High Risk Obstetrics

Credit

Handouts/Brochure

Speaker

Jamie Otremba, MSN, RN, CNM Related seminars and products

---

Jamie Otremba, MSN, RN, CNM, has over 25 years of maternal child nursing experience and is currently practicing full-scope nurse-midwifery at a progressive OB/GYN clinic in suburban Minnesota. Jamie has been active in program development and benchmarking in both clinic and hospital settings. She is also one of the medical directors for the Women’s and Children’s Service Line at a large hospital and medical center in Minnesota. Jamie served as an assistant professor at Minnesota State University and has practiced in women’s health care in a variety of settings, including labor and delivery, postpartum, antenatal, and community health nursing.

She has consulted area healthcare facilities on clinical and legal practice topics, and she continues as an investigator for several medication trials pertinent to obstetric and gynecologic issues. Additionally, Jamie has enjoyed sharing her vast knowledge and experiences as a preceptor for both medical and advanced practice nursing students. Her goal is to provide you with the latest pharmacological options for pregnancy and birth to ultimately improve the maternal and fetal outcomes of your own patients!

 

Speaker Disclosures:
Financial: Jamie Otremba has an employment relationship with Allina Health and receives compensation as a national speaker. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Otremba is a member of the American College of Nurse-Midwives and the Network for LGBT Health Equity.

Additional Info

Access never expires for this product.

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com  

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info

Objectives

1. Evaluate the two-phase process that results in pre-eclampsia.
2. Differentiate the pharmacologic management options for preterm labor.
3. Determine the two most important factors in assessing risk in elective induction.
4. Argue the most effective way to change medical staff practices related to high risk elective inductions.
5. Determine the possible causes of a post-partum hemorrhage and appropriate management for each.
6. Devise strategies for collaborative care with the ICU and Emergency Department.
7. Justify why a d-dimer is no longer recommended as part of the evaluation for pulmonary embolism in pregnancy.
8. Utilize the latest ACOG recommendations for preventing blood loss during the delivery with an accreta.
9. Distinguish the varying degrees of abnormal placental implantation and how management might differ for each.
10. Analyze why neurological outcomes with amniotic fluid embolism are so poor and the rapid interventions that could make a difference.

Outline

Pre-eclampsia, Eclampsia and HELLP

• Tips for timely intervention: Know when you MUST intervene
• Maximize maternal and fetal outcomes: Latest available medical treatments & interventions
• Morbidity and mortality associated with diagnosis
• Case Studies

Preterm Labor: Rapid Diagnosis And Intervention Can Make all the Difference

• Who is at the highest risk - and what you can do to lower it
• Preterm labor or just contractions?
• Beta-mimetics, Mag, Calcium channel blockers, NSAIDS, antibiotics: Who gets what?

The Perils of Shoulder Dystocia

• Can we predict shoulder dystocia?
• When a shoulder dystocia occurs: The essentials of management
• Best first line maneuvers
• Risk management considerations

Post-Partum Hemorrhage

• Patients at risk for postpartum hemorrhage
• New tips for assessing blood loss accurately
• New medications/Old meds with new protocols
• Interventions for rapid response
• Algorithms for treatment
• When to call the OR

High Risk Induction

• Which patients are too "high risk" for induction?
• Alternatives to pitocin
• The newest options for inductions
• Risks and benefits for induction patients
• How to change your hospital policies
• Examples of informed consent

Venous Thromboembolism in Pregnancy and Postpartum

• #1 cause of maternal death in the US
• Work up and evaluation
• Anticoagulation
• Treatment in pregnancy
• Timing delivery

Placenta Accreta

• Why is this condition on the rise?
• How to identify accreta prenatally
• Newest aggressive therapies to save lives

Target Audience

• Nurses
• Clinical Nurse Specialists
• Nurse Practitioners
• Nurse Midwives
• Certified Childbirth Educators/Doulas

Reviews