Monitoring Online Course(s) & Continuing Education
Access the latest clinical skills and research for Monitoring for PREGNANCY, LABOUR & CHILDBIRTH professional training. These Monitoring online courses provide practice-changing skills and valuable perspectives from leading global experts. This Monitoring education has been accredited for a variety of CEUs / CERPs and can be accessed on-demand, at your own pace.
Nathan Riley, MD, is an OBGYN and hospice physician in Louisville, KY. He also works remotely as a telehealth palliative care physician for Resolution Care. He is also the host of the Obgyno Wino Podcast (link to: www.obgynowino.com), and, later this year, he will be launching a biodynamic wellness service to address the multitude of women's health issues for which Western medicine is not equipped to manage (link to: www.belovedholistics.com). When he's not connecting with his patients, you can find him mountain biking, climbing, gardening, or tossing his daughter dangerously high in the air.
Attendees will come to understand the underlying physiology behind antenatal surveillance methods, including non-stress testing, biophysical profiling, amniotic fluid assessment, and fetal Doppler velocimetry. Many pregnant families have difficulty understanding the nature of antenatal fetal surveillance, and have even more challenge deciphering the results. This lecture will help practitioners effectively counsel pregnant patients on result interpretation and provide tools to help families make educated decisions based on the antenatal fetal surveillance results.
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Fetal Monitoring, Evidence and Challenges
Professor Declan Devane is Professor of Midwifery at the National University of Ireland Galway (in the beautiful West of Ireland) and Director of the Health Research Board-Trial Methodology Research Network. He is an Editor with the Cochrane Pregnancy and Childbirth Group, an Associate Senior Lecturer with the UK Cochrane Centre and an author of numerous Cochrane systematic reviews predominantly in the field of fetal assessment. He has led a number of clinical trials recruiting from 100 to over 3000 participants and serves on a number of Trial Steering Committees and Data Monitoring Boards. He is a past member of the National Clinical Effectiveness Committee and the Midwives Committee of the Nursing and Midwifery Board of Ireland. He was a member of the Department of Health National Maternity Care Strategy Group (Ireland) and the Health Information and Quality Authority (HIQA) Maternity Standards Advisory Group (Ireland).
Electronic fetal monitoring (EFM) was introduced into widespread clinical practice in the 1970-80s on the premise that it would help detect abnormal fetal heart rate patterns thought to be associated with fetal hypoxia, and thereby allow earlier intervention to prevent fetal neurological damage or death. Despite the recognised limitations of EFM, it’s use has become ubiquitous particularly in high-income countries. In this presentation, Declan will be address the evidence underpinning the use of EFM and in particular the use of cardiotocography. His presentation will focus largely on findings from Cochrane systematic reviews related to aspects of fetal monitoring including how to read and interpret forest plots, which are a common means of presenting the findings of meta analyses of the effects of interventions on outcomes. Within his talk, Declan will highlight examples of discordance between evidence, practice and practice guidelines.
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Sharpening Your Knowledge of Fetal Heart Monitoring Concepts
Lashea has been practicing in the area of obstetrical/perinatal nursing for nearly 26 years. Her clinical and educational experience and expertise span labor/delivery, antepartum and mother/baby areas. Lashea has worked as a board-certified clinical nurse specialist for women’s services at a large healthcare system, she was a nursing instructor and a previous perinatal outreach educator. These roles allowed her the ability to provide continual high-risk perinatal education to various hospitals and to reach audiences across her region. This has led to her current role and success as founder and owner of her own nursing mentoring and education consulting company Perinatal Potpourri. She is also a Designated Instructor Trainer in Fetal Monitoring and Obstetric Patient Safety through AWHONN. Lashea holds two certifications through NCC and currently provides in-services and seminars nationally for Inpatient OB and EFM reviews, respectively.
In addition to being an active AWHONN member, Lashea was recently elected as the Vice Chair of the AWHONN Section Advisory Committee. She was appointed to this position because of her activism and success as the 2-term elected Georgia section chair. LaShea was appointed as the lead for Georgia in the AWHONN Postpartum Hemorrhage & Empowering Women projects. She was selected as the lead facilitator in the state of Georgia to assist with the rising rate of maternal deaths because she has successfully moved her region to become more active with lectures, networking, and current trends. Lashea’s expertise in this area is demonstrated in her most recent honor, AWHONN's highest honor the Distinguished Professional Service Award Winner of 2022 and The Award of Excellence in Education, respectively. It's also noteworthy to mention she has won the March of Dimes 2018 Georgia Nurse of the Year Award and the 2015 AWHONN Award of Excellence in Community Service. She is an energetic speaker, whose goal is to fully engage the audience in her presentations, leaving them excited and ready to learn more.
This presentation will assist labor & delivery nurses in sharpening their skills and foundation for interpreting fetal heart monitoring tracings. Beginning with a brief review of the basic physiology of acid base interpretation, we will discuss appropriate terminology for electronic fetal monitoring (EFM) using the terminology established by the National Institute of Child Health and Development. We will compare and contrast categories of fetal heart rate patterns and discuss their associated interventions. Finally, we will establish a core set of elements for creating a plan with the patient and care team for the physiologic management of the second stage of labor. This presentation offers labor and delivery nurses the opportunity to ensure their ability to read and respond to EFM during labor is up to date and consistent with national and international guidelines.
