Jamie Otremba – PESI – High Risk Obstetrics: Current Trends, Treatments & Issues

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Jamie Otremba – PESI – High Risk Obstetrics: Current Trends, Treatments & Issues

Jamie Otremba, MSN, RN, CNM, will delve into the most common obstetrical emergencies presenting in today’s obstetrical patients. She will provide you with a comprehensive look at pre-eclampsia, eclampsia, HELLP, the pitfalls of diagnosing and treating preterm labor, shoulder dystocia, abruption, previa, postpartum hemorrhage, placenta accreta, amniotic fluid embolism, venous thromboembolism, VBACs, and inductions. Jamie’s extensive experiences in high risk obstetrics have provided her with keen insight into these often challenging and frightening situations. She is eager to share with you many of the effective interventions that she has acquired throughout her career!

Through enlightening case studies, persuasive evidence-based research, and an engaging presentation style, she will teach you the current trends, treatments and issues in high risk obstetrics. Watch this seminar to learn new strategies and techniques that can immediately impact the maternal and fetal outcomes of your obstetrical patients!

Speaker
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.

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

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