Medication Management in Pregnancy Course Outline
Module 1: Pre-Conception Counseling: Approaching Lifestyle Modifications
- Goals of Pre-conception counseling
- Weight Management
- Diet and Nutrition
- Psychosocial Factors
- Substance Use
- Environment/Occupational Hazards
Goals of Pre-conception counseling
Weight Management
- BMI Goals
- Unhealthy Weight Risks
Diet and Nutrition
- Vitamins and Minerals
- Caffeine Intake
- Exercise
Psychosocial Factors
- Stress and Anxiety
- Emotional Support
- Relationships
Substance Use
- Alcohol
- Other Drugs
- Tobacco/Smoking Cessation
Environment/Occupational Hazards
- Mercury/Lead/Pesticides
- Higher Risk Occupations
Module 2: Pre-Conception Counseling: Obtaining a Medical History and Determining Risk Factors before Prescribing
Includes up to 1.75 Pharmacology CE Hours- Components of Pre-Conceptual Medical History
- Fetal/Neonatal and Maternal Risks
- Psychiatric/Mental Health
- Risks/Classes of Medication
- Supplements/OTC
- Age-related risks
- Genetic Factors/Family History
- Labs
- Past pregnancies/miscarriages
Part 1: Obtaining a Medical History
Components of Pre-Conceptual Medical History
- Menstrual and Reproductive History
- Pre-Existing Chronic Medical Conditions
- Hypertension
- Epilepsy
- Thyroid Disease – hyper and hypo
- Rheumatoid Arthritis/Lupus – Anti-inflammatories, biologics
- Hepatitis/HIV
- STIs – G/C, Chlamydia, HSV, Syphilis
- Pregestational Diabetes Mellitus
- Fetal/Neonatal and Maternal Risks
Psychiatric/Mental Health
- Anxiety/Depression - SSRI’s/TCSs
- Bipolar – Lithium
- Schizophrenia – Antipsychotics
Risks/Classes of Medication
Supplements/OTC
Other medications
Immunizations
Part 2: Determining Risk Factors
Age-related risks
- Education and effect of age on fertility
- Women > 35 years
- Women > 40 years
Genetic Factors/Family History
- Carrier Screening
- CF/Spinal Muscular Atrophy
- Others
- Red Flags
Labs
- Standard Panel
- Selective Panel
Past pregnancies/miscarriages
Module 3: Polycystic Ovarian Syndrome (PCOS) and Fertility Treatments
Includes up to 0.5 Pharmacology CE Hours- PCOS…patho, symptoms, risk factors, prevention of progression, and co-morbidities
- Infertility…evaluation, lifestyle, ovulation induction, intrauterine Insemination, and IVF
PCOS
- Pathophysiology of the condition
- Diversity of symptoms
- Risk factors and conditions related to PCOS
- Goal-specific therapy options for symptoms
- Prevention of progression and/or co-morbidities
Infertility
- Initial Evaluation
- Lifestyle Modifications
- Ovulation Induction and Timed Intercourse
- Intrauterine Insemination
- In Vitro Fertilization
Module 4: The Highs and Lows of Diabetes Management in Pregnancy
Includes up to 0.75 Pharmacology CE Hours- Overview of Pre-Gestational Diabetes
- Impact on Pregnancy… maternal and fetal
- Gestational Diabetes
- Management During Pregnancy
- Post Partum Adjustments
Overview of Pre-Gestational Diabetes
- Diabetes Burden
- Diagnostic Criteria
Impact on Pregnancy
- Maternal
- Fetal
- Medication Changes
Gestational Diabetes
- Risk Factors
- Early Screening Strategies
- Glucose Tolerance Testing
- Placenta Induced Insulin Resistance
- Comparison of Insulin Needs During Pregnancy
Management of Gestational Diabetes
- A1C Goals
- Lifestyle Management
- Insulin Initiations
- Insulin Adjustments
Other Considerations
Post Partum Adjustments
Module 5: Substance Abuse Management in Pregnancy
Includes up to 0.75 Pharmacology CE Hours- Medication/Opioid Use in Pregnant Mothers
- Medications of Abuse
- Treatment Strategies
- Medication Assisted Strategies
- Pain Management in Pregnancy
- Neonatal Abstinence Syndrome
Medication/Opioid Use in Pregnant Mothers
- Pathophysiology
- Risk Factors Screening
- Barriers to Care
Medications of Abuse
- Benzodiazepines
- Heroin
Treatment Strategies
- Cessation
Medication Assisted Strategies
- Methadone
- Buprenorphine
- Naltrexone
Pain Management in Pregnancy
- Chronic Pain
- Intra-labor Pain Control
- Post Partum Pain
Neonatal Abstinence Syndrome
Key Take-Aways
Module 6: Managing Hypertensive Disorders in Pregnancy
Includes up to 1.0 Pharmacology CE Hours- Blood Pressure Management in Pregnancy
- Chronic hypertension, gestational hypertension, preeclampsia, and eclampsia
- Treatment Algorithms for Hypertension
- Medication options and protocols
- Assessing Side Effects and Creating Treatment Plans
Blood Pressure Management in Pregnancy
- Importance and impact on maternal and fetal health
Section 2: Blood Pressure Disease States in Pregnancy
- Differentiating chronic hypertension, gestational hypertension, preeclampsia, and eclampsia
- Clinical criteria and diagnosis
Treatment Algorithms for Hypertension
- First-line antihypertensive medications
- Alternative medications
- Step-by-step guide to managing hypertensive emergencies
- Pre-eclampsia
- Medication options and protocols
Assessing Side Effects and Creating Treatment Plans
- Common side effects of antihypertensive medications
- Developing personalized treatment plans based on patient profiles
Conclusion
Module 7: Preventing Post Partum Complications: It Starts with Education
Includes up to 0.75 Pharmacology CE Hours- Gestational Diabetes Mellitus (GDM) Postpartum
- Postpartum Hypertension
- Infections After Delivery
- Postpartum Depression
- Hemorrhoids and Constipation
- Perineum Pain
- Collaborative Care and Patient Education
Introduction
- Overview of postpartum period and common complications
- Importance of recognizing and managing postpartum complications
Gestational Diabetes Mellitus (GDM) Postpartum
- Understanding GDM and its postpartum implications
- Management strategies and medications
- Patient education on monitoring blood sugar levels
Postpartum Hypertension
- Identification and causes of postpartum hypertension
- Medication and lifestyle management
Infections After Delivery
- Common postpartum infections (e.g., surgical site infection, superficial, deep)
- Role of antibiotics and other treatments
- Educating patients on signs of infection and prevention measures
Postpartum Depression
- Symptoms and risk factors of postpartum depression
- Therapeutic approaches including medication and counseling
- Importance of mental health support and patient education
Hemorrhoids and Constipation
- Causes and symptoms of postpartum hemorrhoids and constipation
- Treatment options including medications and dietary adjustments
- Providing advice on preventive measures and home care
Perineum Pain
- Causes of perineum pain postpartum
- Pain management techniques and medications
- Patient education on healing and pain relief strategies
Collaborative Care and Patient Education
- Strategies for effective collaboration among healthcare providers
- Comprehensive patient education on recognizing and addressing postpartum complications
- Resources and support systems for postpartum care