Advanced Fetal Monitoring

Presented by Rebecca Cypher MSN, PNNP,

AWHONN President-Elect; A nationally Respected expert in EFM.


About Your Speaker Rebecca Cypher:

Rebecca, who has been with PEC for 4 years, and already teaches the InPatient OB Review and the Antepartum OB seminars.  Rebecca is also the co-author, with Lisa, on the Mosby’s Pocket Guide Fetal Monitoring, 8th edition.  Her professional achievements and excellent lecture skills are well known. We congratulate Rebecca on her recent election as AWHONN President-elect and welcome her expanded role with PEC.

 

Course Information:

  • Updated Content to reflect NICHD, AWHONN, ACOG, ACNM Guidelines.
  • Interactive Knowledge Sessions Case Reviews and Liability.
  • Practice application of NICHD definitions through self-assessment
  • Critique examples of peer-reviewed EFM research
  •  Review fetal-uteroplacental physiology and the impact on fetal
    oxygenation
  •  Describe frequent errors related to EFM interpretation and
    management
  • Explain physiologic rationale and research for corrective
    measures used in Cat II/III tracings
  • Report key findings of the ARRIVE trial/related studies
  • Analyze 2nd stage research and impact on maternal-fetal
    well-being
  • Restate four elements of an EFM liability claim
  • Summarize important elements of intrapartum EFM docu-
    mentation

Changes are coming for 2019:

Be aware that there are a limited number of both the Advanced Fetal Monitoring and the EFM Review seminars in 2019.
We had to close 2 sessions in 2018 and anticipate this may happen again in 2019.
We strongly suggest that you register early!

OUTLINE OF DAY ONE AND TWO

Day One

7:30 Check-In – Basic Continental Breakfast

8:00 INTERACTIVE EFM ASSESSMENT USING YOUR
SMARTPHONE
• Application of EFM definitions, interpretation &
management • Are you up to date?
• How do you compare with colleagues?

EFM RESEARCH: PART I
• What AWHONN “says” versus what literature, “says”
• Overview of clinical research, study designs, and protocols

• Reading studies without a PhD
• “Homework” assignment

PLACENTA AS AN ORGAN
• Placental development/function

• Utero-Placental Physiology

• Fetal acid-base status

• Umbilical cord lactate

COMPLEX FACTORS AFFECTING OXYGENATION
• Placenta, Umbilical Cord, Amniotic Fluid Variations
• Oxygenation Pathway

• Intrinsic/Extrinsic Influences

THE MILLER MODEL
• A standardized approach to interpretation
• Application of the Category II Consensus Algorithm
• Errors related to interpretation and management
COMPLEX CASE STUDIES
• IUGR, signal ambiguity, non-OB surgery

EFFECTIVE EFM DOCUMENTATION
• Pitfalls, essential elements, frequency, late entries
• The frequency of assessment and documentation
• Bedside documentation and chart audits
4:00 Adjourn

Day Two

7:30 Check-In – Basic Continental Breakfast

8:00 EFM RESEARCH Part II
• NICDH MFMU Network

• OB patient recruitment

• “Homework” assignment critique

INTRAUTERINE RESUSCITATION
• Current techniques

• What’s the evidence say

• Oxygen versus room air

SECOND STAGE LABOR AND EFM
• Impact on maternal-fetal well-being

• Immediate or Delayed Pushing?

• Open versus closed glottis
• Signal Ambiguity

IOL and the ARRIVE TRIAL
• Elective versus indicated IOL

• Who, what, why, and the results

• AWHONN, ACOG, ACNM, SMFM

• Approaches to limit interventions

• Shared decision making

COMPLEX CASE STUDIES
• Perinatal stroke, preterm FHR, vasa previa

LIABILITY IN EFM
What makes a case successful

• Common OB and EFM allegations

• Minimizing malpractice risks
• EFM policies, procedures, and competencies
4:00 Adjourn


Be assured that the content will reflect the current principles of Fetal Monitoring supported by AWHONN, NICHD, ACNM, and ACOG.
Rebecca will be utilizing an audience response system to enhance your learning experience.  

 

PEC highly recommends Mosby’s Pocket Guide Fetal Monitoring 8th Edition as an adjunct to the seminar.