44 th Annual Fall Conference

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44 th Annual Fall Conference September 27-28, 2018 Minneapolis Marriott Northwest 7025 Northland Dr N, Brooklyn Park MN 55428 www.minnesotaperinatal.

This unique multidisciplinary conference provides an opportunity for perinatal healthcare providers from a variety of settings to meet and increase their knowledge and skills.

1 44 th Annual Fall Conference September 27-28, 2018 Minneapolis Marriott Northwest 7025 Northland Dr N, Brooklyn Park MN The Minnesota Perinatal Organization Planning Committee invites you to attend our 44 th Annual Fall Conference. This unique multidisciplinary conference provides an opportunity for perinatal healthcare providers from a variety of settings to meet and increase their knowledge and skills. Brooklyn Park, situated on the west bank of the Mississippi River, offers a variety of community events and activities year-round. No matter the season, you'll get a chance to relax and enjoy yourself here. For more on what to see, do and experience while in town, visit We encourage you to take advantage of this chance to get away and reenergize yourself while learning new and emerging information in maternal and child health. Register now seating is limited.

2 Thursday, September 27 th 7:00am REGISTRATION Desk Opens, Breakfast, Visit with Sponsors 8:00am- 9:30am 9:30am- 10:00am 10:00am- 11:00am PLENARY SESSION I Intrauterine Infection & Inflammation: Implications for Mom, Baby and You Sarah L Hutto, MD, MPH, FACOG Cindy K Osborn, BSN, RN, PHN Description: This session will describe the rationale for change to Triple I terminology and describe the diagnosis and pathophysiology of this process. We will present treatment algorithms used by our institution to help promote effective patient management and optimal outcomes from a maternal and neonatal standpoint. Increase your understanding of how these methods impact nursing care and patient experience and satisfaction. Objectives: Explain the need for change in terminology to Triple I and the pathophysiology leading to suspected diagnosis. Describe treatment algorithms used to care for mom and baby. Discuss impact of treatment approaches to nursing care and patient experience and satisfaction. BREAK, Visit with Sponsors CONCURRENT SESSION A A1. The Growing Problem of Obesity In Pregnancy Katherine M Jacobs, DO Description: This lecture will focus on the growing problem of obesity in pregnancy. We will focus on evidencebased interventions that can improve long term maternal and child health. Objectives: Define obesity and its prevalence in a pregnant population. List potential health consequences of maternal obesity on mothers and children throughout their lives. Discuss evidence-based interventions which can be implemented prior to and during pregnancy to improve long term maternal health and that of their children. A2. Updates in Managing Newborn Hypoglycemia Heidi J Kamrath, DO Description: This presentation will focus on evidence-based approaches for the identification and treatment of newborn hypoglycemia. Objectives: Identify common definitions of newborn hypoglycemia. Describe risks of newborn hypoglycemia. List treatment options for newborn hypoglycemia. 11:10am- 12:10pm CONCURRENT SESSION B B1. Identification of Human Trafficking for the HealthCare Professional Kristi J Jarvis, BS, RN, SANE-A, SANE-P Description: Human Trafficking is considered modern day slavery and is prevalent throughout the world. Most people believe that sex trafficking is something that only occurs in other countries or is similar to the movie, Taken. In reality, sex trafficking involves our own girls and boys right in here in our own backyard. While education and awareness of this topic was rampant around the Super Bowl, sex trafficking is not just a Super Bowl issue. This course will provide an overview of what human trafficking looks like in MN and what healthcare providers need to be aware of in order to accurately and effectively identify victims. Resources specific to MN will also be provided as well as a number of real life case studies from the perspective of a Forensic Nurse Examiner. Objectives: Define what human sex trafficking is and differences in sex trafficking of a minor and an adult. List at least five red flags and indicators a victim of human sex trafficking may exhibit to a healthcare professional. Describe at least three tactics employed by traffickers to maintain control over and prevent victims of human sex trafficking from leaving. 2 of 10

3 B2. The Late Preterm Infant: Steroids, readmissions, and IEPs? Jane E Brumbaugh, MD Description: This session will focus on the evolving practices and long-term outcomes of the late preterm infant. We will cover: 1) the risks and benefits of antenatal steroids for threatened late preterm delivery; 2) discharging the late preterm infant; 3) cognitive and behavioral outcomes of children who were born late preterm. Objectives: Identify the primary indication for use of antenatal steroids for threatened late preterm delivery. List three reasons why late preterm infants may be readmitted to the inpatient setting. Describe how late preterm birth may manifest its effects on the developing brain at school age. Lunch, Visit with Sponsors Lunch sponsored by Children s Hospitals and Clinics of Minnesota CONCURRENT SESSION C C1. A Primer for Third Stage Management: Clinical Considerations for the Obstetric Team Samantha A Sommerness, DNP, APRN, CNM Description: We will review maternal morbidity and mortality and how it affects components of the third stage of labor. After this session, participants will be able to have a clear review that aid in the support of mom and baby staying together to include recent updates and support of the first hour after birth to include: cord clamping, active versus expectant management, skin to skin contact and breastfeeding within the first hour. Objectives: Identify top areas of maternal morbidity and mortality. Describe the evidence supporting key components of improving outcomes and reducing risk related to the third stage of labor. List at least three evidence-based strategies every birth setting should consider in collaborative care of the third stage and immediate postpartum period to help support keeping mom and baby together. 12:10pm- 1:15pm 1:15pm- 2:15pm 2:25pm- 3:25pm C2. Nutrition support in the NICU and beyond: Balancing promotion of neurodevelopment while reducing metabolic risk Sara E Ramel, MD Description: This session will look at the importance of nutrition for proper growth and neurodevelopment of the newborn. Objectives: Review the importance of early, optimized nutrition in preterm infants for growth and neurodevelopment. Recognize potential trade-offs to accelerated growth in various populations. Describe the influence of early nutrition and growth on later neurodevelopment in various populations, including SGA and AGA term and preterm infants. CONCURRENT SESSION D D1. Hot Topics in Obstetrics Keeping Patients Safe Sandra L Hoffman, MS, RNC-EFM Description: Discuss changing trends with regard to maternal morbidity and mortality in obstetrics, and actions nurses and providers can take to help reduce risks. Maternal and newborn topics such as maternal early warning signs, OB sepsis screening for mothers, newborn sepsis score, hypertensive emergency treatment, CPR in pregnancy/perimortem cesearean, deep vein thrombosis and pulmonary embolism prevention, neonatal head surveillance, and electronic fetal monitoring category II and III case studies will be discussed. Objectives: Describe causes and contributing factors to severe maternal morbidity and mortality in the U.S. and actions that nurses and others can take to improve safety and outcomes. Describe OB sepsis screening and interventions for mothers that are designed to improve detection and appropriate treatment for optimal outcomes. Explain one approach to ensuring newborn safety by ensuring appropriate assessment using a neonatal head surveillance algorithm for newborns at risk for head trauma the possible subsequent complications. 3 of 10

4 D2. Neonatal Diseases that Lead to Pulmonary Hypertension: Pathology and Treatment Aaron W Swenson, MD Description: This lecture is designed for those who take care of newborns, from nurses, mid-level providers, respiratory therapists, to advanced providers. Designed to help listeners understand normal physiology and the different disease states that can trigger respiratory failure and pulmonary hypertension, and how to medically manage the issues that follow. Objectives: Discuss normal and abnormal pulmonary and cardiac function in a newborn. Describe different disease states and how these affect newborns and lead to pulmonary hypertension and respiratory failure. Identify different medical management options and respiratory strategies for treatment of pulmonary hypertension. Break, Visit with Sponsors PLENARY SESSION II Telling Stories in the Dark: the healing forces of instinct and love Kelley French, MJ, BA, BS Description: The NICU was a dazzling and intimidating netherworld of machinery, but every time my child was saved, it as by a human being paying attention. A reminder that the most important medicine is the oldest and purest: love. Objectives: Identify the parent prospective of a critically ill child. Recognize the role of language in making connections with parents. Identify the importance the care team plays in helping parents help their sick child. Happy Hour Hosted by Mead Johnson Friday, September 28 th 7:00am 3:25pm- 3:45pm 3:45pm- 5:00pm 5:00pm 8:00am- 9:30am REGISTRATION Desk Opens, Breakfast, Visit with Sponsors Breakfast sponsored by CentraCare Health PLENARY SESSION III Health Equity: The Road to Improving Birth Outcomes Lisa F Waddell, MD, MPH Description: This session will discuss health equity, including trends and disparities in preterm birth, social and structural determinants of health in birth outcomes, and how we can improve health equity. Objectives: Explain the impact of inequity on neonatal and maternal outcomes. List social and structural determinants of health and describe how they relate to health equity. Describe March of Dimes initiatives, including the National Prematurity Campaign Collaborative, to address health equity. 4 of 10

5 10:40am PLENARY SESSION IV Cannabis Use in Pregnancy Cresta W Jones, MD Description: This session will examine recent data and medical recommendations related to the use of cannabis during pregnancy and lactation. Objectives: Discuss the limits of current knowledge of cannabis use in pregnancy and lactation. Discuss recent data on cannabis use in pregnancy and lactation. Apply recommendations for patient counseling on cannabis use in pregnancy and lactation. 9:40am- 10:40am- 11:00am 11:00am- 12:00pm BREAK PLENARY SESSION V Moving from Surviving to Thriving Corey Martin, MD Description: Burnout is epidemic in healthcare. Dr Martin talks about how common burnout is and the consequences to our personal wellbeing, the organizations we work for, and the patients we care for. He shares simple, efficient techniques to combat and prevent burnout and improve our relationships with our loved ones, colleagues, and patients. Objectives: Recognize how common burnout is in healthcare. List at least three different interventions that can improve your health, happiness and burnout levels. List the scientific benefits of a daily gratitude practice. List the scientific benefits of improved relationships at work and at home. Purpose & Objectives This program is designed to provide state-of-the-art information on obstetric and newborn care practices, and is of particular importance and value to obstetric and newborn care nurses, nurse practitioners, midwives, family physicians, physician assistants, obstetricians, pediatricians, and allied perinatal health care professionals. After attending the conference, participants should be able to: 1) Describe the process to implement individual and population-based systems of care that are irrespective of the consumer s race, age, culture and outcomes-based research. 2) Discuss the design plans of inpatient and outpatient care for implementation by designated healthcare professionals, which address the unique nutritional, developmental, psychosocial, nursing and medical needs of mothers and infants. 3) Develop personal goals that will promote a positive outlook on their role as an essential member of the perinatal healthcare team. *Successful completion of this activity requires that participants turn in all evaluation materials for attended sessions. Special Needs MPO wants to make sure no one is excluded because of the need for special dietary considerations, auxiliary aids or services. Please indicate special need(s) on your registration form. 5 of 10

6 Speakers (in alphabetical order) JANE E BRUMBAUGH, MD; Assistant Professor of Pediatrics and Medical Director of the Intermediate Special Care Nursery, Mayo Clinic KELLEY FRENCH, MJ, BA, BS; Professor of Practice in Journalism, Indiana University SANDRA L HOFFMAN, MS, RNC-EFM; Clinical Practice Coordinator-Master s, Mother Baby Center of Abbott Northwestern and Children s Minnesota SARAH L HUTTO, MD, MPH, FACOG; Assistant Professor, OB/GYN and Women s Heath, University of Minnesota KATHERINE M JACOBS, DO; Assistant Professor, University of Minnesota Medical School CRESTA W JONES, MD; Assistant Professor Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology & Women s Health, University of Minnesota Medical School HEIDI J KAMRATH, DO; Neonatologist, Associates in Newborn Medicine COREY MARTIN, MD; Family Medicine, Allina Health, Stellis Health CINDY K OSBORN, BSN, RN, PHN; Nurse Manager, University of Minnesota Masonic Children s Hospital SARA E RAMEL, MD; Assistant Professor, Pediatrics & Neonatology, University of Minnesota Medical School, Neonatologist, University of Minnesota Masonic Children s Hospital SAMANTHA A SOMMERNESS, DNP, APRN, CNM; Clinical Assistant Professor, University of Minnesota School of Nursing AARON W SWENSON, MD; Neonatologist, Minnesota Neonatal Physicians PA LISA F WADDELL, MD, MPH; Senior Vice President, Maternal and Child Health & NICU Innovation, Interim Chief Medical Officer, March of Dimes General Information Registration fee includes admission to all sessions, conference syllabus, meals and refreshments, and access to exhibits, as well as meeting materials for continuing education certification. A Concurrent Session Schedule, based on your registration form selections, will be in the packet you receive during onsite conference registration. Register early to ensure placement in the sessions of your first choice. Registrations are confirmed via . In an effort to reduce waste, be environmentally-aware, and decrease costs, MPO is taking the following steps: 1) Handouts will be posted on our website two weeks prior to the conference. Participants are welcome to print handouts to bring to the conference. Those wishing to have handouts provided by MPO will be charged $20. Please indicate on your registration form if you wish to purchase handouts. 2) We have transitioned to an electronic distribution system. Participants are asked to include an address for distribution of reminders and the brochure. 3) Evaluations and continuing education certificates will be completed online via the MPO website. Continuing education certificates will not be distributed at the conference. All registrations must be accompanied by a check payable to MPO and postmarked on or before September 10, You may also register via our website A refund, minus a $30 processing fee, will be given if notice of cancellation is received on or before September 10, 2018; cancellations after this date and no-shows will not be refunded. Substitutions are welcome. Registrations after September 10, 2018 will be assessed a $20 late fee. 6 of 10

7 A block of rooms has been reserved at the Minneapolis Marriott Northwest. Room rates start at $ plus tax per room, for up to two people per night. More than two people per night may result in additional charges; please confirm rates with hotel upon registration. This block of rooms will be held only until Thursday, September 6, You may register by phone: (877) or (763) be sure to identify yourself as a participant of Minnesota Perinatal Organization, or via our personalized Room Reservation Link. Guest room check in is 4:00pm; check out is 11:00am. As meeting room temperatures vary throughout the day, we recommend you dress in layers for your comfort. Only registered conference attendees are eligible to attend conference sessions, meals and activities. In consideration of conference participants, we ask that children not attend any conference sessions or activities. While we sympathize with last minute schedule changes, conference attendees bringing children will be asked to leave and will be refunded their conference registration fee minus a $30 processing fee. Planning Considerations & Disclosure Policy Content considerations and the selection of speakers are the responsibility of the Planning Committee. Speakers will disclose to attendees the nature of any significant financial relationships they have with the commercial firms providing financial support as well as the manufacturers of products and/or the providers of services discussed in their presentations. They will also disclose if any pharmaceuticals or medical procedures and devices mentioned in their presentations are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Contact Hour / Continuing Education Information Participants should claim only the credit commensurate with the extent of their participation in the activity. Nurses - This educational offering is designed to meet MN Board of Nursing requirements for up to 12.3 contact hours (8.1 hours on Thursday, 4.2 hours on Friday). Physicians - This educational offering is designed to meet educational requirements for up to CEUs. Questions or Concerns? Call or Bonnie info@minnesotaperinatal.org or of 10

8 2018 Planning Committee Todd Amunrud, DO, FAAP; Northfield Hospital and Clinics Jill Bauer, MA, PHN, RN; Children's Hospitals and Clinics of Minnesota Susan Boehm, RN, MS Patricia Buck, RN; RGA Reinsurance Company Lynn Carpentier, BS; Gillette Children's Specialty Center Nancy Fahim, MD; MHealth Tom George, MD; University of Minnesota Children's Hospital Linda Hager, Mead Johnson Bonnie Hansen; Minnesota Perinatal Organization Candice Hobbs, NNP; Mayo Clinic Sandra Hoffman, MS, RN, CNS, BC; Mother-Baby Center, Allina Health & Children's Hospitals and Clinics of Minnesota Sarah Huffman, RN, BAN; Fairview Southdale Hospital Tess Jentink, RN; Minnesota Perinatal Physicians Cresta Jones, MD, FACOG; MHealth Liv Kittelson, RNC-MNN; Fairview Ridges Hospital Cindy Koslowski, FNP, MBA, MSN, RN; University of Minnesota Health Shauna Libsack, BA; Star Legacy Foundation Diane Pelant, RN, MSN; CentraCare Health Tony Pelzel, MD; HealthEast Rice Street Clinic Deb Peters, CNNP; Essentia Health - Duluth Phillip Rauk, MD; University of Minnesota Ruth Richardson; MOFAS Lindsey Wimmer, RN, MSN, CPNP, CPLC; Star Legacy Foundation Join the Planning Committee Would you like to help plan the 2019 MPO Fall Conference? Do you have ideas, contacts, speaker suggestions, etc. that you would like to share? All are welcome. The next Planning Committee meeting is November 13 th from 11:00-1:00pm at Brennan Center, East Building, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Mpls, MN Those unable to attend in-person are welcome to utilize our conference call line: dial , enter call ID: #, passcode MPO Planning Committee members pay a reduced conference fee. Please contact Bonnie Hansen at or info@minnesotaperinatal.org if you are interested in attending the planning session or have ideas for us to work from. 8 of 10

9 Registration Form All registrations must be postmarked on or before September 10, MAKE CHECK FOR CONFERENCE FEES PAYABLE TO: MPO MAIL TO: MPO, Turtle Court, Cold Spring MN REGISTER ONLINE: credit cards welcome online Enclosed find $ (see fee schedule below) Name: Credentials: Affiliation: Field (please circle): Inpatient Outpatient -- OB L&D NICU Other Preferred Mailing Address: Phone: Special needs (dietary restrictions, space requirements, etc.) Early Bird Thursday OR Friday Registration* $165 Thursday OR Friday Registration $190 Fee Schedule Early Bird Two Day Registration* $225 Two Day Registration $250 Full Time Student $150 Planning Committee Member $195 Handouts $20 *Early Bird Registration expires at 4pm on 7/2/18. Indicate the Concurrent Sessions that you wish to attend by filling in the session number below; session sizes may be limited. You will be notified of session assignment at the conference. Concurrent Session A: 1st choice Concurrent Session B: 1st choice Concurrent Session C: 1st choice Concurrent Session D: 1st choice Participant List: Our sponsors ask to receive a list of participants (includes name and affiliation only) before the conference. Contact the Conference Coordinator if you prefer not to be listed. Photography/Video: PLEASE NOTE: Casual audience photographs and/or video may be taken and utilized for marketing purposes. By nature of your attendance, you are granting permission for your image to be used for our internal promotion as we see fit. 9 of 10

10 10 of 10 Platinum Sponsor

nd Annual Fall Conference

42 nd nd Annual Fall Conference November 1-2, 2016 DoubleTree by Hilton Bloomington-Minneapolis South Bloomington MN www.minnesotaperinatal.org The Minnesota Perinatal Organization Planning Committee invites