Total Electronic Fetal Monitoring Immersion Seminar Agenda

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Total Electronic Fetal Monitoring Immersion Seminar Agenda 

Program Information

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Thursday, June 27, 2013

Registration (Continental Breakfast Available)
8:00 - 9:00 am

Morning Session
9:00 - 12:00 pm
   

Welcoming Remarks and Program Objectives 

Critical Strategy in EFM Cases

EFM: Expectations, Problems, and Reality

EFM Patterns and Relationships to Labor
      ♦ Periodic Changes
        - Acceleration
        - Deceleration
     ♦ Base Changes
        - Variability
        - Rate
     ♦ Uterine Activity - Normal to Excessive
        - Frequency
        - Duration
             ♦ Amplitude
             ♦ Baseline Tonus
             ♦ Rest Time
      ♦ The Relationship of UC to Progress in Labor
      ♦  Uterine Physiology
          - Definiting Optimal Uterine Activity
          - Effect on Uterine Blood Flow
          - Effect on Cerebral Blood Flow
      ♦ Relationship of Patterns and Progress in Labor
      ♦ Progress in Labor, Descent
      ♦ The Friedman/Zhang Controversy
      ♦ The Conduct of Second Stage Labor
      ♦ Pitfalls
          - Pushing Strategy
          - "Full Dilatation"
         - Malposition
         - Timing and Route of Intervention
      ♦ Issues Relating to the Use of PG and Oxytocin

Lunch (on your own)
12:00 – 1:00 pm   

Afternoon Session
1:00 - 5:30 pm

Algorithms for Management of Category II FHR Patterns

Nomenclatures
   ♦
Categories I-III
   ♦ Parer-5
   ♦ Schifrin-2x2

Challenges of Cross-Examination with Categories

Pitfalls in EFM Interpretation
 ♦ Asking the Wrong Questions
          - Artifact - Double/Half Counting
          - Maternal Insertion
                ♦ Conditions Which Increase Risk of Maternal Tracing
                ♦ Guidelines to Decrease Risk of Maternal Insertion
 ♦ Arrythmia

Causation Block
  ♦ Does EFM Have a High False Positive Note?

EFM: Statistics and Relationship
  ♦ Cesarean Section Rates
  ♦ Acidosis
  ♦ Perinatal Mortality/Perinatal Morbidity
  ♦ Neurological Handicap

The Encephalopathy Debate
  ♦ 
T.B. 163, Consensus Opinions, NECP
  ♦ The Mechanism and Timing of Fetal Neurological Injury
      - Hypoxic-Ischemic Encephalopathy (HIE)
      - Mechanical/Traumatic Encephalopathy
      - Perinatal Stroke
      - Other—Infection
            ♦ The Prevention of Cerebral Palsy
            ♦  Improving Obstetrical Care

Visual Strategies in EFM Cases

5:30 - 6:30 pm  Networking Reception

Friday, June 28, 2013

Continental Breakfast Available
8:00 am - 9:00

Morning Session
9:00 am - 1:00 pm

The Casual Pathway from EFM to Cerebral Palsy

Interpreting FHR Patterns - Case Lessons: Fitting the Pieces Together
   ♦ Artifact
   ♦ Late Decelerations
   ♦ Variable Decelerations
   ♦ Excessive Uterine Activity
   ♦ Chronic Distress - Preexisting Injury
   ♦ Pitocin Abuse
   ♦ Stroke
   ♦ Variability

Adjourn

CLE Information
Earn approximately 11* CLE and NCA credits to be applied to your participation in the NCA's Achievement Recognition Program. For more general CLE information consult the CLE coordinator at 800.622.1791, ext. 8612.

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* Number of credits may vary depending on calculation method used by individual state accreditation agencies. AAJ is a State Bar of California MCLE-approved provider.


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