Donna Weeks – High Risk Obstetrics: Current Trends, Treatments & Issues

Outline

Are YOU Ready?

• Preparing for the High-Risk Patient
• Guidelines, Tool Kits, Protocols & Policies
• Unit Readiness
• Ensuring Staff Preparedness for a Crisis
• Preventing Traumatic Birth & Poor Outcomes

OB Triage Challenges

• ED vs. OB – Deciphering Which Patient & Which Dept.
• Legal Pitfalls
  • Disposition Decisions – Do you Agree?
• Maternal Fetal Triage Index
• Defining Best Practices

Hypertension in Pregnancy

• Pre-eclampsia: It’s Not Over Until it’s Over
• Eclampsia
  • Diagnostic Criteria
  • Effect on Body Systems
• HELLP
  • Lab Tests & Expected Findings
  • Critical Effects
• Medication Management
• Key Clinical Pearls

Obstetrical Hemorrhage

• Antepartum Causes: PPH is NOT the Diagnosis
• Postpartum Causes
  • Invasive Placenta: Acreta, Increta, Percreta
  • Emergency Management
  • Recognize & Escalate
  • Fluids & Blood Products
• Debriefing Process

Shoulder Dystocia

• Interventions You MUST Know
• Risk Factors: ADOPE
• Emergency Maneuvers
• Maternal Effects
• Newborn Effects
• Critical Points in Documentation

Diabetic Ketoacidosis in Pregnancy

• Diabetic Goals & Patient Management
• Care During Labor & Delivery
  • Key Assessments
  • Avoiding DKA
• Emergency Management

Amniotic Fluid Embolism

• Defined Criteria
• Symptoms & Causes
• Emergency Algorithm
• High Morbidity & Mortality
• Frequent Rehearsal of Critical Actions
• Critical Documentation Points

Perinatal Infections

• Group B Strep
• Decreasing or Still a Threat?
• Current Recommendations
• Chorioamnionitis
• Perinatal Transmission of HIV
• Update on ZIKA

Sepsis in Pregnancy

• Recognizing Signs & Symptoms
• Critical Lab Values
• Emergent Interventions
• Surviving Sepsis Bundle