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Fetal Health Surveillance

PLEASE NOTE: Perinatal Services BC does not offer provider courses. Each health authority or individual hospitals have FHS instructors who offer FHS provider courses. Please contact the education department at the hospital or health authority in your area directly to find out when the next provider course isas we are not notified about upcoming courses.

February 8, 2021

Clarification re: FHS exam voucher expiry 

The information regarding the expiry of FHS exam vouchers has been updated and it is as follows:
Bulk exam vouchers can be purchased annually or as needed; please avoid carrying forward more pre-paid exam vouchers than needed in one-year. Exam vouchers will expire 2 years from purchase date.

Please disregard any other time frames outlined in previously published PSBC memos. Thank you.

January 2020 

The Canadian FHS Steering Committee is excited to share the 2020 FHS Instructor Newsletter.

2018: New online FHS exam being fee for access

  • FHS Online Exam Frequently Asked Questions: This document also contains a sample email communication to send to your learners when they have registered or been enrolled in your workshops as well as certificate of completion templates; as well as certificate templates for both the Fundamental of FHS Workshop and FHS Refresher Workshops.
  • Online Manual and Exam Self-Registration Instructions: Instructions on how to access the online manual, online exam and how your organization can make bulk purchases. 
  • Online Fundamentals of Fetal Health Surveillance Manual will remain free of charge; however, access to write the exam will incur a cost. We would encourage you to start using the online exam as a pre-requisite to attending your Fundamentals in FHS Workshops now, knowing that come January 1st, 2019, the expectation will be that all learners provide proof of successful exam completion prior to attending an in-person workshop. 
  • Bulk Purchasing of Exams: Starting on September 1, 2018, exams can be purchased individually or through facility bulk purchasing at a discounted price. Bulk purchase exam access codes are valid for 365 days from the date of purchase, after which time they will expire. Bulk purchases can be made via email by contacting or by telephone 604-675-3777. The following discount purchase pricing is available:

Number of Exams

Cost (CAN)

1-24 exams
25-49 exams
50-99 exams
100+ exams

June 2021
NOVA StatStrip Lactate Meter Provincial Recommendation - The Nova StatStrip (NSS) Lactate meter has been identified to have fluctuating changes in both the bias and the precision of the testing, leading to concerns around its use with the originally designated measurement ranges used to interpret the test. See memo and FAQ for further information around the provincial recommendation. 

26th January 2021
Philips Fetal Scalp Electrode (FSE) SHORTAGE - Update
In follow up to our memo dated December 11, 2020, PHSA Supply Chain has provided an update on progress regarding the Philips Fetal Scalp Electrodes (FSE) shortage.  

January 2021 
The Updated 2020 FHS Online Manual has gone LIVE!
The Canadian FHS Steering Committee has provided an update on the release of the Updated FHS Online Manual along with helpful information around learner access and the online exam.

11th December 2020 
Philips Fetal Scalp Electrode (FSE) SHORTAGE - Update
In follow up to our memo dated November 27, 2020, (below) PHSA Supply Chain has provided an update on progress regarding the Philips Fetal Scalp Electrodes (FSE) shortage

27th November 2020 
Important Information Re Philips FSE shortage
Due to the shortage of the Philips  Fetal Scalp Electrodes (FSE) see the attached memo recommending strategies to conserve supplies, and share widely among your networks.

August 2020

The 2020 British Columbia Fetal Health Surveillance (FHS) Update is intended to inform FHS instructors and users in British Columbia regarding changes to fetal health surveillance content and the program. The update is available in pre-recorded format via the following links:  

New Instructors ONLY

If you are interested in taking the Canadian FHS Instructor Workshop:

  1. Obtain Institutional Support from your organization to support you in the role of FHS Instructor. Facilities that provide support, must support Obstetrical services and/or identify as an educational institution which facilitates FHS education in Canada as part of a recognized educational program (diploma, degree or certification etc.). Midwives ideally will gain support from their midwifery practice groups as well as one of the institutions in which they have privileges at (co-signed letter of support to facilitate integration of Midwife FHS Instructors in interprofessional hospital FHS Education. Click here for the Letter of Support that must be completed, signed and submitted with your Instructor Workshop registration and your application for registration with the Instructor Portal.
  2. If you have not completed the exam in the past 12 months, you will have to successfully complete the exam prior to workshop. 
  3. Send in registration request Instructor Workshop to Perinatal Services BC along with the registration form:
    1. Submit proof of successful completion of the C FHS SC Online Exam in the last 12 months
    2. Provide a copy of your letter of support with your FHS Instructor Workshop registration. Registration for workshop will not be processed unless a letter of support is provided. 
  4. Await confirmation of your registration to the C FHS Instructor Workshop – if you have not received an Instructor Workshop confirmation within 7-10 business days contact 
  5. Upon successful completion of C FHS Instructor Workshop an Instructor Portal code will be sent to you for registration to the Canadian FHS Instructor Portal. 
  6. It is the responsibility of each C FHS Instructor to maintain their Instructor Portal status by renewing every 3 years. Please connect with your Health Authority to see if your fee will be covered.

NOTE: Instructor Workshop Registration Form will become available with the announcement of the next workshop. Please remember that a successful exam completion is required before the class.

Next FHS Instructor Workshop TBD

If you are registered for a workshop, please read the pre-workshop information for instructor candidates for important information to prepare you for the workshop.

The online Fetal Health Surveillance Instructor Portal is hosted at the University of British Columbia Continuing Professional Development (UBC CPD) and houses current workshop materials and update notifications.

To submit an online application for access to the Canadian FHS Instructor Portal, follow enrollment process below:

Note: Please ensure that you meet registration requirements for Canadian FHS Instructors (listed on link below) before continuing through the application.

  2. Register for the portal if you meet the registration requirements.
  3. Submit payment for access using a valid credit card (non-refundable).
  4. Await confirmation of your application acceptance. 
The fee is $75.00, to be renewed every three years.

The Fundamentals of Fetal Health Surveillance: A Self-Learning Manual is also available online. Access to the manual is free for Canadian stakeholders. There is a charge of CAD$125 for users outside Canada.

Self-registration for the manual is available through the University of British Columbia (UBC) Continuing Professional Development (CPD) department at

For the hard copy textbook, please use the FHS Manual Order Form.

If you have any questions, email

SOURCE: Fetal Health Surveillance ( )
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