Advanced Midwifery Science
Prepare for high-stakes midwifery clinical examinations with precise decision algorithms for complex obstetric scenarios. Master the pathophysiology, critical pharmacology, and emergent interventions required to manage severe intrapartum complications and maternal-fetal pathology.
Like Duolingo, but for Advanced Midwifery Science. Tomo turns the whole topic into a game you play five minutes a day, until it actually sticks.
27 levels across 3 sections, about 54 minutes end to end, roughly 11 days at five minutes a day. It moves through Intrapartum Emergencies and Fetal Surveillance, Complex Antenatal and Intrapartum Pathology, and Perinatal Pharmacology and Infectious Cascades.
Free forever · No credit card · iPhone & Android
Key ideas in Advanced Midwifery Science
- Rubin II applies pressure to the posterior aspect of the anterior shoulder to encourage shoulder adduction and rotate the bisacromial diameter into the wider oblique pelvic diameter
- Woods screw maneuver can be combined or sequenced by pushing the anterior surface of the posterior shoulder to continue rotation without increasing cervical-brachial traction
- Direct axial twisting of the fetal trunk without adduction widens the effective thoracic diameter and risks clavicular or brachial plexus injury
- Locating and flexing the forearm at the antecubital fossa avoids pulling directly on the mid-shaft humerus, which risks fracturing the bone
- Sweeping the forearm across the chest rather than pulling it outward preserves the fetal arm's anatomical arc and avoids hyperextension injuries
- Delivering the posterior arm immediately reduces the presenting fetal diameter from bisacromial to axilloacromial (by roughly 2-3 cm), allowing the posterior shoulder to drop into the sacral hollow
- The turtle sign requires visible soft-tissue recoil, which can be absent in cases of high anterior shoulder impaction or when maternal perineal tone is lax
- A delay in restitution or failure of spontaneous anterior shoulder descent with gentle maternal expulsive effort is sufficient to diagnose shoulder dystocia without waiting for classic recoil
- Awaiting the turtle sign when descent has arrested risks progressive fetal acidemia and delays mobilization of the resuscitation team
- Applying internal rotational maneuvers to shift fetal bisacromial diameter into the oblique pelvic dimension
- Zavanelli cephalic replacement requires head rotation back to restitution position, flexion, steady upward pressure, and immediate tocolysis for cesarean delivery
- Executing the sequence of delivering the posterior arm to decrease thoracic diameter
- Symphysiotomy is an extreme emergency measure reserved for catastrophic situations where cesarean delivery cannot be performed safely or in time
- Accurate defense against brachial plexus stretch claims requires a documented timeline showing the exact head-to-body interval and sequential maneuvers attempted without excessive downward traction
- Documenting the position of the fetal head (e.g., restitution status, facing right or left) proves whether rotational forces were applied anatomically to the correct shoulder
- Downwards maternal traction is contraindicated during unreleased impaction; clinical notes must document that routine downward traction was abandoned once impaction was diagnosed
You've tried the other tabs
Thirty open tabs. Four facts you actually kept.
You watched. You nodded. By Sunday it was gone.
One answer, then back to scrolling.
Eight weeks. You meant to finish. You didn't.
Tomo gives Advanced Midwifery Science the Duolingo treatment: levels, streaks, and quick quizzes that test what you just learned. That game loop is what the tabs above never had, so it's the one you actually finish.
Here's what playing it feels like
A real question from this course. Take your best guess.
Picture the scene: Rubin II started the turn, but the shoulders need another push. How does adding the Woods screw maneuver keep the rotation moving safely?
Get it right to open this lesson and 26 more in the app.
How to learn Advanced Midwifery Science, step by step
Go in order. 27 short levels across 3 sections, about 54 minutes in all, five minutes a day.
- 1
Intrapartum Emergencies and Fetal Surveillance
- Resolving Shoulder Dystocia
- Managing Refractory Postpartum Hemorrhage
- Deconstructing Complex Fetal Heart Tracings
- 2
Complex Antenatal and Intrapartum Pathology
- Stratifying Hypertensive Disorders and Severe Features
- Differentiating Pathologic Bleeding and Myometrial Disruption
- Navigating Metabolic, Hepatic, and Renal Complications
- 3
Perinatal Pharmacology and Infectious Cascades
- Obstetric Pharmacodynamics and Tocolytic Protocols
- Infectious Disease Cascades and Perinatal Sepsis
3 sections · 8 units · 27 levels. Built to play, not to enroll.
Questions about Advanced Midwifery Science
How do I learn Advanced Midwifery Science?
Go in order: start with Intrapartum Emergencies and Fetal Surveillance, then Complex Antenatal and Intrapartum Pathology, then Perinatal Pharmacology and Infectious Cascades. On Tomo that's 27 short levels, about 54 minutes in all, played five minutes a day. Start free and play the first level in under a minute.
Is there a Duolingo-style app for Advanced Midwifery Science?
Yes. Tomo works like Duolingo: short daily lessons, streaks and quick quizzes. Advanced Midwifery Science is one of its free courses, and you can type any other topic to get a course of your own.
Is the Advanced Midwifery Science course free?
Yes. Advanced Midwifery Science is playable on Tomo's free plan, which doesn't expire. No credit card, no waitlist. Download the app and start your first lesson.
How long does it take to learn Advanced Midwifery Science?
27 levels across 3 sections, about 54 minutes of play in total. It's built for five minutes a day, so you finish it a little at a time instead of all at once.
Do I need any background to start Advanced Midwifery Science?
No. It's pitched at an advanced level, so it starts where you are and builds up. If you can tap a phone, you can start.
Tomo is in ChatGPT
Tomo is also a ChatGPT plugin: the same playable courses, built and played inside your chat.
Add Tomo to ChatGPT- What to ask
- “Make me a Tomo course on black holes.” “Turn this chat into a Tomo course.”
- What you get
- Quick questions with instant feedback, hearts and stars, ready to play in about a minute.
- Where it goes
- No sign-up to start. Connect your Tomo account and your streak carries on in the app.
You pick the voice
Advanced Midwifery Science is taught in the Storyteller style: every lesson is a story. Want a different feel? In the app you can spin up the same topic in any of Tomo's teaching styles. Same facts, totally different vibe.
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Start Advanced Midwifery Science today.
Download Tomo, search Advanced Midwifery Science, and play your first lesson in under a minute.