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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.

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

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 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. 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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

Midwives: CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Midwives. The Certificate Maintenance Program of the American Midwifery Certification Board recognizes and accepts for continuing education credit courses that are specifically applicable and pertinent to the practice of midwifery and by entities approved by the ACCME (Accreditation Council for Continuing Medical Education). This endruing material is certified for a maximum of 6.0 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Physician Assistants

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Physicians
PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 03/06/2019. It was last reviewed on 02/01/2022 and is valid until 01/31/2025. Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Midwives, Doulas, Clinical Nurse Specialists, Childbirth Educators