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OB & Pediatrics Conference

Lecture Topics and Content Specifications for Combined Obstetrics and Pediatrics Conference

 

Conference time:  7:45 am – 8:30am on the 2nd and 4th Friday of each month.

Location: First floor River Boat conference room at Tulane-Lakeside Hospital for Women and Children

Conference agenda:

2nd Friday:

  1. Presentation /Discussion of  the up-coming high-risk  patients for delivery – Obstetrics resident
  2. Updates on the current neonates in NICU – Pediatrics resident
  3. Discussion of perinatal safety issues

4th Friday:

  1. Morbidity and Mortality presentation
  2. Revisit  pertinent perinatal safety issues
  3. OB resident and Pediatrics resident will present their respective specialty view points on the following assigned topics (10 minutes for each presentation)

 

Assigned topics for presentation on the 4th Friday conference

June 2018

No conference on the 4th Friday of June (due to resident graduation).

May 2018

Macrosomia

  • Diagnosis and prevalence (MK)
  • Risk factors for macrosomia
  • Know the limitation of clinical estimates and ultrasound estimates of fetal weight (Mk)
  • Maternal and neonatal morbidities associated with macrosomia (MK)
  • Role for prophylaxis cesarean section for macrosomia (MK)
  • Role for labor induction for macrosomia (MK)
  • Neonatal  outcomes and management  (MK)
April 2018

Fetal growth restriction

  • Diagnostic tools in fetal growth restriction (MK)
  • Assessment of fetal well-being (MK, ICS)
  • Anticipating the progression into fetal compromise (M, SBP)
  • Timing of delivery (M, PC)
  • Neonatal Outcomes:  short term and long term outcomes (MK)
March 2018

Substance abuse in pregnancy

  •  Describe behavior patterns suggestive of substance abuse. (MK)
  •  Perform a thorough history and physical examination in patients suspected of substance abuse in pregnancy. (PC)
  • Counsel patients about the impact of substance abuse on the fetus/neonate. (ICS, P)
  • Assess the fetus for adverse effects of substance abuse, such as congenital anomalies or growth restriction. (MK)
  • Refer patients with known or suspected substance abuse for counseling and follow-up. (P, SBP)
  • Care for the neonate of mother with substance abuse (MK, PC)
February 2018

Indirect hyperbilirubinemia

  • Understand bilirubin synthesis, transport and metabolism (MK)
  • Distinguish between physiologic jaundice in a full-term infant and physiologic jaundice in a preterm infant (MK, PC)
  • Recognize that newborn infants with polycythemia are at risk for hypoglycemia and hyperbilirubinemia and manage appropriately (MK, PC)
  • Know how to evaluate a 2-day-old infant with jaundice (MK, PC)
January 2018

Neonatal sepsis

  • Recognize that neonatal pneumonia can mimic RDS  (MK, PC)
  • Know the significance for infection of PPROM (MK, PC)
  • Know the appropriate antibiotic treatment for suspected sepsis in the immediate newborn period  (MK, PC)
  • Understand the circumstances requiring adjustments of antibiotic doses (MK, PC)
  • Obstetrics risk factors for neonatal sepsis and strategy for prevention (MK, PC, SBP)
December 2017

No conference on the 4th Friday (due to holiday schedule)

November 2017

Necrotizing enterocolitis

  •  Know the usual presentation of NEC and plan initial management (MK, PC)
  • Know that the radiographic finding of pneumatosis intestinalis is the hallmark of NEC (MK, PC)
  • Recognize that intestinal stricture formation is a late complication of NEC (MK, PC)
  • Know the obstetric risk factors for NEC (MK, PC)
October 2017

Zika Virus

  • Travel Restrictions
  • Prevention
  • Reproductive Counseling
  • Testing
  • Clinical Management of a Pregnant Woman with Suspected Zika Virus Infection
  • Postnatal Management
  • Neonatal Outcomes and Evaluation
September 2017

Normal newborn care

  • Delivery room care
  • Assessment of the newborn infant
  • Transitional care
  • Neonatal nutrition
  • Preventive care
  • Infant safety
  • Benefits and complications of early discharge
  • Hospital discharge and parent education
  • Follow-up care
  • Adoption
August 2017

Delivery room resuscitation

  • Recognize that newborn with slow HR and impaired ventilator effort requires immediate positive pressure ventilation (PPV)
  • Recognize the need to establish a patent airway before applying PPV
  • Know that initial lung inflation requires increase PIP for first breath
  • Recognize that a newborn infant’s larynx may need to be visualized and the trachea suctioned if meconium is present in the amniotic fluid
  • Recognize that during resuscitation, if HR <60bpm after effective ventilation with oxygen has been established, external cardiac massage needs to be initiated
  • Know the proper technique for external cardiac massage
  • Know that a newborn infant is prone to heat loss because of high surface area-to-body mass ratio and methods to prevent it
  • Know components and significance of 1 and 5 minute Apgar scores
  • Delay cord clamping
  • Understand cord blood gas analysis.
July 2017

Review policy for NICU attendance for high-risk deliveries

  • Understand the guidelines for the level of Pediatric and Neonatal (NICU) support for high-risk deliveries in Labor and Delivery (L&D)
  • Know the definition of risk level  in accordance to the anticipated neonatal risk status
  • Understand the guidelines for NICU and L&D communication regarding these high-risk deliveries
  • Understand that the OB provider is responsible for identifying prenatal and perinatal factors that may adversely affect the fetus or neonate and communicate this information to the pediatric and NICU staff in advance of the delivery.
  • Know the indications when the Obstetrical (OB) Service will request Prenatal NICU consultation
  • Understand that communication between NICU and Obstetrics provider is required before discussing finding with family whenever possible.
  • Know the indication for calling the NICU team to delivery
  • Know when neonatal resuscitation alert should be called in the delivery room
  • Know the systems to call for NICU attendance at delivery

MK – Medical knowledge

P- Professionalism

PBL – Practice-based learning

PC – Patient care

IC – Interpersonal skills & Communication

SBP – System based practice