This course is now offered entirely by distance...

...but specifically approved by the NARM board to qualify as a "hands-on" Category 1 course for their Midwifery Bridge Certificate!

The new format includes:

  • on-demand videos and quizzes
  • printable PDFs to use in your practice
  • a supply kit at your doorstep (included in registration - details below)
  • a live, small-group Zoom practice session and Q&A w/the instructor
  • a live, one-on-one Zoom final exam w/the instructor



Taught by Holly Scholles, MA, CPM, LDM, this course provides both lecture, and ample hands-on skills practice. 

Come learn:

  • Safety Issues
  • How to assess genital injury, including for third and fourth degree injury
  • How to plan the repair
  • Interrupted Sutures
  • Basting Stitch, Locked Blanket Stitch, and Locked Mattress Stitch
  • Anesthetic Administration
  • Instrument Ties
  • Special skills for labial repair
  • Proper charting for suturing


This course is designed to meet the requirements of the hands-on Category 1 course for the NARM Midwifery Bridge Certificate, and for the new "LD&D Renewal" for Oregon LDMs. 

Approved by MEAC for 8 hours of CE. Approval number M1920-87-0529DE.

Midwives of Color/Student Midwives of Color may receive a partial scholarship for this course. Please email jesica@HiveCE.com to request this scholarship.




What are participants saying?

  • By Lisa Marie Sanchez Oxenham

    “It may seem counterintuitive to take a course online for suturing but as a midwife who has been practicing 10 years, I wanted to keep myself learning this fine art. Holly is amazing and very thorough! Once you do the Zoom cohort test it does not...”

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    “It may seem counterintuitive to take a course online for suturing but as a midwife who has been practicing 10 years, I wanted to keep myself learning this fine art. Holly is amazing and very thorough! Once you do the Zoom cohort test it does not feel intimidating. I am suggesting my students takes this as well. It can only add to how you may do things. ”

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  • By Kelly Miller

    “Holly has included a lot of GREAT information and tips on techniques in this class. I really like the visual aids in the suturing process. Thanks, Holly, for another great class!”

    “Holly has included a lot of GREAT information and tips on techniques in this class. I really like the visual aids in the suturing process. Thanks, Holly, for another great class!”

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  • By Janell Moore

    “I cannot recommend this course enough! The communication and organization of the course - including shipment of materials-was flawless. The videos were so clear and easy to follow. The instructor thoroughly explained not only how to suture but the...”

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    “I cannot recommend this course enough! The communication and organization of the course - including shipment of materials-was flawless. The videos were so clear and easy to follow. The instructor thoroughly explained not only how to suture but the rationale behind various techniques. I HIGHLY recommend this course!”

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  • By Rebecca Walker

    “This was a great class. Lots of information. ”

    “This was a great class. Lots of information. ”

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  • By Ashley Collie (Larsen)

    “This course was very thorough and comprehensive. I learned quite a bit and look forward to adding it to my suturing process!”

    “This course was very thorough and comprehensive. I learned quite a bit and look forward to adding it to my suturing process!”

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You will be sent a supply kit that includes the following:

  • foam block w/"tears"
  • instruments: a needle holder, Russian style forceps, hemostat, and scissors
  • 5 packets of CT-1 3-0 Vicryl (or alternate brand)
  • a chux pad to use as your "sterile field"
  • a clear ruler to measure the tear and your stitches
  • a metal file (to mark your own instruments with, if you have them!)
  • a clamp stand that fits all phones and tablets, for you to use during your final exam w/Holly (so she can see your stitches up close!)


The supply fee is included in the fee for this course, but the kit will need to be returned after the course. 

If you wish to extend your timeline for skills practice, you may choose to purchase a Keeper Kit instead. Additional suture is also available for purchase, as are Russian forceps with the centimeters marked as Holly recommends. All of these options are available in our Supply Store.

  • Instructor

    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. She is also an anthropologist specializing in human reproduction and medical anthropology.

    Holly Scholles

    MA, CPM, LDM

Small Group Cohorts

Openings currently available in these

Interested in this course for Fall of 2021 or later? Please complete this interest form, and we will email you enrollment options once those dates are scheduled.

Interest Form

NARM Midwifery Bridge Certificate?

Are you taking this course for the

  • + Online Bridge Bundle (below)

    We have designed a Midwifery Bridge Certificate bundle that will supplement the hands-on courses to get you to ALL the right numbers for Bridge course hours - both in each category, and the overall total!

  • + NRP

    You'll also need to take one MBC Category 2 (newborn) hands on course. Most people achieve this - or already have achieved this - by taking NRP. Whatever course you choose to meet this requirement, it will need to be at least 3 hours to reach the total hours required by NARM for the Midwifery Bridge Certificate.

  • = ALL Midwifery Bridge Certificate Course Requirements

    Those three components will meet or exceed the course requirements for the NARM Midwifery Bridge Certificate.

Enrollment through this bundle makes meeting the NARM Midwifery Bridge Certificate course requirements simple, straightforward, and economical.

Individually, these courses would cost $779.