Drill Kit

First Stage Fetal Bradycardia

This Drill Kit tests the emergency response to fetal bradycardia in the first stage of labor occurring in a community birth setting including emergency transport of a laboring patient.

Learning Objectives

  • Identify and respond to fetal heart rate abnormalities in the context of intermittent auscultation in planned community birth.
  • Identify and respond to risk factors for breech presentation.
  • Perform initial steps to attempt to resolve fetal bradycardia in the first stage of labor.
  • Identify need for higher level of care and initiate appropriate hospital transfer.
  • Practice collaboration that adheres to relevant transfer protocols with warm hand-offs across levels of care.
  • Communicate effectively, and with dignity, to the patient, support people, and additional healthcare personnel in the event of an intrapartum transfer.

This drill kit is appropriate for:

  • Home birth practices
  • Birth centers
  • Critical access hospitals without OB services
  • Other facilities or units requiring patient transport emergency surgery or stabilization (e.g. emergency department or community hospital)

And may further engage:

  • EMS or other emergency transport partners
  • Labor & Birth unit and other relevant units at the referral hospital
  • Doulas or doula organizations

To test the process of intrapartum emergency transport.

Publish Information

Authored by:
Amy Romano, MBA, MSN, CNM, FACNM

Reviewed by:
Alexa Dougherty, MSN, PHN, CNM
Wendy Gordon, DM, MPH, CPM
Jen Johnson, MSN, CNM

Last updated: December 2024
Drill Kit Usage Agreement
By accessing or downloading this Drill Kit, you agree to the Step Up Together® Drill Kit User Agreement.

Permitted Use
You may use these materials to conduct internal drills and training within your own practice, facility, or established care network (e.g., partner hospitals or EMS).

Prohibited Use
You may not use these materials to provide consulting, facilitation, simulation services, or technical assistance to other organizations

  • Use them as part of commercial training or consulting services
  • Redistribute, sell, or publish the Drill Kits or modified versions
  • Remove Step Up Together® or Primary Maternity Care attribution

If you are interested in facilitating drills for other organizations or incorporating Step Up Together materials into consulting or training programs, please contact us at info@stepuptogether.com.