Intelligent Intermittent Auscultation


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Intelligent Intermittent Auscultation

Intelligent Intermittent Auscultation (IIA) of the fetal heart is the recommended method of fetal monitoring for all women who are considered at low risk of fetal hypoxia during labour. It is therefore a fundamental skill required by all midwives in any birth setting

The programme has been accredited by the Royal College of Midwives, which reflects its valuable contribution to CPD and, in the longer term, to enhancing maternity care.

In Partnership with: Royal College of Midwives

eLearning for Healthcare

Intelligent Intermittent Auscultation

Intermittent auscultation is the recommended method of monitoring for all babies who are considered at low risk of fetal hypoxia during labour. Therefore, as a midwife or nurse, this is a fundamental skill you need in any birth setting.

This programme aims to improve safety for mothers and babies in low-risk labour and birth by improving the knowledge, skills and confidence of midwives to undertake intermittent auscultation of the fetal heart in an intelligent manner (IIA). This enables early recognition of any deterioration or abnormalities in the fetal heart rate and situations requiring continuous electronic fetal monitoring.

Course Content

The Intermittent auscultation online medical course takes around 60 minutes to complete, includes both pre-course and post-assessment exercises – so you can track your improvements as you progress. For the post-course assessment, the pass mark is 85%.

You should discuss the results with your educational supervisor if the assessment standard is not reached.

The course content focuses on:

  • Risk assessment of maternal and fetal wellbeing
  • Enhanced skills in auscultation and interpretation of the fetal heart in low-risk labouring women
  • Prompt recognition of abnormalities in the fetal heart pattern
  • The ability to respond and escalate appropriately.

Learning outcomes

On completion of this programme, you will be able to:

  • Describe the risk assessment that is required to accurately assess maternal and fetal wellbeing at the beginning of labour
  • Describe how to undertake a thorough assessment of fetal wellbeing during labour using intermittent auscultation
  • Discuss when intermittent auscultation is appropriate or not
  • Identify the situations which would prompt a move to continuous electronic fetal monitoring
  • Listen to fetal heart sounds and identify the baseline rate and presence of abnormal features
  • Evaluate your competency and learning by undertaking the pre- and post-training assessment.

A basic understanding of fetal physiology is required before taking the programme.


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For institutional purchase or bulk licences of our online medical courses, please contact us.


2 Hours.




Suitable for all midwives, nurses, healthcare professionals and young professionals.


12 months from registration on LMS.