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Labor & Delivery: The Latest Interventions for Childbirth Challenges

Jamie Otremba, MSN, RN, CNM
Full Day
Nov 18, 2016
PESI Publishing
Product Code:
Media Type:
DVD - Also available: Digital Seminar


Jamie Otremba, MSN, RN, CNM, will delve into the most challenging issues presenting in today’s obstetrical patients. She will provide you with a comprehensive look at:

  • Birth Planning: Preventing Unrealistic Expectations!
  • The Latest & Greatest Options for Pain Management
  • MUST KNOW Interventions for Complicated Deliveries
  • Optimal Medication Selection for Preterm Labor
  • Reducing the Risks Associated with Inductions
  • And Much More!

You will walk through cases that demonstrate how complications can change the intended plan and explore the latest available in terms of prevention and management to avoid a crisis! These best-practice strategies will allow you to help reduce risk, cost, and discomfort for laboring patients. Plan on attending today and take home tools you can use to immediately impact the maternal and fetal outcomes of your obstetrical patients!



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.3 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Jamie Otremba, MSN, RN, CNM's Profile

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 for Self-Study (Non-Interactive)

Access never expires for this product.


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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


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




  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



Overall:      5

Total Reviews: 5


Michelle V

"The presentation was not just informative, I was fully engaged throughout, aka, not bored. Very well done. "

Bronwyn M

"jaimie is a great speaker"

Zarina C

"webcast is very convenient for those who cannot attend the seminar in person. it was very easy to use."

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