Practical Pharmacology was designed to match the way the mind of midwives and nurses best learn and remember information...case studies!

This course covers the proper use of:
  • Anti-hemorrhagics (including TXA)
  • Rh immune globulin
  • Sterile water papules
  • Antibiotics for GBS prophylaxis
  • Epinephrine for anaphylaxis
  • Medical oxygen
  • Anesthetics for perineal repair
  • Erythromycin
  • Vitamin K


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




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 5 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.)

Approved by MEAC for 5 hours of continuing education under approval number M2223-42-02211DE through 2/28/2025, and M2425-35-03012DE through 2/28/2027.

Approved for the NARM Midwifery Bridge Certificate, Category 3.

YES! This course may be used to meet the specific educational requirements for initial midwifery licensure in Idaho.

YES! This course meets the criteria for LD&D Renewal for CPMs licensed in Oregon.

YES! This course meets the Pharmacology Course Requirement for CPMs licensed in New Mexico.

YES! This course meets the APRN Pharmacology CE Requirement in Kentucky.

Are you a CPM or ARPN with a state requirement for Pharmacology CE that is not listed above? It is likely this course will meet those requirements. Please email [email protected] so we can find out together. 




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

1. For each the drugs listed below, explain:
    Generic and brand name
    Dosage
    Mechanism of action
    Onset of action; peak effect
    Indications
    Therapeutic effect
    Side effects and adverse reactions
    Contraindications
    Incompatibilities and drug interactions
    Packaging
    Storage, transport, security

Drugs:
    Oxytocin
    Misoprostol
    Methylergonovine
    Tranexamic acid (TXA)
    Erythromycin ophthalmic ointment
    Penicillin G
    Cefazolin
    Clindamycin
    Vancomycin
    Epinephrin 1:1000
    Medical 100% oxygen
    Lidocaine hydrochloride
    Sterile water for injection
    Phytonadione
    Rh immune globulin (anti-D)

2. Explain how to calculate maximum safe dose of lidocaine hydrochloride as local anesthetic

3. List the order in which to administer medications to prevent postpartum hemorrhage

4. List the order in which to administer medications to treat postpartum hemorrhage

5. Define oxygen poisoning, and list eight indications

  • Holly Scholles

    Instructor Bio:

    Holly Scholles, MA, CPM-retired, is a homebirth midwife with over 45 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-retired

Course curriculum

  • 01
    Pharmocological Prevention of Postpartum Hemorrhage
    Show details
    • How To Use HiveCE
    • 1.1 Pitocin for PPH Prevention
    • 1.2 Carbetocin for PPH Prevention
    • 1.3 Misoprostil for PPH Prevention
    • 1.4 Methergine for PPH Prevention
    • 1.5 Syntometrine for PPH Prevention
    • PPH Prevention Post-Test
    • Case Study: Nebila Part 1
    • Learning Exercise: What should Nebila's midwife do next?
    • Articles and Resources
  • 02
    Pharmocological Treatment for Postpartum Hemorrhage
    Show details
    • 2.1. Uterotonics for PPH Treatment
    • 2.2 TXA and Hemabate for PPH Treatment
    • 2.3 Case Study: Nebila Part 2 & PPH Conclusion
    • PPH Treatment Post-Test
    • PDF: FIGO recommendations on the management of postpartum hemorrhage 2022
  • 03
    Rh Immune Globulin
    Show details
    • 3.1 Case Study: Esther
    • PDF: RhoGAM Prescribing Information
    • Rh Immune Globulin Post-Test
  • 04
    Antibiotics for GBS Prophylaxis
    Show details
    • 4.1 Case Study: Shonitia Part 1
    • GBS Prophylaxis Guidelines/Opinion Statements
    • GBS Prophylaxis Post-test
  • 05
    Epinephrine for Anaphylaxis
    Show details
    • 5.1 Recent Changes to Epinephrine Protocols
    • 5.2 Shonitia Part 2 Treating Anaphylaxis
    • Epinephrine for Anaphylaxis Post-test
  • 06
    Medical Oxygen
    Show details
    • 6.1 All About Oxygen
    • Resources
    • Medical Oxygen Post-test
  • 07
    Sterile Water Papules
    Show details
    • Case study: Monique
    • Resources
    • Sterile Water Papules Post-test
  • 08
    Anesthetic for Perineal Repair
    Show details
    • All About Anesthetics
    • Case Study: Juana
    • Printable PDF: Lidocaine Reference Card
    • Anesthetic for Perineal Repair Post-test
  • 09
    Erthyromycin
    Show details
    • Baby Mahto
    • Erythromycin Post-test
  • 10
    Vitamin K
    Show details
    • 10.1 Case Study: Deborah and Marco's Fourth Baby
    • Resources
    • Vitamin K Post-test
  • 11
    Course Evaluation (required for CE Certificate)
    Show details
    • Evaluation Questions

Course Evaluation Comments

Shared with permission from our

“The instructor is amazing. I want to take all her classes.”

Melanie H. R.

Certified Professional Midwife

“Such a thorough and easy to follow course, thank you! ”

Araya M

Licensed Midwife

“Great review of meds! Thanks!!”

Sarah A

Naturopathic Doctor and Midwife

“This was a very comprehensive and up to date course.”

Tessa F

Licensed Midwife

“The course was supported with evidence and practical information - the best of both worlds. Thank you.”

Participant, February 2025

Certified Professional Midwife

“I found a lot of value taking this course and learned new information or refreshed my knowledge of material that I don't need to use often. Thank you!”

Participant, February 2025

Licensed Midwife

Practical Pharmacology Only

Instant on-demand access to Practical Pharmacology only, for 5 hours of CE

Pharmacology for Community Birth Midwifery Bundle

Instant on-demand access to this course, and to Foundational Pharmacology, for a total of 7 hours of MEAC approved CE