Fetal Assessment In Labor

a fundraiser for the Oregon Midwifery Council | taught by Holly Scholles Watch Intro Video

Course description

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

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.

Holly Scholles
Holly Scholles
MA, CPM, LDM

Course Curriculum

Resources
Studies and Articles
Fetal Assessment Study Guide
Show Content
Part 1
114:49
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!
Show Content
Part 2
71:28
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
Show Content
MEAC Post-Test and Certificate
Link to MEAC Post-Test and Certificate
Show Content

Reviews (4)

Fetal Assesment In Labor

by Susan Meeks
The class was very thorough and well taught. Thanks so much!

Fetal Assessment in Labor

by Susan Struble
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.

Fetal Assessment in Labor

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 rethink what we know. Only by growth can we better ourselves in servicing mothers and babies. This course lends to that goal.
Read More

Fetal Assesment In Labor

by Susan Meeks
The class was very thorough and well taught. Thanks so much!

Fetal Assessment in Labor

by Susan Struble
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.

Fetal Assessment in Labor

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 rethink what we know. Only by growth can we better ourselves in servicing mothers and babies. This course lends to that goal.

FHTs workshop

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 greatly. We are actually changing our protocols for FHT assessment during labor. I truly enjoyed this class and the PDFs provided are very helpful.