A course grounded in traditional midwifery, modern first aid, and deep reverence for physiological birth.
A non-judgemental, home birth–friendly learning space for birthkeepers from around the world to come together, share wisdom, and prepare for the unexpected.
Gain practical tools, deepen your confidence, and learn to respond with calm and care when mother or baby need attention.
About the course
This course is for midwives, birth attendants and doulas, attending physiological birth at home or in low-resource settings. Whether you’re just starting out or deepening your practice, you’ll learn practical responses to real-life situations when mother or baby may need attention.
About the Facilitator
I'm Ruth Ehrhardt, a traditional midwife, birth attendant, and mother from South Africa. This course is rooted in my years of experience attending home births, responding to real-life emergencies, and teaching Helping Babies Breathe and Helping Mothers Survive across Africa. Birth First Aid is a practical, grounded offering born from the wisdom of many births—and the people who have taught me through them.
What You'll Learn in the Birth First Aid for Mother and Baby Course:
This course is rooted in the Helping Babies Breathe and Helping Mothers Survive philosophies and is designed to empower all who attend births at home. Through a blend of storytelling, demonstration, and discussion, you’ll gain essential tools for responding confidently to birth emergencies while holding true to physiological birth and respectful care.
Foundations of Birth Preparation
Understand the importance of preparing for birth, including how to plan appropriately, what birth physiology involves, and the difference between normal and pathological scenarios in birth. You'll also learn the core skills and tools necessary to support a safe and smooth birth.
Helping Babies Who Struggle to Breathe
Gain practical knowledge on how to assess and respond when a baby struggles to breathe at birth. This includes understanding the common causes and steps to take to restore normal breathing.
Managing More Than Normal Blood Loss After Birth
Learn the essential steps for handling postpartum haemorrhage and managing more than normal blood loss. Through case studies and demonstrations, you'll become confident in knowing what to look for and how to intervene quickly.
Shoulder Dystocia, Cord Issues, and Surprise Breech Births
Get equipped with strategies to manage shoulder dystocia, cord prolapse, and surprise breech births—birth first aid scenarios that can arise unexpectedly. We will walk through real-life scenarios, discuss preventive measures, and demonstrate techniques.
Herbal and Homeopathic Support for Birth First Aid
Explore how to use herbs and homeopathy to support birth first aid scenrios—gently, respectfully, and in alignment with the body’s wisdom.
Holding Space for All Outcomes
Together, we will reflect on how to navigate birth experiences that include death, loss, or disability. We’ll explore how to support families with compassion while also tending to our own recovery—emotionally, mentally, and spiritually.
Final Review and Reflection
In our closing call, you’ll have the opportunity to reflect on the course content, ask any lingering questions, and solidify your learning. We'll recap everything we've covered and ensure you're ready to implement the skills and knowledge from the course in real-world situations.
🎥 A Glimpse Inside the Course
Here’s an excerpt from one of our recorded sessions to give you a feel for the rhythm, content, and energy of the space.
Course Format & Flow
📅 Live Zoom Call Schedule
We will gather live on Zoom for six group calls to deepen our learning, share experiences, ask questions, and explore demonstrations together.
🕚 All sessions take place from 11:00 – 14:00 SAST (South African Standard Time).
You can check your time zone here for the first session on 2 September 2025.
📍 Course Call Dates
-
2 September 2025 – Opening Call & Preparation for Birth
Orientation, course overview, physiology of birth, preparation without panic, and basic tools and skills. -
9 September 2025 – Foundations & Helping Babies Who Struggle to Breathe
Continued birth preparation, real stories, demonstrations and practices. -
16 September 2025 – Breathing Support & Managing Blood Loss
Continuing with babies’ breathing and introducing support for mothers experiencing more than normal blood loss. -
23 September 2025 – Blood Loss & Emergency Situations
Continued work with maternal bleeding, plus a look at shoulder dystocia, cord issues, and surprise breech presentations. -
30 September 2025 – Consolidation
A review and deepening of course content, with space for questions and integration. -
27 January 2026 – Closing Call
Our final session together for sharing, reflection, and course closure.
This schedule serves as a guideline. We will follow it as closely as possible, while also allowing space for what naturally arises in our group process. This course unfolds with and for the people in it.
What's Included?
Pre-recorded video sessions
Real-life birth scenarios and demonstrations
Downloadable PDFs
Access to replays and course content for 5 months
Lifelong access to resource folder
Optional reflection questions and journal prompts
Community comment section and support
💬 What Others Are Saying
Real experiences from midwives, doulas, and birthkeepers
around the world
This course has travelled far and wide — from remote villages to bustling cities — and has touched the hearts and hands of those who attend births in all kinds of settings. Here’s what some of them had to say after participating in Birth First Aid for Mother and Baby…
“It’s the only course I’ve attended that truly honours birth physiology and doesn’t create fear.
I feel more grounded and capable.”
– Anonymous
Testimonials from previous participants
Student midwife Beth shares her experience of attending the Birth First Aid course
More Testimonials...
Elina
Traditional Birth Companion
Finland
“The way Ruth holds the space is honest, peaceful, and elegant.
I recommend this course with all my heart.”
Fiona
Midwife
Austria
“This course reminded me of the importance of basic needs during transformation.
I felt safe, seen, and held.”
Gerda Scheepers
Birth and Postpartum doula
South Africa
“This is a powerful course filled with loads of information and real-life stories.
It reminded me of the mystery of life and created in me the desire to be with mothers in a calm and confident way.”
BEGIN LEARNING TODAY!
Ready to join us?
Choose your payment option above and begin your journey into Birth First Aid with us.
Our 14-Day Money-Back Guarantee
We want you to feel truly supported in your learning journey.
If for any reason you feel this course isn’t right for you, we offer a full refund within the first 14 days of your enrolment—no questions asked.
This time together is about trust, growth, and safety.
If it doesn’t feel like a fit, we completely understand.
❓Frequently Asked Questions
Do I need to be a trained midwife to take this course?
No. This course is open to anyone attending births at home in any capacity—including doulas, traditional birth attendants, student midwives, birthkeepers, and even parents. All are welcome.
Is this course suitable for hospital birthworkers?
While the course is designed with home and low-resource birth settings in mind, the principles and skills shared can be relevant and supportive to those working in hospitals, particularly in rural or under-resourced areas.
How long will I have access to the course content?
You’ll have access from September 2025 through to 27 January 2027, three months after our final live session.
What if I can’t attend the live sessions?
No problem—all sessions are recorded and made available to watch within 24 hours. You can revisit them anytime while your access is open.
Are payment plans available?
Yes. We offer flexible payment plans in four currencies (USD, GBP, EUR, ZAR) to support accessibility.
Do you offer scholarships or sliding scale pricing?
Yes. Scholarships and sliding scale pricing are available for those in need. We are committed to keeping this work as accessible as possible.
Please contact us at [email protected] with your enquiry
I’ve done this course before. Is there a returning student discount?
Yes! We offer a generous discount for returning students. Please contact us to receive your returning student enrolment link.
Please contact us at [email protected] with your enquiry
Is the course available in other languages?
French and Spanish versions of this course will be available in the near future.
Please contact us at [email protected] if you would like to be added to a waiting list for either of these courses.
More About Your Facilitator
My name is Ruth Ehrhardt, and I am a mother, traditional midwife, and birth attendant from South Africa.
A little bit about me and the Birth First Aid course:
My experience with emergency situations began long before I attended births. I grew up on a remote farm without electricity or hot water, an hour’s drive from the nearest town on a very bumpy dirt road. From an early age, I learned how to make a plan—and to think quickly and practically in challenging situations.
My knowledge of Birth First Aid has grown through years of attending home births. Most unfolded smoothly, but I’ve also had moments where I had to act quickly: when a baby struggled to breathe, when a mother lost more blood than expected, or when a baby became stuck during birth. These experiences taught me what it means to stay calm, grounded, and responsive in moments that matter most.
I am also a facilitator and Master Trainer of Helping Babies Breathe and Helping Mothers Survive—two globally recognised programs that support safe births in low-resource settings. I’ve had the privilege of teaching these courses during Operation Smile’s education missions in African hospitals.
This course has grown out of all of these experiences—and from the wisdom of the many midwives, doctors, doulas, birth attendants, birthkeepers, and most importantly, the mothers, babies, and families who have been my teachers along the way.
How The Course Developed
Raised in a unique, rural environment in the mountains of Ceres, South Africa, I was raised with a deep connection to self-sufficiency and traditional healing practices. My mother, a farmer and a self taught rural traditional midwife, was my first teacher. Her work, often done without electricity or easy access to medical facilities, revolved around growing herbs, creating natural medicines, and offering care to the local community. My mother attended births in our community, and I was surrounded by the stories and experiences shared by those women. Birth happened in the middle of the night, and life went on. This shaped my belief that, in most cases, birth is straightforward and unfolds as it should. We often focus on what can go wrong, but I believe our energy should be on creating a safe and held environment for birth. Yes, there are times when things don’t go as planned, but most births proceed naturally, especially when mother and baby are well before labour begins.
My Mission
Having attended over 400 births, I aim to empower people with the essential skills to support birth safely, particularly in situations where easily accessible emergency medical resources are far away. I’ve trained as a facilitator for both Helping Babies Breathe and Helping Mothers Survive programs, which are designed for low-resource, out-of-hospital settings. My mission is not just about teaching first aid techniques, but about creating a mindset of preparedness, calmness, and knowing when and how to intervene during rare emergencies.
Heartfelt Why
I want to preserve and honour the traditions of birth I learned from my mother—where birth is a natural event that happens in the midst of life. Birth isn’t about fear, but about trust. I believe that by fostering this mindset and teaching people basic first aid skills, we can create a safer environment for mothers and babies while reducing unnecessary interventions. The small percentage of births that require additional support shouldn’t be feared, but can be met with confidence and care, with the right tools and skills to step in when needed.
Example Curriculum
Get a sense of what we will be exploring together over the 4 months together:
- Welcome and Thank you! (5:34)
- PROFESSIONAL AND MEDICAL DISCLAIMER FOR THE BIRTH FIRST AID FOR MOTHER AND BABY COURSE
- Welcome Message from Michel Odent (6:12)
- Orientation to the Teachable Platform, our Workshops and Communication
- IMPORTANT LINKS FOR OUR COURSE
- Introducing OUR Circle
- Introducing Your Facilitators
- Grandmother Blessing (7:18)
- My Personal Experience of Birth First Aid (17:05)
- Introductions and Intentions (8:08)
- Creating our Learning Container
- The Thinking Environment (15:17)
- Thinking Pairs (10:42)
- Confidentiality
- BEFORE WE BEGIN! Let us look at the Foundations of Birth First Aid
- The Basic Needs of the Labouring Woman as the Primary Preventative Measure in Birth First Aid
- Prevention and Preparedness
- A note on HBB and HMS (Bleeding After Birth)
- Creating a Birth First Aid Plan (9:32)
- Birth First Aid plan for Primary Caregivers
- Birth First Aid Plan for Birth Assistants
- Birth First Aid plan for Doulas
- Birth First Aid plan for Birthing Families
- Creating an Oxytocin Rich Environment (19:31)
- Hand Washing (6:26)
- Tools for Birth First Aid (36:30)
- EXERCISE: Being Prepared (27:27)
- The Wedding Night - Michel Odent
- The Performance: Sex Like Birth (7:29)
- Emergently - Sister Morningstar
- Birth First Aide - Jane Hardewicke Collings
- Preparation of the Birth Room - Practical Skills Guide
- Birth Supplies - Hesperian Foundation
- The Midwife's Kit list - Heart and Hands
- The Well Organised Birthkit - Regina Gillette
- Questions to Ponder and Explore
- Resources for this Module
- Session 2 Zoom Call
- Introduction to this Module
- Breathing In, Breathing Out (4:27)
- BIRTH STORY DISCLAIMER
- My Personal Experience of Helping Babies Breathe (57:37)
- First Steps of Helping Babies Breathe (7:05)
- Observing the Baby (3:28)
- A Note on Meconium
- Maintaining the MotherBaby Dyad
- Supporting a Baby who is Struggling to Breathe (29:04)
- SKILLS: Clearing the Airways, Checking the Baby's Heart Rate (FHR) and Cutting the Cord (11:56)
- Homeopathic Remedies for Helping Babies to Breathe
- EXTRA LESSON: Chest Compressions (3:41)
- Birth Song/Poem
- Helping Babies Breathe support material
- The Baby - The Hesperian Foundation
- Adept Baby Crafted for Survival - Dr John Stevenson
- From Womb to Room Air - Sister Morningstar
- Lung Transition for Baby
- Anne's Birth - Spiritual Midwifery
- Asphyxia in the Newborn - Spiritual Midwifery
- Glossary - Helping Babies Breathe
- Videos Resources: Helping Babies Breathe
- Questions to Ponder and Explore
- Resources for this Module
- Session 3 Zoom Call
- Womb meditation (12:44)
- Introduction to this Module (19:38)
- An Introduction to the HMS (BAB) algorithms
- Main Causes of Bleeding After Birth
- Active Management of the Third Stage of Labour
- Physiological Birth of the Placenta (And What Happens When we Interrupt it) (26:22)
- Examining the Placenta (4:28)
- Retained Placenta and Manual Removal of the Placenta (demo) (14:37)
- Underlying Causes of Bleeding (20:22)
- Blood Loss - how much is too much? (11:55)
- Homeopathy and Herbs for Blood Loss
- Bleeding During Labour (9:53)
- Don't Manage the Third Stage of Labour! - Michel Odent
- Bleeding After Birth - Spiritual Midwifery
- Birth of the Placenta and Bleeding - The Hesperian Foundation
- Taking Care of the Third Stage of Labour - Valerie El Halta
- The Third Stage, placenta and PPH - H&H
- Retained Placenta and Bleeding - Susan Weed
- Traditional Chinese Medicine for Hemorrhage - Valerie Appleton
- How to Give Rectal Fluids and Treat a Woman for Shock - Hesperian Foundation
- HMS (BAB) Glossary
- Video Resources: Bleeding After Birth (33:15)
- Questions to Ponder and Explore
- Resources for this Module
- Session 4 Zoom call
- Introduction to Shoulder Dystocia (16:52)
- Words of Wisdom from Michel Odent
- Shoulder Dystocia Stories (32:03)
- Introduction to Gaskin Manoevre and Flip FLOP
- Gaskin Manoevre and Flip FLOP demonstrations (15:02)
- McRoberts Manoeuvre (4:02)
- Shoulder Dystocia - Heart and Hands
- Resources for Shoulder Dystocia
- Hoponopono (6:56)
- Introduction to Module 6
- Asking for Help...
- Holding Death as Birthkeepers
- Holding Grief and Loss as Birthkeepers (188:54)
- Death and Disability
- Born Still - A Mother's Experience (22:18)
- How Grief can be Assisted - Mama Bamba
- How do we Honour Ourselves in this Work?
- Nature as medicine
- In Closing...
- Resources for this module
We hope you’ll join us
This course is an offering from my heart, born from years of experience, stories, and shared wisdom. Whether you’re just beginning your journey as a birthkeeper or have attended many births, this space will hold you, challenge you, and support you in growing your confidence and presence during the rare moments when mother or baby may need your calm, grounded attention.
If this feels like your path, we would be honoured to walk it with you.
With warmth and reverence,
Ruth
Important Disclaimer
This course is for educational and informational purposes only.
Participation in the Birth First Aid for Mother and Babycourse does not imply medical competence or certification in emergency care.
It is not a substitute for professional medical training or advice. Always seek the guidance of qualified health professionals regarding any medical concerns.
The views expressed are personal and may not reflect those of affiliated organisations.
Content may include sensitive material.