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Maternal Illness Online Course(s) & Continuing Education

Access the latest clinical skills and research for Maternal Illness for PREGNANCY, LABOUR & CHILDBIRTH professional training. These Maternal Illness online courses provide practice-changing skills and valuable perspectives from leading global experts. This Maternal Illness education has been accredited for a variety of CEUs / CERPs and can be accessed on-demand, at your own pace.

Hours / Credits: 1 (details)
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Alixandra Bacon is a Registered Midwife and settler living and working in Vancouver, BC on the traditional and unceded territories of the Musqueam, Squamish, Tsleil-waututh and Tsawwassen nations. Alixandra is President of the Canadian Association of Midwives, Past President of the Midwives Association of BC, and clinical faculty at the University of British Columbia, Faculty of Medicine. Alixandra is passionate about creating equitable access to excellent sexual, reproductive and newborn midwifery services for everyone. Alixandra is the recipient of the UBC Alumni Builder Award.

Dusty Chipura is a Master Certified and AACC accredited ADHD Coach, specializing in supporting pregnant people with ADHD. She is passionate about creating equitable access to ADHD support services, especially for people from marginalized communities, and has created the first pregnancy-specific resource for people with ADHD in conjunction with Alix Bacon, the ADHD and Pregnancy Journal. Dusty offers private and group coaching, runs various online courses, and curates a virtual ADHD support space called the ADHD Studio. You can find her salty op eds on Twitter and Tiktok, @dustychipura.

Abstract:

ADHD impacts 1/30 females, and stimulants are among the most commonly prescribed medications during pregnancy, with an estimated 1% exposure prevalence. Research on ADHD and pregnancy is emerging and imperfect but shows that there are risks to the birther and fetus. Midwives need to be aware of the impacts of ADHD on pregnancy, and the risks and benefits of medication during pregnancy and lactation. Midwives, particularly those working in the continuity of care model, are well positioned to offer education and referrals regarding non-pharmaceutical supports and strategies for managing ADHD in pregnancy.

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Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Midwifery, Midwifery Bridge CEUs
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Dr. Lesley A. Tarasoff is a Canadian Institutes of Health Research-funded Postdoctoral Research Fellow in the Department of Health and Society at the University of Toronto Scarborough. She is a leading scholar on the perinatal health of women with disabilities; Dr. Tarasoff is a co-author of the first known clinical practice guidelines on labour, delivery, and postpartum care for people with physical disabilities (see Berndl et al., 2021, JOGC) and of several systematic reviews and studies on the perinatal health outcomes and care experiences of women with disabilities in Canada. Primarily drawing on qualitative methodologies, her broader program of research aims to understand and address disparities and inequities in reproductive, perinatal, and mental health and health care experienced by often-stigmatized and marginalized groups, namely women with disabilities and sexual minority women. She holds a PhD in Public Health Sciences, with a Specialization in Women’s Health, from the University of Toronto. She is an advocate of midwifery care and even more so after the birth of her son in 2021.

Abstract:

Women with physical, sensory, and intellectual/developmental disabilities experience significant social, health, and health care disparities. Recent data show that their pregnancy rates are increasing. However, little is known about the perinatal health outcomes and care experiences of women with disabilities. In this presentation, I will provide an overview of research concerning the perinatal health outcomes and care experiences of women with disabilities, specifically highlighting findings from a National Institutes of Health-funded study conducted in Ontario, Canada.

From population-based health records data, we found that women with disabilities experience higher rates of perinatal health complications than women without disabilities. From interviews with women with disabilities and health and social service providers, including midwives, we identified barriers to optimal perinatal care for women with disabilities, including failures to meet accessibility and communication needs, with particular gaps in care identified in the postpartum period. This presentation will conclude with a discussion of implications for midwifery practice, identifying ways in which the midwifery model of care may best address the challenges experienced by women with disabilities during pregnancy, delivery, and the postpartum period; these include longer appointment times, the ongoing process of informed consent, home visits, and extended support in the postpartum period.

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Presentations: 15  |  Hours / CE Credits: 15.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United Kingdom Kim Morley, MSc, INP, RM, RN

Kim is an advanced clinical practitioner, independent nurse prescriber, registered nurse and registered midwife with additional qualifications in epilepsy, complex pregnancies, child protection, pharmacology, advanced decision making, epidemiology, diagnosis and history taking and research. She is a specialist in antiepileptic drug prescribing management & all aspects of reducing the impact of epilepsy. Since 2000, she has conducted a women with epilepsy service which provides holistic care and treatment support from teenage years to motherhood. In addition, she established and ran for 7 years a thriving community epilepsy specialist nursing service for Southampton and since 2017, a new rapidly expanding secondary care service for Winchester. Kim designed the maternity epilepsy toolkit embedded in the SUDEP (sudden unexpected death in epilepsy) Action professional checklist and focuses professionally and academically on safety and reducing the risk of avoidable adverse outcomes. She is an MBRRACE assessor and represents the Royal College of Midwives on behalf of midwives on the valproate stakeholders committee.

United Kingdom Kim Morley, MSc, INP, RM, RN
Abstract:

Epilepsy is a pre-existing, neurological disease present in 0.3%-0.5% of all pregnancies and is associated with increased risks of morbidity and mortality during the pregnancy continuum. These risks are often determined long before conception. This is because epilepsy and its treatment can impact on: education, employment, safety, menstruation, sexuality, fertility, contraception, pregnancy, breastfeeding, parenting, bone health, mental health, quality of life, driving status and independence. This trajectory and the quality of care received during the epilepsy journey can influence pregnancy presentation and outcome. The extremes can be a woman who has received expert epilepsy care and preconception preparation to ensure the risks were minimized when embarking on a planned pregnancy versus a woman who presents with an unplanned pregnancy having received no counselling, no epilepsy specialist care, prescribed a medication that is high risk to a developing baby whilst having uncontrolled seizures. These extremes highlight the need for maternity healthcare professionals to have awareness about the potential health burden associated with epilepsy, knowledge about seizure presentation and management, information about epilepsy treatments and understanding about potential risks to the women and her developing baby and how to reduce risks during pregnancy through joined-up, holistic, multi-professional healthcare provision.

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Presentations: 13  |  Hours / CE Credits: 13.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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Dr Karen McLaughlin is a Clinical Midwife Specialist with 30 years experience and a midwifery academic and researcher currently teaching Midwifery at the University of Newcastle, Australia. Her previous PhD research involved quantitative and qualitative methods and examined the management of asthma during pregnancy and the potential to translate new management methods into practice. This research has led to 11 publications to date, the development of clinical guidelines for antenatal asthma management and a globally available Asthma in pregnancy toolkit, for health practitioners, researchers and consumers.

Dr Mclaughlin has a passion for qualitative research methods and has used appreciative inquiry to examine the student midwife experience in order to build on current practices to ensure retention of student midwives and optimal experiences for student midwives and midwives. Dr McLaughlin's current research areas include examining asthma management in the postpartum period and it's association with breastfeeding and exploring perinatal mental health and models of maternity care.

Abstract:

Asthma is the most common chronic medical condition to affect pregnancy. For example, in Australia 12.7% of pregnant women have asthma. Poorly controlled asthma leading to exacerbation of symptoms can lead to poor maternal and neonatal outcomes such as preterm birth and low birth weight babies. Asthma in pregnancy can be unpredictable in that approximately 1/3 of women experience a worsening of their asthma symptoms with the other two thirds either experiencing an improvement of their asthma symptoms or no change. Recommendations for the management of asthma during pregnancy is clearly stated in clinical practice guidelines.

These include regular review of asthma symptoms, having a multidisciplinary team approach to management, ensuring ongoing prescribed medication use and having an asthma action plan. Previous research has identified the need for improved knowledge and awareness of asthma in pregnancy among health professionals and pregnant women. Innovative management techniques and educational resources are being developed and implemented to continue to meet these needs and to improve the outcomes for women and babies whose pregnancy is affected by asthma.

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Midwifery, Midwifery Bridge CEUs
Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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UK Prof. Claire L. Meek, MBChB, MRCP, FRCPath, PhD

Professor Claire Meek is professor of chemical pathology and diabetes in pregnancy at the University of Leicester. She runs the diabetes in pregnancy service in University Hospitals Leicester, which supports around 10,000 deliveries per year, including many in women with diabetes. Prof Meek has recently moved to Leicester and previously worked at Addenbrooke's hospital, Cambridge (UK) and as a principal investigator at the Wellcome-MRC Institute of Metabolic Science, University of Cambridge. She is supported by a Diabetes UK intermediate clinical fellowship and Future Leaders' Award from the European Foundation for the Study of Diabetes in association with the Novo Nordisk Foundation. She has also won several national and international awards including the Young Investigator Award and Pregnancy special interest group award from the American Diabetes Association, the Young Investigator Award from the Association of Physicians (UK) and the British Medical Foundation Helen H Lawson Award.

Professor Meek runs a research team of scientists and healthcare professionals who work together to run interventional and observational clinical studies in diabetes, nutrition and obesity in pregnancy. They have recently completed a whole-diet randomised controlled trial to test a dietary intervention in gestational diabetes (DiGest trial), and the DiGest follow-up study, assessing the effect of pregnancy interventions upon maternal and offspring cardiometabolic risk postnatally. Prof Meek contributed to the CONCEPTT trial, assessing real time continuous glucose monitoring in women with type 1 diabetes in pregnancy, which led to widespread changes in clinical care internationally.

UK Prof. Claire L. Meek, MBChB, MRCP, FRCPath, PhD
Abstract:

Gestational diabetes affects around 20 million patients per year internationally, with long-term consequences for the health of mother and child. Women with gestational diabetes are at increased risk of pre-eclampsia, perinatal trauma and operative delivery, and are more likely to develop type 2 diabetes (T2D) and cardiovascular disease (CVD) in later life. Affected offspring are at increased risk of obesity, insulin resistance and metabolic syndrome in childhood and adolescence. The lack of a standardized diagnostic pathway internationally and inadequate access to treatment creates real challenges in optimizing care for affected women and their children. Gestational diabetes is managed using medical nutrition therapy, metformin and/or insulin. After pregnancy, women should be screened for the development of diabetes. Longer-term interventions are needed to reduce the risk of T2D postnatally. The aim of this presentation is to discuss the causes, treatment and longer-term management of patients with gestational diabetes. We will focus on the use of nutritional advice, medication and lifestyle changes on gestational diabetes incidence and management. We will outline key strategies for preventing T2D in affected patients after gestational diabetes and highlight the role of breastfeeding in improving women’s longer-term metabolic health.

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Midwifery, Midwifery Bridge CEUs
Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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United States Bonnie Gruenberg, CNM, MSN, CRNP

Bonnie Urquhart Gruenberg, CNM, MSN, CRNP, is the award-winning author of Birth Emergency Skills Training; Manual for Out-of-Hospital Midwives, and co-developer of the workshop by the same name. In 2023, her long-awaited seminal work, Birth Emergencies for Community Midwives, will come to press. She has caught more than 2,100 babies to date in the home, in a free-standing birth center, and in the hospital. She currently works for Wellspan Health in Lancaster County, PA. Bonnie has written and illustrated 12 books on topics ranging from midwifery and maternity care to wild horse management. She enjoys painting, photography, and hobby farming.

United States Bonnie Gruenberg, CNM, MSN, CRNP
Abstract:

A seasoned midwife sometimes encounters unusual situations in clinical practice. In these unique case studies, we will consider the challenges of paravaginal birth, uterus didelphys, cervical myoma, and acute urinary retention in the second trimester.

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Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Hours / Credits: 1 (details)
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United States Monika Patel, DPT, CSCS

Monika Patel, Doctor of Physical Therapy and Strength and Conditioning Specialist has a passion for empowering women to prepare mentally and physically for a well-balanced parenthood. She is currently undergoing the American Physical Therapy Association's Certificate in Obsetrics. She has applied her knowledge toward preventative medicine and established Train4Birth, an affordable online education and beneficial movement course with a built-in accountability feature. She is also the mother of a truck-loving toddler and couldn’t be happier than digging with him in the backyard.

United States Monika Patel, DPT, CSCS
Abstract:

Hypermobile Ehlers-Danlos Syndrome (hEDS) and Hypermobile Spectrum Disorder (HSD) are estimated to affect 6 million (4.6%) pregnancies globally per year. As such, cases of hypermobility in maternity services should no longer be considered rare, only rarely diagnosed. Learn more about the potential impact of hypermobility on pregnancy, how to screen for it and clinical management. Useful hypermobility screening tools and decision-making matrices for birth workers, relative to a patient’s degree of hypermobility, will be outlined.

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GOLD Learning Symposium Series, Midwifery Bridge CEUs
Presentations: 8  |  Hours / CE Credits: 8  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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USA Autumn Fuselier, DNP, APRN, CNM

Autumn Fuselier holds a bachelor's degree in nursing from The University of Tennessee. She also holds a master's degree in nursing with a specialty in nurse-midwifery and a doctorate of nursing practice with Frontier Nursing University. She is board-certified by the American Midwifery Certification Board and is a professional member of the American College of Nurse-Midwives and a legislative advocate through the National Government Affairs Committee (NGAC). Autumn has experience working with adult and obstetric critical care populations, as well as in antepartum, intrapartum, postpartum, and newborn care. She is also faculty for midwifery and women's health NP students at Frontier Nursing University.

A wife and mom of four herself, Autumn personally knows the challenges and joys of pregnancy and motherhood. She has a passion for improving maternal and neonatal health and strongly believes in the power of midwifery and shared-decision making to improve outcomes and empower birthing people and their families.

USA Autumn Fuselier, DNP, APRN, CNM
Abstract:

Hypertension in pregnancy is a global public health threat complicating approximately 2-3% of pregnancies worldwide. The hypertensive spectrum ranges from mild, essential, or gestational hypertension to severe disease including the pre-eclampsia spectrum, HELLP syndrome, and eclampsia. These hypertensive disorders account for approximately 50,000 maternal deaths worldwide and have become a leading cause of maternal mortality. The incidence of hypertensive disorders of pregnancy has also increased worldwide, disproportionately affecting pregnant people of color. Staying up to date with the latest research and thoughts on best practice for identification of disease and clinical management of hypertension in pregnancy can prepare practitioners to efficiently identify and treat pregnant people with hypertension thereby reducing complications and improving maternal and fetal mortality and morbidity rates.

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Midwifery, Midwifery Bridge CEUs
Presentations: 16  |  Hours / CE Credits: 16.5  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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United Kingdom Sally Pezaro, PhD MSc BA (Hons) PgCAPHE FRCM SFHEA RM

In 2021 Dr Pezaro won the 'Partnership Working' award from the Royal college of midwives and a 'Midwives Award' from the Iolanthe Midwifery Trust. In 2019, Dr Pezaro was honoured with a first prize award from the Royal Society of Medicine in 'Leading and inspiring excellence in maternity care' and was also first runner-up for the British Journal of Midwifery's 'Midwife of the Year' 2019. - @SallyPezaro

United Kingdom Sally Pezaro, PhD MSc BA (Hons) PgCAPHE FRCM SFHEA RM
Abstract:

It is thought that hypermobile Ehlers Danlos Syndrome (hEDS) and Hypermobility Spectrum Disorders (HSD) are not rare, and yet they are rarely diagnosed. As these conditions affect connective tissue throughout the body they can have a profound impact upon those childbearing, where the human body goes through a multitude of changes in response to pregnancy and birth. They can also impact on the newborn. In order to provide guidance where currently there is none, an international group of patients and academic and clinical experts came together to co-create evidence-based international guidelines for the management of these conditions in pregnancy, birth and beyond. Guidelines include the antenatal, intrapartum, and postnatal periods, and touch on a range of evidence in this field. The lived experiences of those childbearing with hEDS/HSD also demonstrate how clinicians can make a real difference to outcomes and experiences, yet clinicians often express a need for more knowledge and education in this area. It is hoped that these guidelines will be used by clinicians and birthing people to facilitate evidence-based decision making in this area for improved outcomes and experiences overall.

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Presentations: 10  |  Hours / CE Credits: 10  |  Viewing Time: 8 Weeks
Hours / Credits: 1 (details)
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United States Katrina B. Mitchell, MD, IBCLC, FACS

Katrina B. Mitchell, MD, IBCLC, PMH-C is a breast surgeon, lactation consultant, and perinatal mental health provider. Her surgical practice includes the care of women with breast cancer and benign breast disease. She sees runs a daily breastfeeding medicine practice, treating patients for a wide variety of lactation concerns ranging from hypolactation to nipple trauma. Additionally, she provides medication management and support for women impacted by perinatal mood and anxiety conditions.

Dr. Mitchell lectures locally, nationally, and internationally on the intersection of lactation and surgery, and has authored book chapters, clinical care protocols, and journal articles on the topic. She is the creator of the physicianguidetobreastfeeding.org, an evidence-based resource for breastfeeding families and the communities that support them. Dr. Mitchell resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son camping at the beach. She can be reached at physicianguidetobreastfeeding.org.

United States Katrina B. Mitchell, MD, IBCLC, FACS
Abstract:

The purpose of this presentation is to first review basic components of the breast physical exam, and then transition into the management of challenging maternal complications of lactation. We also briefly will review breast imaging that may be required for diagnostic purposes in this setting.

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Presentations: 29  |  Hours / CE Credits: 27.0  |  Viewing Time: 8 Weeks
Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
This presentation is currently available through a bundled series of lectures.