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

Canadian Registration   International Registration

Fundamentals of Fetal Health Surveillance Online Manual

This online manual is the pre-reading for the Fetal Health Surveillance course. The content is an online version of the 2009 Fundamentals of Fetal Health Surveillance: A self-learning manual produced by the Canadian Perinatal Programs Coalition and is based on the 2007 Society of Obstetricians and Gynecologists Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline.

With endorsements from the Society of Obstetricians and Gynaecologists of Canada, the College of Family Physicians of Canada, the Canadian Association of Perinatal and Women's Health Nurses and Perinatal Services BC.

Update April 1, 2020: The SOGC 2020 Fetal Health Surveillance (FHS): Intrapartum Consensus Guideline was released March 13, 2020. The content of this online manual will be updated in the coming months to reflect this current publication of the guideline.

A summary of the changes will be provided at the beginning of each manual chapter in the interim. Please review this summary for the most current recommendations from the SOGC.

How to access the Online Manual

Now that you have your enrolment key:

Now that you are logged in:

  • STEP 2: Access the online manual
    • From the home page, click on the course titled “Fundamentals of Fetal Health Surveillance Online Manual” or go to this url:http://elearning.ubccpd.ca/enrol/index.php?id=35
    • Under Self enrolment, enter the Enrolment Key that you received via email. Click “Enrol me"

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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