3018 West Overland Road
Boise, ID, 83705

(208) 258-9251

Mercy in Action is a non-profit organization that focuses on the crisis in Maternal/Newborn/Child health care worldwide. A Midwifery School, as well as seminars and training retreats are held each year to prepare midwives, doctors, and nurses to meet the global shortage of skilled birth attendants, and to help primary health care workers prevent unnecessary child deaths. 

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Expect the Unexpected CEU Seminar



This four day intensive seminar, Expect the Unexpected™:  Midwives Handling Complications in Out-Of-Hospital Settings,  worth 36  MEAC ACCREDITED CEU HOURS, gives interactive and hands-on training for midwives on successfully handing complications in the Antepartum, Intrapartum, Postpartum and Newborn Periods, including pharmacology, laboratory testing, and working collaboratively to optimize home to hospital transports.

Learners will prepare for the unexpected by being trained to anticipate complications and react swiftly and decisively, using role playing with clinical models. Instruction will build learner’s complex competencies in psycho motor skills, communication and clinical decision making skills plus  evidence-based knowledge needed to perform these skills. Objective Structured Clinical Evaluations (OSCE) stations will be utilized for skills acquisition and verification  simulation models, and written tests will cement learning. 

Instructors and Creators of this Course: Vicki Penwell, Founder and Director of Mercy In Action, has midwifed over 2,500 out-of- hospital births. Ian and Rose Penwell, a husband/wife midwife team, have attended home and birth center births for the past decade. All three Penwells are CPMs and Licensed Midwives who work both with low risk women in America and high risk mothers in Asia. They have gained a reputation for teaching midwife skills with an effective and engaging  style that truly gives the learner confidence.


Full seminar:  $900

Discounts available: 

Paying 60 days ahead = $800 

Paying 30 days ahead = $850

Best Discount: Complete Bridge with us and pay 30 days ahead 

 (see http://www.mercyinaction.com/bridge to  qualify)

Per day: $300 per day

The per day fee is not discountable.

There are no refunds for any reason except a birth on the actual day of the seminar day you miss. If you cannot attend for any other reason, we will gladly transfer your fees to another live seminar we teach, or convert them into a tax-deductable donation.


Fort Worth,  Texas
January 30-February 2, 2018

Flushing, Michigan
February 27-March 2, 2018   

Austin, Texas  
March 7-10, 2018

Kona, Hawaii
April 3-6, 2018

Edmond, Oklahoma  
April 17-20, 2018

Nashville, Tennessee
May 22-25, 2018

Keene, New Hampshire
October 16-19, 2018

Philadelphia, Pennsylvania
November 6-9, 2018.



Don't see your town? Considering traveling to one of these fun destinations for the seminar. 

Or contact us for information on hosting a seminar in your area...we are happy to travel anywhere for 12 or more participants. 


CEU: 36 hours  

MEAC Accredited



    I. Common and not-so-common complications encountered during the provision of midwifery care in the Antepartum, Intrapartum, Postpartum, and Newborn Periods   

    II. Situations requiring diagnostic labs, ultrasound, other tests

    III. Therapeutic drug treatments and Care Plans

    IV. Pharmacology of appropriate drug treatments

    V. Appropriate consults, referrals, and transports

    VI. Mitigating the risks & trauma of a complication

    VII. Hands-on practice in simulation emergencies throughout each day, Objective Structured Clinical Evaluation (OSCE) check offs, and stations for practicing skills such as suturing, IV, and injections.

    Complication topics for review and practice will include, but not be limited to: 
    Medical conditions in early pregnancy - Bleeding in pregnancy Ectopic pregnancy - Multiple gestation -Hyperemesis gravidarum - Preterm labor - Postterm pregnancy - Placenta previa - Urinary tract infection - STIs  Pre-eclampsia and Eclampsia - Trauma or violence in pregnancy  - Gestational trophoblastic disease- Fetal growth disorders - Gestational diabetes - Labor dystocia - Twins - Breech- Fetal distress - Shoulder Dystocia - Placenta abruption - Placenta accreta - Post-partum hemorrhage - Secondary post-partum hemorrhage - Endometritis - Post-partum Psychosis - Thrombophlebitis - Respiratory distress in the newborn -Birth defects Meconium aspiration - Birth injuries - and more....


    8 am to 5:30 pm daily
    Each of the 4 days are focused as follows:

    First Day: 
    Complications in the Antepartum Period (9 hours)
    Second Day: 
    Complications in the Intrapartum Period (9 hours)
    Third Day: 
    Complications in the Postpartum Period (9 hours)
    Fourth Day: 
    Complications in the Newborn Period (9 hours)