Iowa Conference on Perinatal Medicine

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44th Annual Iowa Conference on Perinatal Medicine Tuesday Wednesday April 3-4, 2018 West Des Moines Marriott Hotel 1250 Jordan Creek Parkway West Des Moines, Iowa 50321 This conference is jointly provided by the Iowa Statewide Perinatal Care Program, the University of Iowa Roy J. and Lucille A. Carver College of Medicine, the and the Iowa Department of Public Health.

Purpose and Intended Audience This conference is designed to provide state-of-the-art information on obstetric and newborn care practices, which is of particular importance and value to obstetric and newborn care nurses, midwives, family physicians, physician assistants, obstetricians, pediatricians, and allied perinatal health care professionals. Educational Objectives (Topic-specifi c objectives can be found on the agenda). After attending the conference, participants should be able to: 1. Defi ne and demonstrate improved skills in the medical and nursing care of the normal obstetric patient and the normal newborn infant. 2. Discuss and apply recent advances in the medical and nursing care of obstetric and newborn patients with specifi c high-risk problems. Continuing Education Credit Nurses 10.0 contact hours (5.0 contact hours per day) will be granted by University of Iowa Hospitals and Clinics Department of Nursing (Iowa Board of Nursing Approved Provider #34). Participants must attend the entire day to receive full credit and daily sign-in is required. Questions concerning nursing credits should be directed to the Nursing Clinical Education Center at (319) 356-1238. Physicians This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Iowa Carver College of Medicine and Iowa s Statewide Perinatal Care Program. The Carver College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Iowa Carver College of Medicine designates this live activity for a maximum of 10.00 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Tuesday only: 5.0 AMA PRA Category 1 Credits TM Wednesday only: 5.0 AMA PRA Category 1 Credits TM Sponsorship This conference is sponsored by the Statewide Perinatal Care Program, the University of Iowa Roy J. and Lucille A. Carver College of Medicine, the Department of Nursing and the Iowa Department of Public Health. The Conference Planning Committee John M Dagle, MD, PhD Rebecca Chuffo Davila, DNP, NNP-BC Amy N Sanborn, DNP, RN Amy N Dunbar, BSN, RNC-OB Jill Henkle, RN Jeffrey L Segar, MD Diane Eastman, ARNP, RN Stephen K Hunter, MD, PhD Penny K Smith, BSN, RNC-NIC Sandra R Rosenfeld-O Tool, MD Stephanie Trusty, BSN, RNC Jill Kinnaird, Coordinator Planning Considerations Content considerations and the selection of speakers are the responsibilities of the Planning Committee and Conference Director. Commercial fi rms providing fi nancial support did not have input into these areas. DISCLOSURE POLICY: Everyone in a position to control the content of this educational activity will disclose to the CME provider (University of Iowa Carver College of Medicine) and to attendees all relevant fi nancial relationships with any commercial interests. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA).

Guest Faculty KIMBERLY J CHAMBERLIN, MSN, BSN, RN Vice President, Patient Services Chief Nursing Offi ce Mercy Medical Center, North Iowa MIKAEL R MEYER, RN Nurse Clinician Mayo Clinic, St. Mary s Hospital STEPHEN SCOTT, MPS, JD Director Scott Advocacy and Consulting, LLC CHANEY E YEAST, LMSW, JD Government Relations Director Blank Children s Hospital The University of Iowa Faculty JOHN M DAGLE, MD, PhD Professor, Departments of Pediatrics & Biochemistry Associate Director, Statewide Perinatal Care Program AMY C DUNBAR, BSN, RNC-OB Obstetric Nurse Specialist, Statewide Perinatal Care Program ANDREA L GREINER, MD Clinical Associate Professor, Department of Obstetrics & Gynecology STEPHEN K HUNTER, MD, PhD Professor, Department of Obstetrics & Gynecology Medical Director, Maternal-Fetal Medicine Associate Director, Statewide Perinatal Care Program MICHAEL W O HARA, PhD Professor, Department of Psychological and Brain Sciences KENDRA L SCHAA, ScM Certifi ed Genetic Counselor, Department of Obstetrics & Gynecology JEFFREY L SEGAR, MD Professor, Stead Family Department of Pediatrics Director, Statewide Perinatal Care Program PENNY K SMITH, BSN, RNC-NIC Neonatal Nurse Specialist, Statewide Perinatal Care Program STEPHANIE STEWART, MSN, RN Nursing Practice Leader for Quality, Safety, EBP and Research Children s and Women s Services LANE STRATHEARN, MBBS, PhD Professor, Stead Family Department of Pediatrics KELLY K WARD, MD Clinical Associate Professor, Department of Obstetrics & Gynecology Medical Director, Labor and Delivery s Conference Facility A block of rooms has been reserved at the West Des Moines Marriott Hotel (515-267-1500). When making reservations please state that you are attending the 44 th Annual Iowa Conference on Perinatal Medicine to receive the group rate. Room rates are $104/room (not per person) plus tax, with a limit of 4 guests to a room. Rooms at this rate will be held through the end of the day, Monday, March 12, 2018. Directions to the West Des Moines Marriott: The hotel is located at 1250 Jordan Creek Parkway. Take I-80 to EXIT 121 (Jordan Creek Parkway exit) and turn south onto Jordan Creek Parkway. The Marriott is located on the west side of the street a short distance from the exit. The University of Iowa prohibits discrimination in employment, educational programs, and activities on the basis of race, creed, color, religion, national origin, age, sex, pregnancy, disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, associational preferences, or any other classifi cation that deprives the person of consideration as an individual. The university also affi rms its commitment to providing equal opportunities and equal access to university facilities. For additional information on nondiscrimination policies, contact the Director, Office of Equal Opportunity and Diversity, the University of Iowa, 202 Jessup Hall, Iowa City, IA, 52242-1316, 319-335-0705 (voice), 319-335-0697 (TDD), diversity@uiowa.edu. Individuals with disabilities are encouraged to attend all University of Iowa-sponsored events. If you are a person with a disability who requires an accommodation in order to participate in this program, please contact the Statewide Perinatal Care Program in advance at (319) 356-2637.

Tuesday, April 3, 2018 7:30 a.m. REGISTRATION & BREAKFAST VIEW EXHIBITS 8:15 WELCOME AND ANNOUNCEMENTS Program Agenda 8:30 Obstetrical Issues in Iowa: Concerning Trends Stephen K Hunter, MD, PhD Discuss obstetrical workforce. Analyze and prepare for certain increasing obstetrical complications. 9:30 Effective Child Health Policy Advocacy: Tips to Influence Policymakers Decisions Chaney E Yeast, LMSW, JD and Stephen Scott, MPA, JD Describe the legislative process and discuss how laws impact child health at a local, state and federal level. Identify opportunities and strategies in which individuals, organizations and coalitions may infl uence child health policy formation. 10:30 REFRESHMENTS & VIEW EXHIBITS 11:00 Nursing Burnout: Is It Our Destiny or Our Legacy? Kimberly J Chamberlin, MSN, BSN, RN Defi ne nursing burnout and its relationship to the nursing shortage. Identify strategies that institutions/organizations should implement to help prevent work-related stress, job dissatisfaction, and burnout among nurses. 12:00-1:30 LUNCH (on your own) 1:30 p.m. CONCURRENT SESSION I 1) Perinatal Depression: Identification and Treatment During Pregnancy and After Delivery Michael W O Hara, PhD Describe critical high risk factors for perinatal depression and list steps necessary to administer brief depression screen tools. Describe several pharmacological and non-pharmacological treatments for perinatal depression. 2) Show Me What You re Made of: The Composition of Breast Milk Mikael R Meyer, RN Describe the differences in composition between breast milk and artifi cial baby formulas. Discuss ways breast milk benefi ts the health of neonates and infants. 3) Nutrition in the Late Preterm Infant John M Dagle, MD, PhD Describe how the late preterm infant differs from a term infant regarding nutritional needs. Implement practice changes to optimize nutritional and neurodevelopmental outcomes in this population. 2:30 REFRESHMENTS & VIEW EXHIBITS

Tuesday, April 3, 2018 2:45 CONCURRENT SESSION II 1) OB Emergencies Kelly K Ward, MD Identify the most common obstetrical emergencies. Discuss the most up to date treatment protocols. 3:45 ADJOURN 2) Electronic Fetal Monitoring Amy C Dunbar, BSN, RNC-OB Discuss appropriate fetal heart rate terminology. Interpret EFM tracings related to fetal oxygenation. Describe interventions for maternal-fetal resuscitation. 3) Beyond Back to Sleep: Current Safe Sleep Guidelines Penny K Smith, BSN, RNC-NIC Discuss current recommendations from the American Academy of Pediatrics (AAP) for providing a safe sleep environment for infants up to one year of age. Describe the ongoing work of the UI Safe Sleep Task Force to educate and model safe sleep practices for pediatric inpatients. Wednesday, April 4, 2018 7:30 a.m. REGISTRATION & BREAKFAST VIEW EXHIBITS 8:15 ANNOUNCEMENTS 8:30 The Evolution of Genetic Testing Kendra L Schaa, ScM Describe the role of a genetic counselor in perinatal care. Discuss current prenatal genetic testing options and defi ne risks, benefi ts, and limitations of each option. List current professional guidelines surrounding preconception/prenatal genetic testing. 9:30 Exploring the Perinatal Roots of Autism: How Genetics and Social Experience May Intersect Lane Strathearn, MBBS, PhD Discuss the impact of perinatal experience on cognitive and social development. Describe a new Iowa research study to explore the perinatal roots of autism using a smart phone app ( BabySteps ) to collect data from pregnant women and new mothers. 10:30 REFRESHEMENTS & VIEW EXHIBITS 11:00 Telehealth in Obstetrics & Gynecology Andrea L Greiner, MD Discuss various modes of telehealth available in OBGYN. Discuss role of telemedicine in OBGYN care in Iowa. 12:00-1:30 LUNCH (on your own)

Wednesday, April 4, 2018 1:30 p.m. CONCURRENT SESSION III Registration Fees 1) Parents Experiences in Newborn and Infant Resuscitation Stephanie Stewart, MSN, RN Describe parents experiences during newborn and infant resuscitation. Discuss parent stress and family functioning outcomes after an experience with newborn or infant resuscitation. 2) Neonatal Screening in Iowa Public Health Policy and Clinical Impact Jeffrey L Segar, MD Understand the breadth of congenital and inherited conditions screened for in Iowa. Understand criteria used in deciding what conditions to screen. Explain the components of successful screening, highlighting the importance of relationships among hospitals, newborn screening program and healthcare providers. 3) Born Too Soon: Issues Surrounding Preterm Labor and Delivery Stephen K Hunter, MD, PhD Discuss causes and trends of preterm labor. Discuss diagnosis and treatment options of preterm labor and delivery. 2:30 REFRESHMENTS & VIEW EXHIBITS 2:45 CONCURRENT SESSION IV 1) Nutrition in the Late Preterm Infant John M Dagle, MD, PhD Describe how the late preterm infant differs from a term infant regarding nutritional needs. Implement practice changes to optimize nutritional and neurodevelopmental outcomes in this population. 2) Electronic Fetal Monitoring Amy C Dunbar, BSN, RNC-OB Discuss appropriate fetal heart rate terminology. Interpret EFM tracings related to fetal oxygenation. Describe interventions for maternal-fetal resuscitation. 3:45 PROGRAM ADJOURNED HAND IN EVALUATION FORMS AT REGISTRATION TABLE Physician: 2 day fee - $250 1 day fee - $225 Medical Residents, Medical Students, Nursing Students (not already holding a nursing degree/practicing): No Fee Nurses, *Physician Assistant, *Midwife: 2 day fee - $195 1 day fee - $165 *Provides certifi cate of participation at an activity certifi ed for AMA PRA Category 1 Credit(s) TM. ALL students must call the CME offi ce at 319-335-8599 to register. Registration fees include a CD of all presentations, refreshment breaks, and the processing of continuing education credit. Contact Jill Kinnaird at statewideperinatal@uiowa.edu with questions. Late Fees All registrations will be assessed a $25 late fee after March 19, 2018. A full refund will be given if notifi cation of cancellation is received on or before March 30, 2018. NO SUBSTITUTIONS ARE PERMITTED.

Registration Form 44 th ANNUAL IOWA CONFERENCE ON PERINATAL MEDICINE April 3-4, 2018 West Des Moines Marriott Two ways to register ($25 late fee after March 19, 2018): Credit card: register online at https://uiowa.cloud-cme.com/aph.aspx?p=1000 Check: complete this form and mail to: Continuing Medical Education Division University of Iowa College of Medicine 100 Medicine Administration Building Iowa City, IA 52242 (postmarked by March 19 th to avoid late fees) Registration fees: Physician: 2 day fee - $250 1 day fee - $225 Nurses, Physician Assistants, Midwife: 2 day fee - $195 1 day fee - $165 Medical Residents, Medical Students, Nursing Students (not already holding a nursing degree/practicing): No Fee ALL students must call the CME offi ce at 319-335-8599 to register Late fee $25 (after March 19, 2018) PLEASE PRINT OR TYPE to ensure correct registration. Name: Degree: Address: Home City Zip Phone: Place of employment City Phone Email:

Statewide Perinatal Care Program Department of Pediatrics 200 Hawkins Drive Iowa City, IA 52242-1083