This course was originally intended for those attending birth in homes and birth centers.
The information in this course is equally useful to any care provider utilizing handheld Doppler for intrapartum fetal monitoring, in any setting.
In this dynamic course, 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 course 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
- Interactive exercises using audio recordings of FHTs
- Interactive exercises using written scenarios
HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course meets the California Board of Nursing criteria for 11 hours of continuing education. Provider approved by the California Board of Registered Nursing, Provider Number 17686, for 11 contact hours. (This is widely accepted nationwide as continuing education for nurses and midwives.)
This course was previously approved by MEAC for 9 contact hours of continuing education through 8/31/21. Approval ID: M1920-06-0902DE.
Approved for the NARM Midwifery Bridge Certificate, Category 2.
This course meets the criteria for the Utah midwifery licensing requirement of a course in "intrapartum fetal monitoring."
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].
A fundraiser for the Oregon Midwifery Council.
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Instructor(s)
Instructor Bio:
Holly Scholles
MA, CPM-retired
Course curriculum
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01
IMPORTANT NOTICE
Show details- Required Acknowledgement
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02
Resources
Show details- Studies and Articles
- Fetal Assessment Study Guide
- Bonus Section: Fetal Assessment in Labor Full Audio
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03
Part 1: History of Fetal Assessment, Basics of Fetal Distress, and General Recommendations
Show details- 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!
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04
Part 2: Translating Guidelines for Community Setting Use
Show details- 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: Guidelines for FHT Monitoring
- Printable PDF: How to Chart FHTs
- Quiz 2.2: Monitoring Guidelines for Out-Of-Hospital Labor
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05
Part 3: The Three Things (Baseline, Variation, and Reactivity)
Show details- Video 3.1: Baseline
- Audio: FHT recording of Bradycardia
- Audio: FHT recording of Tachycardia
- 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
- Quiz 3.1: Baseline
- 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
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06
Part 4: Prenatal Events and Monitoring
Show details- Video 4.1: Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration Syndrome
- Quiz 4.1 Prenatal Brain Damage, Cerebral Palsy, and Meconium Aspiration
- Video 4.2 Auscultated Acceleration Test (AAT)
- AAT Studies
- Printable PDF: AAT Form
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07
Part 5: FHTs by Category
Show details- 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
- Learning Activity 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
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08
Part 6: Knowledge Integration
Show details- 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
- Video Q&A: Accurary of the Doppler Digital Display
- Video Q&A: Strategies for Monitoring and Charting (while protecting physiologic birth!)
- Video Q&A: Reminders for Clinical Practice