and the opportunity to participate in an online discussion regarding the real-world application of these concepts or to clarify questions.

If you still think decelerations in second stage are caused by head compression, this class is for you!

This class has been approved by MEAC for 8 contact hours of continuing education.

This class qualifies for the NARM Bridge Certificate.

This class has been approved by the Oregon Board of Naturopathic Medicine (OBNM) for 8 hours of continuing education, all of which may be counted towards general or OB credit. (It is our understanding that this will count as CE for NDs in all states except for California, but we advise you to verify that understanding is accurate in your state prior to purchase.)

A fundraiser for the Oregon Midwifery Council.

  • Instructor(s)

    Instructor Bio:

    Holly Scholles, MA, CPM, LDM, is the founder and president of Birthingway College of Midwifery, and a homebirth midwife with 40 years of experience.

    Holly Scholles

    MA, CPM, LDM

Course curriculum

  • 01
    Resources
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    • Studies and Articles
    • Fetal Assessment Study Guide
  • 02
    Part 1
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    • Video 1.1: The Basic Language of Fetal Distress
    • Quiz 1.1: The Basic Language of Fetal Distress
    • Video 1.2: Non-FHT Methods of Fetal Assessment
    • Quiz 1.2: Non-FHT Methods of Fetal Assessment
    • Video 1.3: Understanding the Basics of Fetal Distress During Labor
    • Quiz 1.3: Understanding the Basics of Fetal Distress During Labor
    • Video 1.4: Primary and Secondary Apnea
    • Quiz 1.4: Primary and Secondary Apnea
    • Video 1.5: ACOG Monitoring Recommendations
    • Quiz 1.5: ACOG Monitoring Recommendations
    • Video 1.6: The Eight Rules
    • Quiz 1.6: The Eight Rules
    • Downloadable PDF: 5 second counts vs 6 second counts
    • Exercise: Practice doing 5 second counts on using audio file
    • Audio: FHT recording to be used to practice 5 second counts
    • Video 1.7: Monitoring Guidelines for Out-of-Hospital Labor
    • Quiz 1.7: Monitoring Guidelines for Out-Of-Hospital Labor
    • Video 1.8: Baseline
    • Quiz 1.8: Baseline
    • Video 1.9: Variability and Variation
    • Quiz 1.9: Variability and Variation
    • Video 1.10: Practice Time! Calculating and Assessing FHTs and Variation.
    • Printable Worksheet to Calculate Variation
    • Quiz 1.10: Practicing FHT Assessment
    • Video 1.11: The Nuances of Variability/Variation
    • Video 1.12: Reactivity ~ Accelerations
    • Video 1.13: Reactivity ~ Most "Earlies" May Really Be Variables
    • Quiz: Putting The Three Things All Together ~ Baseline, Variability, and Reactivity
    • Video 1.14: Late Decels are Still Late Decels and Still Awful
    • Quiz 1.14: Late Decels
    • Video 1.15: Reactivity ~ Variables
    • Quiz 1.15: Variable Decels
    • PDF: The 5-60-60-60 Rule for Variable Decels (printable)
    • Video 1.16: Prolonged Decels
    • Quiz 1.16: Prolonged Decels
    • Please join the discussion!
  • 03
    Part 2
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    • Video 2.1: Q&A with Live Audience
    • Bonus Section: AAT Studies
    • Bonus Section: Printable AAT Form
    • Video 2.2: Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration Syndrome
    • Quiz 2.2 Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration
    • Video 2.3: Catergories of FHTs
    • Quiz 2.3 Categories of Fetal Distress
    • Video 2.4 Sinusoidal and Pseudosinusoidal
    • 2.4: Images of Sinusoidal vs Pseudosinusoidal EFM Tracings
    • Quiz 2.4: Sinusoidal and Pseudosinusoidal
    • Video 2.5: More On Catergories of Fetal Distress
    • Quiz 2.5: More on Categories of Fetal Distress
    • Video 2.6: Intrauterine Resuscitation
    • Quiz 2.6: Intrauterine Resuscitation
    • Video 2.7: Stessors and Patterns
    • Quiz 2.7: Stressors and Patterns
    • Video 2.8: Wrapping It All Up Together
  • 04
    Post-Tests and CE Certificates
    Show details
    • Link to MEAC Post-Test and Certificate
    • MEAC Program Evaluation Form
    • Link to OCNM Post-Test and Certificate

Reviews

  • By Joanne Byrd

    “Thank you for your great course! It was a good review of information that all midwives should know as well as a good opportunity to catch up on new recommendations and research. ”

    “Thank you for your great course! It was a good review of information that all midwives should know as well as a good opportunity to catch up on new recommendations and research. ”

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  • By Jami Morris

    “I learned so much from this class. It truly shows the importance of 5 second counting while monitoring the fetus. I also enjoyed the topics on accelerations, decelerations, and variables. I appreciated the review on the Category I, II, and III...”

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    “I learned so much from this class. It truly shows the importance of 5 second counting while monitoring the fetus. I also enjoyed the topics on accelerations, decelerations, and variables. I appreciated the review on the Category I, II, and III FHR patterns. One of the most interesting points for me was the description of what the fetus experiences during the conditions that lead up to primary and secondary apnea in utero. I appreciated the spirit in which Holly taught this course as well as her in-depth knowledge of the subject matter. ”

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  • By Yolanda Visser

    “Great information laid out in an order that makes sense to someone taking the webinar. Invaluable for the starting midwife and challenging for those of us that have been around a long time. Information to add to our base and ideas to help us rethi...”

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    “Great information laid out in an order that makes sense to someone taking the webinar. Invaluable for the starting midwife and challenging for those of us that have been around a long time. Information to add to our base and ideas to help us rethink what we know. Only by growth can we better ourselves in servicing mothers and babies. This course lends to that goal.”

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  • By Susan Struble, LM

    “There was an amazing amount of material in this course and I felt it was very beneficial. I am going to have to work quite a bit on the 5 second count to become proficient at it. It was new to me and quite helpful. I also had not heard the info...”

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    “There was an amazing amount of material in this course and I felt it was very beneficial. I am going to have to work quite a bit on the 5 second count to become proficient at it. It was new to me and quite helpful. I also had not heard the information on scalp stimulation for a depressed infant, so I am going to research that some more.”

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  • By Judith Schmidt

    “very informative very intense”

    “very informative very intense”

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  • By Jocelyn Brown

    “Holly rocks as usual. Learned tons of practical information. Now have new skills and new ways of charting and expressing my reassurance and concerns during prenatal care and in labor. Some frustration with quizzes and end test feeling occasionally...”

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    “Holly rocks as usual. Learned tons of practical information. Now have new skills and new ways of charting and expressing my reassurance and concerns during prenatal care and in labor. Some frustration with quizzes and end test feeling occasionally inconsistent with information learned, but this is not a reflection of the overall quality of the workshop. Jocelyn - Based on feedback, we looked at the aggregate data on ProProfs and removed any questions that a significant number of students got "wrong." Thanks for bringing our attention to this issue! ~ Jesica”

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  • By Chelsea Campbell

    “I highly recommend this class for updated information on FHT assessment. Holly Scholles was clear and enjoyable to listen to. My only complaint with the test is that, with current discrepancies (particularly surrounding early decels vs. variable d...”

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    “I highly recommend this class for updated information on FHT assessment. Holly Scholles was clear and enjoyable to listen to. My only complaint with the test is that, with current discrepancies (particularly surrounding early decels vs. variable decels), the test questions were at times confusing. It was hard to tell upon which information they were based upon. The material was clear for practice, though. Chelsea - Thanks for the review! We went through the post-test a couple months ago and removed any test questions that a large percentage users were having trouble with, based on their responses on ProProfs (we can see aggregate stats per question). Did you take the test more recently, or was it perhaps prior to that change? If it was recently, please email us to let us know which test questions you found confusing, so we can take a look at them and either edit them or remove them. Thank you! ~ Jesica ”

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  • By Mary Earhart Unger

    “Thank you! I needed a refresher and learned some new stuff! Definitely a help in my clinical and homebirth practice.”

    “Thank you! I needed a refresher and learned some new stuff! Definitely a help in my clinical and homebirth practice.”

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  • By Alexandra Wagner

    “I found that I am clearly out of practice in taking tests. So there was a lesson in itself: after 12 years I need to brush up on study skills. Definitely gathered some very valuable new information and will incorporate the 5 second ct in my assess...”

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    “I found that I am clearly out of practice in taking tests. So there was a lesson in itself: after 12 years I need to brush up on study skills. Definitely gathered some very valuable new information and will incorporate the 5 second ct in my assessments. Thank you !”

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  • By Susan Meeks

    “The class was very thorough and well taught. Thanks so much!”

    “The class was very thorough and well taught. Thanks so much!”

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  • By Sally Acosta

    “This workshop was extremely informative for me. I have been a busy midwife for 5 years and thought this would be a review for me. It was not a review, I learned completely new information. I also had my students take the course and they benifited ...”

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    “This workshop was extremely informative for me. I have been a busy midwife for 5 years and thought this would be a review for me. It was not a review, I learned completely new information. I also had my students take the course and they benifited greatly. We are actually changing our protocols for FHT assessment during labor. I truly enjoyed this class and the PDFs provided are very helpful. ”

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