Full Course Description

Labor & Delivery: The Latest Interventions for Childbirth Challenges

OUTLINE

 

Hypertensive Disorders in Pregnancy

  • MUST Know Interventions
  • Maximizing Maternal & Fetal Outcomes
  • Morbidity & Mortality

Preterm Labor

  • Rapid Diagnosis & Critical Interventions
  • Evaluating Risk
  • Who Gets What, AND WHEN!
    • Betamethasone
    • Beta-Mimetics
    • Mag
    • Calcium Channel Blockers
    • NSAIDS
    • Antibiotics

Non-Pharmacological Pain Management

  • “Low Intervention” Strategies
  • The Must-Have, Low Cost Gadgets Patients LOVE
  • Hydrotherapy & Water Birth

Pharmacological Pain Management

  • Individualize It!
  • Epidurals & Spinals
  • Latest & Greatest Options:
    • Nitrous Gas
    • Remifentanyl PCA’s
    • Safety & Efficacy

Birth Planning

  • Preventing Unrealistic Expectations!
  • Interventions for Challenging Scenarios
  • Maternal Refusal of:
    • GBS Prophylaxis
    • Pitocin
    • C-section
    • Cord Clamping
    • PROM
  • How to Protect Yourself from LIABILITY
  • Impact on Patient Satisfaction Scores

Inductions

  • When the Risk is Too High
  • The Newest Options
  • Strategies to Reduce Risk & Costs
  • The MUST HAVE Induction Checklist

OBJECTIVES

  1. Formulate optimal interventions for challenging birth plan scenarios.
  2. Apply examples of complimentary therapies that can be used with minimal effort.
  3. Determine the safety concerns related to nitrous gas for labor pain management.
  4. Compare the benefits of labor epidurals with spinal/epidurals.
  5. Explain special considerations for an epidural in a pre-eclamptic patient.
  6. Discuss the nature of hypertension in pregnancy and up-to-date considerations for management.

Program Information

Outline

Hypertensive Disorders in Pregnancy

  • MUST Know Interventions
  • Maximizing Maternal & Fetal Outcomes
  • Morbidity & Mortality

Preterm Labor

  • Rapid Diagnosis & Critical Interventions
  • Evaluating Risk
  • Who Gets What, AND WHEN!
    • Betamethasone
    • Beta-Mimetics
    • Mag
    • Calcium Channel Blockers
    • NSAIDS
    • Antibiotics

Non-Pharmacological Pain Management

  • “Low Intervention” Strategies
  • The Must-Have, Low Cost Gadgets Patients LOVE
  • Hydrotherapy & Water Birth

Pharmacological Pain Management

  • Individualize It!
  • Epidurals & Spinals
  • Latest & Greatest Options:
    • Nitrous Gas
    • Remifentanyl PCA’s
    • Safety & Efficacy

Birth Planning

  • Preventing Unrealistic Expectations!
  • Interventions for Challenging Scenarios
  • Maternal Refusal of:
    • GBS Prophylaxis
    • Pitocin
    • C-section
    • Cord Clamping
    • PROM
  • How to Protect Yourself from LIABILITY
  • Impact on Patient Satisfaction Scores

Inductions

  • When the Risk is Too High
  • The Newest Options
  • Strategies to Reduce Risk & Costs
  • The MUST HAVE Induction Checklist

 

 

Objectives

  1. Formulate optimal interventions for challenging birth plan scenarios.
  2. Apply examples of complimentary therapies that can be used with minimal effort.
  3. Determine the safety concerns related to nitrous gas for labor pain management.
  4. Compare the benefits of labor epidurals with spinal/epidurals.
  5. Explain special considerations for an epidural in a pre-eclamptic patient.
  6. Discuss the nature of hypertension in pregnancy and up-to-date considerations for management.

​

Target Audience

Nurses, Midwives, Childbirth Educators/Doulas, Physician Assistants and other Healthcare Professionals

Copyright : 11/18/2016

Advanced Electronic Fetal Monitoring

Objectives

  1. Apply NICHD fetal monitoring terminology to practice.
  2. Identify a variety of FHR patterns to analyze the results of umbilical cord gasses.
  3. Analyze nursing legal considerations related to fetal monitoring.
  4. Compare appropriate interventions in response to FHR changes.
  5. Analyze fetal blood gases.

Outline

  1. Utilizing Electronic Fetal Monitoring
    1. When do patients not need continuous monitoring?
    2. Which patients need continuous electronic monitoring?
    3. What about a “permanent record”?
  2. Maternal Physiologic Changes of Pregnancy
    1. Respiratory changes
    2. Cardiovascular changes
  3. Fetal Oxygenation
    1. Placenta
    2. Intrinsic factors affecting FHR
    3. Extrinsic factors affecting FHR
  4. NICHD Terminology and Interpretation of FHR
    1. Determining baseline and deceleration type
    2. 3-tiered system
    3. Applying the use of NICHD guidelines to practice
  5. Further Analysis of Non-reassuring Patterns
    1. STAN fetal heart monitor
    2. FHR response to stimulation
    3. Fetal scalp blood sampling
    4. Fetal pulse oximetry
      1. Case Studies
  6. Causes for Increased Concern about the FHR Pattern and Treatment Strategies
    1. ??? atypical variables
    2. Other FHR considerations that reassure or increase concern
  7. Treatment for Abnormal Patterns
    1. Treating variables
    2. Treating late decelerations
    3. Addressing bradycardia and tachycardia
      1. Case Studies - analyze strips
  8. Making Litigation Less Likely Related to FHR Monitoring
    1. Common pitfalls
    2. Reducing your risk
    3. Importance of provider communication
  9. Interpreting Fetal Cord Gasses
    1. Who needs a gas?
    2. What the information means using case studies

Program Information

Objectives

Objectives

  1. Apply NICHD fetal monitoring terminology to practice.
  2. Identify a variety of FHR patterns to analyze the results of umbilical cord gasses.
  3. Analyze nursing legal considerations related to fetal monitoring.
  4. Compare appropriate interventions in response to FHR changes.
  5. Analyze fetal blood gases.

Outline

  1. Utilizing Electronic Fetal Monitoring
    1. When do patients not need continuous monitoring?
    2. Which patients need continuous electronic monitoring?
    3. What about a “permanent record”?
  2. Maternal Physiologic Changes of Pregnancy
    1. Respiratory changes
    2. Cardiovascular changes
  3. Fetal Oxygenation
    1. Placenta
    2. Intrinsic factors affecting FHR
    3. Extrinsic factors affecting FHR
  4. NICHD Terminology and Interpretation of FHR
    1. Determining baseline and deceleration type
    2. 3-tiered system
    3. Applying the use of NICHD guidelines to practice
  5. Further Analysis of Non-reassuring Patterns
    1. STAN fetal heart monitor
    2. FHR response to stimulation
    3. Fetal scalp blood sampling
    4. Fetal pulse oximetry
      1. Case Studies
  6. Causes for Increased Concern about the FHR Pattern and Treatment Strategies
    1. ??? atypical variables
    2. Other FHR considerations that reassure or increase concern
  7. Treatment for Abnormal Patterns
    1. Treating variables
    2. Treating late decelerations
    3. Addressing bradycardia and tachycardia
      1. Case Studies - analyze strips
  8. Making Litigation Less Likely Related to FHR Monitoring
    1. Common pitfalls
    2. Reducing your risk
    3. Importance of provider communication
  9. Interpreting Fetal Cord Gasses
    1. Who needs a gas?
    2. What the information means using case studies

Target Audience

Nurses, Midwives, Nurse Practitioners, Clinical Nurse Specialists, Advanced Practice Nurses

Copyright : 03/18/2014