Fundamentals of Fetal Health Surveillance

Fundamentals of Fetal Health Surveillance

Self-Learning Online Manual
Accreditation

The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program (MOC) of the Royal College of Physicians and Surgeons of Canada, and has been approved by UBC CPD for up to 8.0 MOC Section 3 Self-Assessment hours (credits are automatically tripled in MAINPORT). Each physician should claim only those credits accrued through participation in the activity.
Target Audience:

Family physicians, midwives, nurses, obstetricians and students/residents in these disciplines working or studying in Canada.

Course Format: 8-hour interactive online manual
Online: anytime, anywhere on any device

Online Module BC

Overview

NEW 2020 Online Manual, 5th edition and Online Exam now available.

NOTE: If you were enrolled in the previous version of the online manual, your registration was automatically transfered to the new online manual and you can proceed directly to the online course page: https://elearning.ubccpd.ca/course/view.php?id=355

The Fundamentals of Fetal Health Surveillance Online Manual is the pre-reading requirement for in-person or virtual workshops that are part of Canadian fetal health surveillance education programming. The content was generated from the Fundamentals of Fetal Health Surveillance: A Self-Learning Manual produced by the Canadian Perinatal Programs Coalition (CPPC, 2009) and reflects the information from the 2020 Intrapartum Fetal Health Surveillance Consensus Guideline and the 2018 Antepartum Fetal Health Surveillance Consensus Guideline by the Society of Obstetricians and Gynaecologists of Canada (SOGC).

1. FHS Online Manual

The online manual is available free of charge and open to all Canadian health care practitioners who which review FHS theory and fundamental concepts. Access to the manual does not expire. If you are an international learner and wish to gain access to the manual, please email cpd.online@ubc.ca.

IMPORTANT: fill out the following registration form with the same name and email address as your UBC CPD eLearning account.

2. FHS Online Exam

Access to the exam costs $30 and will expire 3 months from the date of registration. We encourage all learners to first register for the online manual, review the material, and then when you are ready to write the exam, return to this page and register for the exam.

IMPORTANT: fill out the following registration form with the same name and email address as your UBC CPD eLearning account.

FAQ

Will access to the manual expire? (click to view)

No, Access to the manual remains free and learners can access the online manual indefinitely. Only access to the exam will expire after 3 months.

I’ve completed all of the chapters, where’s my certificate? (click to view)

The certificate is only issued after successful completion of the exam. If you do not see the exam under ‘Final Evaluation and Certificate’ on the main page, you need to register. Please fill out the following registration form with the same name and email address as your UBC CPD eLearning account: https://ubccpd.arlo.co/register?sgid=188a08707b294abb91b0ff2371b2c98b

I was part way through the old online manual, how do I know where to pick up where I left off? (click to view)

Don’t worry! The new online manual is organized in the same format and you can easily pick up where you left off. We suggest you review the chapter lessons that you completed previously to resituated yourself in the new manual but you do not need to re-do any of the review exercises to proceed.

I have an old voucher code, is it still valid with the new 2021 exam? (click to view)

Yes, previously purchased unused vouchers that are less than 2 years old will still be valid for the new 2021 exam. Expiration date remains the same (i.e., 2 years from original issue date).

How do I purchase pre-paid exam vouchers in bulk? (click to view)

Organizations who wish to purchase in bulk may do so by emailing cpd.info@ubc.ca

How do I access my old certificate? (click to view)

Certificates issued between May 15, 2019 and Dec 15, 2020 are available from https://elearning.ubccpd.ca/course/view.php?id=35. If you require access to a certificate issued between June 1, 2017 and May 15 2019, please email cpd.online@ubc.ca. UBC CPD does not have learner certificates older than June 1, 2017.

I have enrolled in the manual, but I do not have access to the exam and certificate, please help! (click to view)

You need to purchase access to the exam and certificate. Please fill out the following registration form with thesame name and email address as your UBC CPD eLearning account. https://ubccpd.arlo.co/register?sgid=188a08707b294abb91b0ff2371b2c98b

How do I check the name and email address associated with my UBC CPD eLearning account? (click to view)

Login here with your username and password. Look at the top right of your screen, your account first name and last name will appear next to your profile picture (if you have uploaded one). Click on your name, and select “Profile”. Your email address will be listed on this page. To update the name, click edit profile.

I have forgotten my username or password, what do I do? (click to view)

Submit your username or email address here. If we can find you in the database, an email will be sent to your email address, with instructions how to get access again.

Previously, I had access to a PDF version of the Manual, where is the PDF manual? (click to view)

We recently updated the online manual and exam and are still finalizing content before publishing a PDF version of the manual content. Please check back in March 2021.

Can I buy a printed version of the manual? (click to view)

No, unfortunately the online manual is only available online and as a digital PDF (after March 2021).

How do I register for the Fetal Health Surveillance Workshop or the Fetal Health Surveillance Refresher Workshop? (click to view)

Please contact the education department at your hospital or local health authority to find out when the next provider course is. UBC CPD does not offer the in-person education nor are we notified about upcoming courses.

Skills Gained

By the end of the online manual learners will be able to:

  1. Recognize key research evidence related to fetal health surveillance in labour and supportive care in labour
  2. Describe the physiological [intrinsic/extrinsic] controls on the fetal heart rate (FHR) including the basic principles of maternal/fetal circulation physiology
  3. Recognize the characteristics of fetal behavioural states and cardiovascular responses at differing gestational ages and during labour
  4. Define and discuss the methods of identification of intrapartum fetal hypoxic acidemia
  5. Discuss fetal acid-base balance and identify factors which may adversely affect the balance and describe changes in fetal acid-base balance that results from an acidemic insult
  6. Review interpretation of blood gas results related to fetal scalp sampling, scalp lactate, and umbilical cord blood gas sampling
  7. Describe the physiological [intrinsic/extrinsic] controls on the fetal heart rate (FHR) including the basic principles of maternal/fetal circulation physiology
  8. Recognize the characteristics of fetal behavioural states and cardiovascular responses at differing gestational ages and during labour
  9. Discus the benefits, limitation and clinical situations for using FHR intermittent auscultation
  10. Explain procedure for and frequency of IA including FHR characteristics assessment
  11. Describe the appropriate interpretation of IA and the clinical management for prevention and/or correction of abnormal IA findings
  12. Identify the antenatal and intrapartum conditions associated with an increase risk for adverse fetal outcomes
  13. Define the components of systematic interpretation of the EFM tracing
  14. Describe the two EFM methods and the instrumentation used for monitoring uterine activity and FHR
  15. Identify the definitions, characteristics, etiology, physiology/pathophysiology and classification of:
    • Baseline rate and variability
    • Accelerations, early/late/variable/prolonged decelerations
    • Sinusoidal patterns
  16. Practice EFM interpretation (practice exercises)
  17. Outline pregnancy conditions and specific indications that would benefit from antepartum testing
  18. Describe the procedure, teaching, interpretation and follow-up for fetal movement counting (FMC) and the non-stress test (NST)
  19. Outline normal, atypical and abnormal parameters of the NST and classify accordingly
  20. Review other antepartum fetal health surveillance techniques available
  21. Practice NST interpretation
  22. Identify the relationship between teamwork and communication
  23. Describe appropriate documentation of IA and EFM parameters and findings
  24. Outline legal implications associated with poor communication and documentation practices and what you can do to protect yourself.

Cost

Canadians: $30 for full Online Manual with Exam access

For bulk exam purchases of 25 of more, contact UBC CPD registration at cpd.info@ubc.ca or 604-675-3777. 

International learners: $125

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Contact

UBC CPD eLearning, cpd.online@ubc.ca

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