The second edition of this course is approved by MEAC for 9 hours of CE. It meets the criteria for the NARM Bridge program (Category II), and the Utah midwifery licensing requirement of a course in "intrapartum fetal monitoring."




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.

The second edition has been expanded with:
  • New videos!
  • New handouts!
  • New exercises using audio recordings of FHTs!
  • New exercises using written scenarios!

This class has been approved by MEAC for 9 contact hours of continuing education through 8/30/21. Approval ID: M1920-06-0902DE.

This class qualifies for the NARM Bridge Certificate in Category II.

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: History of Fetal Assessment, Basics of Fetal Distress, and General Recommendations
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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
    • Language Update Regarding Variability vs Variation
    • 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
    • Please join the discussion!
  • 03
    Part 2: Translating Guidelines for Community Setting Use
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    • Video 2.1: The Eight Rules
    • Downloadable PDF: 5 second counts vs 6 second counts
    • Audio: FHT recording to be used to practice 5 second counts
    • Quiz 2.1: The Eight Rules
    • Video 2.2: Monitoring Guidelines for Out-of-Hospital Labor
    • Printable PDF: How to Chart PDFs
    • Quiz 2.2: Monitoring Guidelines for Out-Of-Hospital Labor
  • 04
    Part 3: The Three Things (Baseline, Variation, and Reactivity)
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    • Video 3.1: Baseline
    • Audio: FHT recording of Bradycardia
    • Audio: FHT recording of Tachycardia
    • Quiz 3.1: Baseline
    • Video Q&A: How do I calculate a baseline?
    • Video Q&A: Is baseline a rate or a range?
    • Video Q&A: Relative Tachycardia vs Baseline Change
    • Video Q&A: Special Consideration for Waterbirth
    • Video 3.2: Variation
    • Quiz 3.2: Variation
    • Video 3.3: Examples of Evaluating FHTs
    • Printable PDF: Quick Guide Amplitude Chart
    • Printable PDF: Worksheet to Calculate Variation
    • Audio: FHT recording of Variation Amplitude < 12
    • Quiz 3.3: Practicing FHT Assessment
    • Video 3.4: Putting Baseline and Variation Together
    • Video 3.5: Reactivity ~ Accelerations
    • Video 3.6: Reactivity ~ "Early" Decelerations
    • Video 3.7: Reactivity ~ Late Decelerations
    • Quiz 3.7: Late Decelerations
    • Video 3.8: Reactivity ~ Variable Decelerations
    • Printable PDF: The 5-60-60-60 Rule for Variable Decels
    • Audio: FHT Recording of a Variable Deceleration
    • Quiz 3.8: Variable Decels
    • Video 3.9: Prolonged Decelerations
    • Quiz 3.9: Prolonged Decels
    • Printable PDF: FHT Reactivity Grid
    • Audio Quiz for Baseline and Variation
    • Quiz: Putting The Three Things All Together ~ Baseline, Variability, and Reactivity
  • 05
    Part 4: Prenatal Events and Monitoring
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    • Video 4.1: Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration Syndrome
    • Quiz 4.1 Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration
    • 4.2 Auscultated Acceleration Test (AAT)
    • AAT Studies
    • Printable PDF: AAT Form
  • 06
    Part 5: FHTs by Category
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    • Video 5.1: Q&A with Live Audience
    • Video 5.2: Categories of Fetal Distress
    • Quiz 5.2: Categories of Fetal Distress
    • Video 5.3 Sinusoidal and Pseudosinusoidal
    • 5.3: Images of Sinusoidal vs Pseudosinusoidal EFM Tracings
    • Quiz 5.3: Sinusoidal and Pseudosinusoidal
    • Video 5.4: More On Catergories of Fetal Distress
    • Quiz 5.4: More on Categories of Fetal Distress
    • Video 5.5: Intrauterine Resuscitation
    • Printable PDF: Things To Try
    • Intrauterine Resuscitation During Labor: Review of Current Methods and Supportive Evidence
    • Quiz 5.5: Intrauterine Resuscitation
  • 07
    Part 6: Knowledge Integration
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    • Video 6.1: Stressors and Patterns
    • Video Q&A: Anti-Pyretics
    • Video Q&A: Can hypertension be a cause of prolonged decels?
    • Printable PDF: Factors for FHTs
    • Quiz 6.1: Stressors and Patterns
    • Video 6.2: Wrapping It All Up Together
    • FHT Scenario #1: Shonisha
    • FHT Scenario #2: Wendy
    • FHT Scenario #3: Matha
  • 08
    Post-Tests and CE Certificates
    Show details
    • MEAC Program Evaluation Form
    • Link to MEAC 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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