2017 Conference Schedule

47TH ANNUAL STATEWIDE PERINATAL CONFERENCE
APRIL 30 - MAY 2, 2017 | KALAHARI RESORT
WISCONSIN DELLS, WI

Sunday, April 30, 2017

9:00 a.m. – 5:00 p.m.

Fetal Monitoring Certification Review Course

Jan McIntosh, BSN, RNC-OB, C-EFM, Patient Care Manager Labor & Delivery, Aurora Women's Pavillion, Aurora West Allis Medical Center, West Allis, WI

Jeanne Rosendale, MSN, RNC-Inpatient OB, C-EFM, Staff Nurse, Educator, Mayo Clinic Health System Franciscan-La Crosse, La Crosse, WI

Chris Van Mullem, MS, RNC, C-EFM, CNS, Sussex, WI

This course is for nurses, certified nurse midwives, and physicians to review test content and competencies to prepare for the National Certification Corporation (NCC) subspecialty examination in electronic fetal monitoring. The content includes a review of the National Institute of Child Health and Human Development (NICHD) pattern recognition and interpretation, physiology of fetal oxygenation, and effects of complications of labor and maternal conditions on the fetal heart rate.

The speakers disclosed no relevant conflicts of interest.

12:00 - 1:00 p.m.

Antibiotic Stewardship in Neonates

Nina Menda, MD, Assistant Professor, Division of Neonatology, University of Wisconsin, Madison/UnityPoint Health Meriter , Madison, WI

This presentation will address the need for antibiotic stewardship and discuss the means to implement change. It will also provide concrete examples of how choosing antibiotics wisely impacts outcomes in our youngest patients.

The speaker disclosed no relevant conflict of interest.

12:00 - 2:00 p.m.

Culture and Breastfeeding

Moderator: Jen Ortner, MS, RDN, CLC, State WIC Breastfeeding Coordinator, State Department of Health Services, Madison, WI

Panelists:

Hershey Barnett-Bridges, RN, BSN, LC, President, African American Breastfeeding Alliance for Dane County, Inc., Madison, WI

Karen Lupa, CNM, Sixteenth Street Community Health Center, Milwaukee, WI

Shawn Meyer, RN, BSN, CLC, Public Health Nurse Consultant-Maternal Child Health, State of Wisconsin Department of Health Services, Madison, WI

Join this panel for a discussion of aspects of breastfeeding unique to diverse women-- Spanish-speaking countries of the Americas.

The speakers disclosed no relevant conflicts of interest.

1:00 – 2:00 p.m.

WisPQC Maternal Hypertension

Stacy McNall, RN, MSN, IBCLC, Director Family Birth Center, SSM Health St. Mary's Hospital Janesville, Janesville, WI

The content will include the work of the Wisconsin Perinatal Quality Collaborative (WisPQC) to improve care and outcomes for women with hypertension. It will also include information about outcomes from the work of the beta projects in 2016.

 

The speakers disclosed no relevant conflicts of interest.

2:00 – 4:00 p.m.

Labor Progress: Current Guidelines and Strategies to Implement Practice Change

Lisa Hanson, PhD, CNM, FACNM, Professor and Director, Nurse-Midwifery Program, Marquette University, Milwaukee, WI

C. Danae Steele, MD, Physician, Fox Valley Perinatology, Appleton, WI

Join this group and learn to compare and contrast labor progress guidelines including definitions of normal progress. Learn successful strategies to decrease the rate of primary cesarean births.

The speakers disclosed no relevant conflicts of interest.

3:00 – 5:00 p.m.

Maximizing PeriData.Net® - Tailoring Efficiencies to Meet Your Needs

Allen Cooper, MBA, Partner, Ancilla Partners, Inc., Milwaukee, WI

Lisa Lokken, MSN, RNC-OB,C-EFM, CNS-BC, Clinical Nurse Specialist, Ascension | St. Joseph & Elmbrook Memorial, Milwaukee, WI

How do I maximize and use PeriData.Net® for perinatal quality improvement? How do I enable, create and find efficiencies in PeriData.Net® to help reduce my day to day work load? Come to this session to learn how to leverage PeriData.Net®.

The speakers disclosed no relevant conflicts of interest.

5:30 - 6:30 p.m.

Wine and Cheese Reception for All and Exhibits

(Dinner is on your own.)

6:30 p.m. Plan to participate in the Perinatal Foundation's Fourth Annual Quiz Bowl. The theme will be Hope, Perseverance, and Growth--Traits of Perinatal Patients and Providers. Register and join in the fun and the chance to win a basket full of prizes. The session includes matching wits with colleagues, good-humored competition, a private bar, and heavy hors d'oeuvres.

Download a PDF schedule for Sunday

 

Monday, May 1, 2017

7:30 a.m. – 5:45 p.m. Registration
7:30 – 8:00 a.m. Exhibits and Continental Breakfast
Visit the exhibits, and learn about commercial products and educational materials in perinatal health.

8:10 – 9:30 a.m.

Welcome and Introduction

Lisa Lokken, MSN, RNC-OB,C-EFM, CNS-BC, Clinical Nurse Specialist, Ascension | St. Joseph & Elmbrook Memorial, Milwaukee, WI
WAPC President

Plenary Session I:

Overcoming Barriers in the Treatment of Perinatal Depression and Anxiety

ohara
Michael W.
O'Hara, PhD
Michael W. O'Hara, PhD, Professor of Psychological and Brain Sciences, Director of Clinical Training, University of Iowa, Iowa City, IA

Dr. O'Hara will describe some of the barriers that interfere with uptake of services among women with perinatal mental health problems. He will discuss interventions aimed at overcoming these barriers, as well as systems-oriented approaches and emerging research.

The speaker disclosed no relevant conflict of interest.

9:30 – 10:00 a.m. Break, Exhibits, and Author-Attended Poster Session
Participate in the poster session, designed as an interactive activity between participants and authors. The poster session is offered on Monday at 9:30 a.m. and 2:30 p.m.
10:00 – 11:00 a.m.

Group Session

1A. Oxytocin-The good, the bad, and the ugly

Laura Jacques, MD, Assistant Professor, UW Madison, Madison, WI

The presentation will include an overview of current literature and recommendations surrounding safe methods of induction with oxytocin.

The speaker disclosed no relevant conflict of interest.

1B. Acute Kidney Injury in Neonates: From premature 'arrested development' to 'breaking bad' outcomes

Matthew W. Harer, MD, Neonatologist, University of Wisconsin School of Medicine and Public Health, Madison, WI

This talk will focus on kidney development and acute kidney injury in premature and term infants. It will examine the epidemiology, incidence, prevention, treatment, and long term outcomes in this critical and at risk population.

The speaker disclosed no relevant conflict of interest.

1C. NRP 7th Edition Updates: Strategies for a Successful Transition

Debra Kenzler, MS, RNC-NIC, Professional Development Specialist, Ascension Wisconsin, Milwaukee, WI

Teresa Lass, BSN, RNC-MNN, Professional Development Specialist, Ascension WI, Milwaukee, WI

Looking for strategies to improve communication and teamwork between the obstetric and neonatal teams as your facility implements the NRP 7th Edition updates? Join us to learn how to transition to the updated NRP guidelines and engage in a high-risk newborn resuscitation simulation.

The speakers disclosed no relevant conflicts of interest.

1D. Cord Clamping and Severing the Umbilical Cord: What's the Rush?

Dennis T. Costakos, MD, Physician, Neonatologist, and Faculty, Mayo Clinic College of Medicine, Mayo Clinic -La Crosse campus, La Crosse, WI

Delaying umbilical cord clamping for at least a minute after birth allows more time for blood to move from the placenta to the newborn. What is the evidence that the delay improves health of a baby? What are the risks and costs for the infant and mother?

The speaker disclosed no relevant conflict of interest.

1E. Necrotizing Enterocolitis: What's New?

Adam S. Bauer, MD, Neonatology Fellow, University of Wisconsin Hospitals and Clinics, Madison, WI

Tiffany Zens, MD, General Surgery Resident, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI

Join this presentation to learn about current medical and surgical treatment of necrotizing enterocolitis.

The speakers disclosed no relevant conflicts of interest.

1F. Screening for Perinatal Depression and Anxiety: How much is enough?

Michael W. O'Hara, PhD, Professor of Psychological and Brain Sciences, Director of Clinical Training, University of Iowa, Iowa City, IA

There is controversy in the literature about the advantages and disadvantages of screening for perinatal depression and anxiety. The speaker will review some of the major elements of the controversy and suggest a framework for resolving major issues.

The speaker disclosed no relevant conflict of interest.

11:10 a.m. – 12:10 p.m.

WAPC Regional Discussion Groups

The discussion groups are a time for members of each WAPC perinatal region to to discuss work in interdisciplinary teams, employ evidence-based practice, and focus on quality improvement.

Please plan to participate.  If you have never been a member of WAPC, please attend the non-member discussion group listed below.  If you have been a member in the past, but your membership is not current, please attend the regional discussion group you belonged to previously and identify yourself as a past member.

Discussion Group Leaders:
Fox Valley Region – Amy St. Laurent, MSN
Northcentral & Northwest Regions – Sarah Walder, MSN, APNP, NNP-BC
Northeast Region – Juli Novak, RNC, BSN, MS, CLS
Southcentral Region – Elizabeth M. Goetz, MD, MPH, IBCLC, FAAP
Southeast Region – Jill Denson, MSW, APSW
Western Region – Lynn Dahlen, BSN, RNC-NIC
Non-Member – WAPC Leaders

12:15 – 1:20 p.m. Lunch and WAPC Business Meeting
1:30 – 2:30 p.m.

Group Sessions

2A. Empowering A Woman's Choice: Non Pharmacological Management of Labor and Birth

Eileen Nyholt, BSN, MSN, CNM, Certified Nurse Midwife, Aurora Sinai Medical Center, Milwaukee, WI

MaryAnne Scherer, BS, MSN, CNM, APNP, certified nurse midwife, Aurora Midwifery and Wellness Center, Milwaukee, WI

Explore multiple alternative, complementary, and integrative modalities for non-pharmacological pain management for labor and birth. The presenters will discuss approaches and the obstacles surrounding education of patients and staff to include modalities in practice. Join the session for demonstrations and audience participation of such modalities as position changes, use of doulas, hydrotherapy, massage, acupuncture, and silent or quiet bedside support.

The speakers disclosed no relevant conflicts of interest.

2B. Trisomy 18 as a Life-limiting Condition

Steven R. Leuthner, MD, MA, Professor of Pediatrics and Bioethics, Medical College of Wisconsin, Wauwatosa, WI

Recent medical and ethical discussions surrounding treatment options and outcomes for infants with Trisomy 18 include prenatal diagnosis, counseling and choices made by families, broader national outcomes data from NCIU's, as well as long term neurodevelopmental outcomes reported. This presentation will provide up- to- date information to support practitioners in appropriate counseling of families.

The speaker disclosed no relevant conflict of interest.

2C. The Lifespan Implications of Young Women's Weight Self-Management Choices

Jennifer M. Ohlendorf, PhD, RN, Assistant Professor, Marquette University, Milwaukee, WI

This presentation will explore the evidence regarding the long-term implications of overweight and obesity, as well as dietary and physical activity practices in young women. Case studies will demonstrate effective strategies providers can use to promote healthy behaviors in young women, with a special emphasis on generational and cultural perceptions of weight, diet, and physical activity.

The speaker disclosed no relevant conflict of interest.

2D. The Journey with Centering Pregnancy® in Racine

Teresa S. Johnson, PhD, RN, Associate Professor, University of Wisconsin-Milwaukee, Milwaukee, WI

Margaret Malnory, MSN, RN, Administrative Director, Ascension Wisconsin- All Saints, Racine, WI

The implementation of CenteringPregnancy® into a health care system occurred over several years in a community with a high infant mortality rate and racial disparities. The presenters will discuss barriers to integrating CenteringPregnancy® into the model of prenatal care and celebrate pregnancy, birth, and infant outcomes that resulted from changes in this community.

The speakers disclosed no relevant conflicts of interest.

2E. Meaningful Debriefings

Stacy McNall, MSN, RN, IBCLC, Director Family Birth Center, SSM Health St. Mary's Hospital Janesville, Janesville, WI

Learn about a multi-disciplinary, non-punitive approach to meaning debriefings after both tough cases and great cases.

The speaker disclosed no relevant conflict of interest.

2F. Respond or React: Improving Effectiveness in the First 20 Minutes of a Code

Anne Kuschel, RN, BSN, Staff RN, Facilitator of OB Expert Team and Unit Practice Group, Mayo Clinic Health System Franciscan Healthcare, La Crosse, WI

This presentation will include drill scenarios to improve staff response in common obstetrical emergencies such as postpartum hemorrhage, emergency Cesarean, maternal codes, and shoulder dystocia.

The speaker disclosed no relevant conflict of interest.

2:30 – 3:00 p.m. Break, Exhibits, and Author-Attended Poster Session
3:00 – 4:30 p.m.

Plenary Session II:

The Great Debate

This interactive session gives conference participants an opportunity to publicly deliberate and weigh the costs and consequences of varied responses to contemporary perinatal issues.  Experts will present contrasting views on each topic. The three debate topics are:

  • Universal drug testing in labor
  • Introducing allergens in infancy
  • Ethics of terminating patient-provider relationships
5:15 – 7:00 p.m. Perinatal Foundation Silent Auction
The Perinatal Foundation invites you to participate in its 15th Annual Silent Auction.  Bid on a variety of useful and unique items, and help support the Foundation's programs and projects.
Visit the Silent Auction gallery to see some of the many items.
6:00 – 7:00 p.m. Pre-Banquet Reception
Take the opportunity to support the work of the Perinatal Foundation and network and socialize while you bid on Silent Auction items and prepare for the Awards Banquet.
7:00 – 8:45 p.m.

Awards Banquet

The gala event is a time to recognize individuals who represent the volunteer spirit of WAPC. The program includes recognition of those who have made major contributions to WAPC in the last year.

WAPC concludes the banquet with the Callon-Leonard Award, the highest honor awarded by the association.

garland
Jeffery S. Garland, MD

WAPC is pleased to honor Jeffery S. Garland, MD, SM, the recipient of the 2017 Callon-Leonard Award.  This annual award, first presented in 1976 in recognition of WAPC founders Helen F. Callon, RN, CNM, and Thomas A. Leonard, MD, celebrates the efforts of an individual to improve the health of mothers, infants, and families in Wisconsin.

Download a PDF schedule for Monday

Tuesday, May 2, 2017

7:00 – 10:00 a.m.

Registration

7:00 – 7:45 a.m.

Continental Breakfast

7:45 – 8:50 a.m.

Introduction to the Thomas A. Leonard, MD, Memorial Lecture

Chris Van Mullem, MS, RNC, Sussex, WI
President, Perinatal Foundation

Plenary Session III:

Achieving Health Equity: Tools for a National Campaign Against Racism

jones
Camara Phyllis
Jones, MD,
MPH, PhD

Camara Phyllis Jones, MD, MPH, PhD, Senior Fellow, Morehouse School of Medicine, Atlanta, GA
 
Dr. Jones will engage participants and ask them to describe three levels of health intervention (health services, addressing social determinants of health, and addressing social determinants of equity) and illustrate them with a Cliff Analogy. She will also ask them to describe three levels of racism (institutionalized, personally-mediated, and internalized) and illustrate them with the Gardener's Tale. She will also define health equity and identify three principles for achieving health equity.

The speaker disclosed no relevant conflict of interest.

9:00 – 10:45 a.m.

High Voltage Rapid-Fire Series

HIGH VOLTAGE RAPID-FIRE OBSTETRICAL SERIES HIGH VOLTAGE RAPID-FIRE NEONATAL SERIES

Moderator: Joel Henry, MD, Clinical Professor of OB/GYN, UW School of Medicine and Public Health, Madison

The speaker disclosed no relevant conflict of interest.

Moderator: Paul J. Neary, MD, FAAP, Clinical Associate Professor of Pediatrics, UW School of Medicine and Public Health, Department of Pediatrics, Madison

The speaker disclosed no relevant conflict of interest.

Zika Virus Recommendations for the Perinatal Provider

Emma Mohr, MD, PhD, Pediatric Infectious Diseases Fellow, UW Hospitals and Clinics, Madison, WI

Congenital Zika Syndrome comprises a spectrum of defects caused by prenatal Zika virus infection. Perinatal providers should follow specific guidelines when evaluating women for Zika virus infection and monitoring their pregnancy.

The speaker disclosed no relevant conflict of interest.

Late Baths for Babies

Elizabeth Goetz, MD, MPH , Newborn Nursery Hospitalist, University of Wisconsin, Madison, WI

Why does it matter when babies get their first bath? Review evidence about the when and why of a baby’s first bath in the nursery before you answer the question.

The speaker disclosed no relevant conflict of interest.

Low Dose Aspirin for Preeclampsia Prevention

Cynthie K. Anderson, MD, MPH, Assistant Professor, Medical Director, UW School of Medicine and Public Health , Madison, WI

Review the indications and recommendations for use of low dose aspirin therapy for preeclampsia prevention. Participants will understand the limitations of currently available data and guidelines from select organizations including ACOG and the USPSTF.

The speaker disclosed no relevant conflict of interest.

Acetaminophen for PDA Closure - Is this the magic bullet?

Ann Ebert, PharmD, Perinatal Clinical Pharmacy Specialist, UnityPoint Health – Meriter, Madison, WI

Join this session for an overview of available information regarding the efficacy and safety of acetaminophen use for PDA closure in neonates.

The speaker disclosed no relevant conflict of interest.

Antenatal Steroids AFTER 34 Weeks Gestation?

Kristin Lyerly, MD, MPH, FACOG, Obstetrician/gynecologist,Bellin Health Generations, Green Bay, WI

The use of antenatal steroids in pregnant women prior to 34 weeks gestation at risk for preterm delivery is common practice. According to ACOG, "recent data indicate that betamethasone decreases newborn respiratory morbidity when given to women in the late preterm period between 34 0/7 weeks and 36 6/7 weeks who are at risk of preterm delivery within 7 days and who have not previously received corticosteroids." The presenter will explore the new guidelines and discuss their implementation in practice.

The speaker disclosed no relevant conflict of interest.

What the “Gel” is this Stuff? A promising new treatment for neonatal hypoglycemia

Rachael Edjou, APNP, Neonatal Nurse Practitioner, Children's Hospital of Wisconsin, Milwaukee, WI

Managing neonatal hypoglycemia can be challenging. Learn about a new intervention used by several NICUs for the treatment of neonatal hypoglycemia.

The speaker disclosed no relevant conflict of interest.

New Treatments of Opiate Use Disorder in Pregnancy

Cresta W. Jones, MD, Assistant Professor, Director of Education and Professional Development, Medical College of Wisconsin, Milwaukee, WI

The presenter will review the use of both suboxone (combination buprenorphine/naloxone) and vivitrol in women's health and how they might be used (or should not be used) in women of reproductive age or in pregnancy and breastfeeding.

The speaker disclosed no relevant conflict of interest.

Neurally Adjusted Ventilatory Assist (NAVA) in the NICU: The Future of Neonatal Respiratory Care

Jamie Limjoco, MD, Medical Director of American Family Children's Hospital NICU, University of Wisconsin School of Medicine and Public Health, Madison, WI

The discussion will highlight the basic concepts of NAVA, describe how it differs from standard modes of ventilation and discuss for what patient populations this mode of ventilation is best suited. The presentation will also include some case examples of success.

The speaker disclosed no relevant conflict of interest.

10:50 – 11:00 a.m.

Break

11:00 a.m. – 12:00 p.m.

Group Sessions

3A. Perinatal Care for LGBTQ families.

Kathy Oriel, MD, MS , Residency Program Director--Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI

Dr. Oriel will present a broad overview of perinatal and associated updates regarding the care of lesbian, gay, and transgender families as they receive antepartum and intrapartum care.

The speaker disclosed no relevant conflict of interest.

3B. Prenatal Screening and NAS in the Community Clinic and Hospital Setting

Kristin Ahrens, RN, BSN, IBCLC, Staff Nurse, Froedtert and The Medical Hospital, St Joseph's Hospital Campus, West Bend, WI

Stacy Boden, APNP, CPNP, MSN, RN, Pediatric Nurse Practitioner, Froedtert Health Community Physicians, West Bend, WI

Maria Jostad, RN, BSN, Birth Center Manager- St. Joseph Hospital, Froedtert & Medical College, West Bend, WI

Betty Matthies, RN, BSN, Professional Development Coordinator Birth Center, Froedtert Health St. Joseph's Hospital, West Bend, WI

The panel will discuss a unified approach to prenatal screening for prescribed and illicit substance use in the clinic and community setting. Panelists will highlight workflow processes, which help to identify patients using substances early on in pregnancy, and its approach to monitoring and treating NAS.

The speakers disclosed no relevant conflicts of interest.

3C Current Management of Diabetes in Pregnancy

J. Igor Iruretagoyena, MD, MFM, Division Director, Assistant Professor, University of Wisconsin Madison, Madison, WI

The presenter will discuss different management guidelines about the screening, diagnosis, and treatment of pregestational and gestational diabetes mellitus.

The speaker disclosed no relevant conflict of interest.

3D. Reproductive Health and the Environment

Susan R. Davidson, MD, Perinatologist, Dean Medical Center, Madison, WI

The presenter will discuss current data on the effect of environmental exposures on fertility, fetal development, and breastfeeding. She will offer some practical advice for reducing deleterious environmental exposures.

The speaker disclosed no relevant conflict of interest.

3E. Practice Update: Buprenorphine

Claire F. Johnson, RN-BSN, PMHNP-DNP Student, Project Assistant, UW-Madison School of Nursing, DNP-Program, Madison, WI

With recent policy changes, advance practice prescribers (physician assistants and advanced practice registered nurses) are able to prescribe buprenorphine for the treatment of opioid use disorders. Join the discussion about how the change may impact buprenorphine use during the perinatal period.

The speaker disclosed no relevant conflict of interest.

3F. Human Trafficking: Information & Identification in Your Patients

Dawn Spang, MS, NCC, Outreach Team Director/Program Assistant, Eye Heart World, DePere, WI

Find out what human trafficking, specifically sex trafficking looks like in the United States. Learn how to recognize signs in the patients in your practice.

The speaker disclosed no relevant conflict of interest.

12:00 – 2:00 p.m.

Lunch and Concluding Presentation

Introduction

Cresta Jones, MD, Assistant Professor, Director of Education and Professional Development - Dept of Ob/Gyn, Medical College of Wisconsin, Wauwatosa

Plenary Session IV:

Breastfeeding Among African American Women: What can we do to close the gap?

Karen Robinson PhD CNM
Karen Robinson
PhD, RN, CNM

Karen Robinson, PhD, RN, CNM, Assistant Professor, Marquette University College of Nursing, Milwaukee, WI

Dr. Robinson will discuss her research findings about breastfeeding among African American mothers-- the current national breastfeeding rates and Healthy People 2020 objectives. She will present various interventions aimed at increasing rates among this vulnerable population. Finally, she will discuss next steps and what role providers play in eliminating breastfeeding disparities.

The speaker disclosed no relevant conflict of interest.

2:15 p.m.

WAPC Conference Adjourns

Download a PDF schedule for Tuesday