30th Annual Perinatal Progress Conference
This educational activity is designed to present advances in perinatology most likely to have significant impact in reducing perinatal morbidity and mortality. The target audience includes Physicians, nurses and health care professionals interested in the care of the maternal-fetal patient. This activity will present 6 current topics including: simulation-based training as a key tool for patient safety; building a foundation for simulation program development; diagnosis of skeletal disorders in pregnancy; management of pregnancy in women with genetic syndromes; OB/GYN hospitalists and evidence for improved quality and safety of obstetrical care; teamwork and communication in the perinatal setting.
Despite significant advances in Maternal-Fetal Medicine in the United States over the past thirty years; there is still a concerning increasing trend in maternal morbidity. This includes more than 50,000 women each year nationally and unfortunately this number is on the rise. According to the Centers for Disease Control, “The review of SMM cases provides an opportunity to identify points of intervention for quality improvements in maternal care. Tracking SMM will help monitor the effectiveness of such interventions.” Other alarming trends are also noted in maternal mortality. “Since the Pregnancy Mortality Surveillance System was implemented, the number of reported pregnancy-related deaths in the United States steadily increased from 7.2 deaths per 100,000 live births in 1987 to a high of 17.8 deaths per 100,000 live births in 2009.” As found on the CDC website. Maternal hemorrhage is still within the top five causes of death. In May of 2013, ACOG implemented the Safe Motherhood Initiative or SMI in order to develop and implement standard approaches for handling obstetric emergencies associated with maternal mortality and morbidity. The SMI focus in on the three leading causes of maternal death including obstetric hemorrhage, venous thromboembolism, and severe hypertension in pregnancy.
According to Joint Commission, over 70% of obstetric sentinel events are caused by failures in teamwork and communication. “Effective, efficient and safe care requires good teamwork.” Even though physicians, nursing staff, and other healthcare providers may be medically competent and well trained, members of the healthcare team may not have practiced to work as a member of a team.
“The rising number of ob-gyn hospitalists in the US holds promise for benefiting both patients and physicians while also maintaining safe and effective care”, according to Committee Opinion issued and published by The American College of Obstetricians and Gynecologists in 2010. “Although there are potential limitations to ob-gyn hospitalists, there are many benefits to patients, hospitals, ob-gyns in practice, and the hospitalists themselves. The American College of Obstetricians and Gynecologists supports the continued development of the obstetric–gynecologic hospitalist model as one potential approach to achieving increased professional and patient satisfaction while maintaining safe and effective care across delivery settings.”
Although the condition of skeletal dysplasia is relatively rare, the combined birth incidence of these disorders is almost 1 per 5000. According to Genetics in Medicine, “These disorders range in severity from precocious arthropathy in relatively average stature individuals to severe dwarfism with perinatal mortality. These disorders can be associated with a variety of orthopedic, neurologic, auditory, visual, pulmonary, cardiac, renal, and psychological complications.”
We propose to educate physicians, nurses, residents, medical students, and other obstetrical related professionals about the importance of communication and teamwork in the perinatal setting. This teamwork also is evident in the presentations regarding the use of simulation in obstetrical training. We hope to reduce the risk of identified sentinel events with both high fidelity and low fidelity multidisciplinary practiced simulation. We also propose to explore the use of OB/GYN hospitalists as a way to improve patient safety and satisfaction. We seek to improve the care of families that are affected by the prenatal diagnosis of skeletal dysplasia through accurate diagnosis and information provided to them.
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Medical College of Wisconsin designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Medical College of Wisconsin designates this activity for up to 5.75 hours of participation for continuing education for allied health professionals.
•Nurses and Nurse Practitioners
- Identify the clinical diversity of skeletal dysplasia and understand the steps needed to identify lethal conditions to help prepare the parents and neonatal staff for delivery and care afterwards.
- Explain the scientific basis for crew resource management and communication training in the hospital setting.
- Relate the impact of simulation on risk management and care delivery.
- Identify the common genetic syndromes which are compatible with pregnancy and discuss interdisciplinary care and counseling to maximize the outcome for the patient and the baby.
- Assemble strategies for creating and sustaining a simulation program with in organizations.
- Describe various OB/GYN hospitalist models including hospital employed, staffing- company employed, private contractor, MFM extender and academic hospitalist.
Julie Dobbs, RNC-ONC
Teresa Lass, BSN, RNC-MNN
Lisa Lokken, MSN, RNC-OB, C-EFM, CNS-BC
Kathy Tambellini, BSN, RNC-OB, C-EFM
Michelle Uttke, BSN, RN
Planning Committee & Presenter:
Adanna Amanze, MD (Planning Committee & Presenter)
Menachem Graupe, MD (Planning Committee & Presenter)
Alice Robinson, MD (Planning Committee & Presenter)
Christine Arnold, RNC, MS
Rita Dadiz, DO
Deborah Krakow, MD
Jennifer Tessmer-Tuck, MD
All persons in control of content have NO relevant financial relationships to disclose with the exception of the following person
Margaret Carr, MD
(Activity Director & Presenter)
- 5.75 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 5.75 Hours of ParticipationHours of Participation credit.