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Description:

Jamie Otremba, CNM, RN, MSN, will delve into the most common obstetrical
emergencies presenting in todays 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, VBACs, and inductions. Jamies 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 case studies, persuasive evidence-based research, and an engaging
presentation style, she will teach you current trends, treatments and issues in high
risk obstetrics. Learn new strategies and techniques that can immediately impact
the maternal and fetal outcomes of your obstetrical patients!
Objectives:
At the completion of this program, you should be able to:
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Explain the two-phase process that results in pre-eclampsia.


List the criteria for the diagnosis of preterm labor and compare the
pharmacologic management options.
Identify the two most important factors in assessing risk in elective induction.
Explain the most effective way to change medical staff practices related to
high-risk elective inductions.
List the 4 possible causes of a post-partum hemorrhage and appropriate
management for each.
Discuss strategies for collaborative care with the ICU and Emergency
Department.
Explain why a d-dimer is no longer recommended as part of the evaluation
for pulmonary embolism in pregnancy.
Describe the latest ACOG recommendations for preventing blood loss during
the delivery with an accreta.
List the varying degrees of abnormal placental implantation and how
management might differ for each.
Explain why neurological outcomes with AFE are so poor and the rapid
interventions that could make a difference.

Outline:
I

II

Preeclampsia, Eclampsia and HELLP


A
Tips for timely intervention: Know when you MUST intervene
B
Outcomes: Latest Available Medical Treatments & Nursing
Interventions
C
Morbidity and Mortality Associated with Diagnosis
D
Case Studies
Preterm Labor: Rapid Diagnosis and Intervention Can Make all the Difference
A
Who is at the highest risk - and what you can do to lower it
B
Preterm Labor or Just Contractions? Make your Diagnosis!

Beta-mimetics, Mag, Calcium Channel Blockers, NSAIDS, Antibiotics:


Who Gets What?
III The Perils of Shoulder Dystocia
A
Can We Predict Shoulder Dystocia?
B
The Latest Legal Outcomes for Patients with Shoulder Dystocia
C
When a Shoulder Dystocia Occurs: The Essentials of Management
IV Post-Partum Hemorrhage
A
Patients at Risk for Postpartum Hemorrhage
B
New Ttips for Assessing Blood Loss Accurately
C
Most Recent Clinical Practice Guidelines
D
New Medications and Old Meds with New Protocols
V
High-Risk Induction
A
Trends in Elective and Medical Inductions
B
Which Patients are too high risk for Induction?
C
The Newest Options Utilized for Inductions
D
Risks and Benefits for Induction Patients
E
How to Change your Hospital Policies
F
Examples of Informed Consent
VI VTE in Pregnancy and Postpartum: Why is the ICU Nurse Running Away from
me???
A
#1 cause of Maternal Death in the US
B
New Recommendations for evaluation
C
Treatment in Pregnancy
D
Timing Delivery
VII Placenta Accreta
A
Why is this Condition on the Rise?
B
How to Identify Accreta Prenatally
C
Newest Aggressive Therapies to Save Lives
VIII Amniotic Fluid Embolism
A
Recognition
B
What Really Goes Wrong, and How?
C
Be Prepared for Aggressive Resuscitation!

Author Section About the Speaker:


Jamie Otremba has over 20 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 for area health care 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.