Plenary Session III: Treatment for Pregnant Women with Opioid Use Disorder: Considerations for Mother and Child

  Karol Kaltenbach, PhD

This presentation will describe key principles in the treatment of opioid use disorder in pregnancy, including the use of buprenorphine or methadone. Treatment of neonatal abstinence syndrome (NAS) will be discussed in addition to factors that impact both the presentation and severity of NAS. Information on the developmental outcome of young children prenatally exposed to methadone or buprenorphine will be presented.

The speaker disclosed no relevant conflicts of interest.

Marijuana in the Perinatal Period: A Play in Three Scenes

What do we know about the relationships between marijuana, pregnancy, delivery, patients, and providers? This engaging presentation will follow the life and experiences of a young women through pregnancy and the postpartum period by highlighting interactions with health care providers at key points on the continuum.

1) Woman talking to her provider about Marijuana use
2) In the hospital (anesthesia, stigma, pharmacists, etc)
3) At discharge (breastfeeding, longer term care, etc)

3A.  The Periscope Project: Lessons Learned in the First 18 Months of Operation

Audrey Laszewski, MS, The Periscope Project Administrator, Medical College of Wisconsin, Green Bay, WI
Christina Wichman, DO, Associate Professor of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI

Operational since July 2017, The Periscope Project is a free resource for all Wisconsin based health care providers caring for pregnant and postpartum women who are struggling with mental health or substance use disorders by providing real-time provider to provider teleconsultation services, provider education and access to available community resources specializing in perinatal patients with mental health and substance use disorders. This session will aim to describe the first 18 months of operational data, lessons learned, and how providers are engaging in TPP services. With case study examples, we will demonstrate how health care providers are utilizing TPP services in order to best care for their perinatal patients struggling with mental health or substance use disorders.

The speaker disclosed no relevant conflicts of interest.

3B.  Addressing Black Infant Mortality in Wisconsin through a Collaborative Health Equity Approach to Community-Based, Group Prenatal Care and Infant Support

Jasmine Zapata, MD, MPH, Assistant Professor, University of WI School of Medicine and Public Health, Department of Pediatrics, Department of Population Health Sciences, Madison, WI

Tia Murray, BS, CLC, Co-Founder Doula & Childbirth Educator M.S./Ph.D. Student, Human Development & Family Studies This email address is being protected from spambots. You need JavaScript enabled to view it.

Kristen Sharp, MD FACOG, Associate Professor, University of Wisconsin, Madison, WI

In this upbeat and interactive session, Dr. Zapata and team will discuss the current racial inequities in infant mortality that exist in Wisconsin and community-based approaches to combating them.

The speaker disclosed no relevant conflicts of interest.

3C.  New AAP Guidelines for Neonatal Early Onset Sepsis

Kimberly J. Seeger Langlais, MD, FAAP, Assistant Professor, Medical College of Wisconsin, Appleton, WI

The instructor will review the new early onset sepsis guidelines from the AAP.

The speakers disclosed no relevant conflicts of interest.

3D. Home Birth and Hospital Collaboration for Best Care

Ingrid Andersson, LM, CNM, MSN, Community Midwives, LLC, Madison, WI

Mary Moore, LM, CNM, MSN, Strong Work Home Birth, LLC, Madison, WI

A discussion of the national Home Birth Consensus Summit Best Practice Guidelines: Transfer from Planned Home Birth to Hospital, with working expamples in Wisconsin.

The speakers disclosed no relevant conflicts of interest.

3E.  Teaching TeamSTEPPS through Interprofessional Simulation in a Quaternary Level Obstetric Unit

Garrett D. Fitzgerald, MD, Assistant Professor of Maternal Fetal Medicine, Medical College of Wisconsin, Milwaukee, WI

Amy Domeyer-Klenske, MD 

Erika Peterson, MD

TeamSTEPPS is a validated framework for improving team performance. Due to the multi-disciplinary and high acuity nature of obstetric care optimal team work is critical. Our project highlights the implementation and evaluation of TeamSTEPPS in our clinical environment.

The speaker disclosed no relevant conflicts of interest.

3F. A Universal Approach to Trauma-Informed, Nurse-Based Home Visiting Services for Postpartum Women: Family Connects Racine County

Jeffrey Langlieb, MPH, RN, Community Health Director, Central Racine County Health Department, Franksville, WI

The intergenerational transmission of trauma and adversity represents one of the primary threats to public health and social welfare in the 21^st Century. One promising means to address the transfer of trauma from caregiver to child is through two-generation, early childhood interventions such as home visiting. Come learn about Racine County’s journey toward implementing a universal home visiting program, Family Connects Racine County, to support new mothers in the immediate postpartum period. This innovative program has been shown to reduce emergency room visits for infants, improve overall family health and well-being, and prevent child abuse and neglect.

The speaker disclosed no relevant conflicts of interest.

Plenary Session IV:  A Death in the Family

Michael J. Dolan, MD, FACP

Michael J. Dolan, MD, FACP, Executive Vice President, Gundersen Health System, La Crosse, WI

An exploration of the hidden epidemic of burnout, depression and suicide in healthcare. Physicians and nurses have some of the highest suicide rates among professionals in the world. This talk will look at the reasons why.

The speaker disclosed no relevant conflicts of interest.