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Full Course Description

Pre-Conception Counseling for the Provider: Lifestyle Modifications

Provide meaningful pre-conception counselling to women before pregnancy. This course covers essential counselling tips for weight management, nutrition, psychosocial support, substance cessation, and environmental risk assessment. Empower individuals of reproductive age for healthier pregnancies and optimal maternal-fetal outcomes.

Program Information

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists
  • Doulas
  • Midwives

Objectives

  1. Educate individuals of reproductive age on the importance of preconception care.
  2. Determine the benefits of preconception care, including reducing the risk of pregnancy complications, improving fetal outcomes, and increasing the chances of a successful pregnancy.
  3. Provide patients with the necessary tools and knowledge to optimize their health before attempting to conceive.
  4. Provide practical tips and resources to promote overall wellness and reproductive health.

Outline

Goals of Pre-conception counseling

Weight Management

  • BMI Goals
  • Unhealthy Weight Risks

Diet and Nutrition

  • Vitamins and Minerals
  • Caffeine Intake
  • Exercise

Psychosocial Factors

  • Stress and Anxiety
  • Emotional Support
  • Relationships

Substance Use

  • Alcohol
  • Other Drugs
  • Tobacco/Smoking Cessation

Environment/Occupational Hazards

  • Mercury/Lead/Pesticides
  • Higher Risk Occupations

Copyright : 04/30/2024

Pre-Conception Counseling: Obtaining a Medical History and Determining Risk Factors before Prescribing

Dive deep into crucial components of the pre-conceptual medical history including risk factors. Covers menstrual/reproductive history, chronic medical conditions, psychiatric health, medications, and immunizations, genetics and more…empowering you to optimize patient care and mitigate maternal-fetal risks with precision and expertise.

Program Information

Objectives

  1. Assess the patient's medical history and potential risks during pregnancy.
  2. Provide guidance on the appropriate use of medications, including the identification of teratogenic medications.
  3. Determine risk factors associated with infections in pregnancy. 
  4. Determine age-related risks during preconception and pregnancy. 
  5. Analyze various risk factors (genetics and family history) that should be considered during preconception and pregnancy. 
  6. Analyze laboratory findings in pregnancy women.
  7. Assess a patient’s past pregnancy history as it relates to risk.

Outline

Part 1: Obtaining a Medical History

  • Components of Pre-Conceptual Medical History
    • Menstrual and Reproductive History 
      • Pre-Existing Chronic Medical Conditions
      • Hypertension
      • Epilepsy
      • Thyroid Disease – hyper and hypo
      • Rheumatoid Arthritis/Lupus – Anti-inflammatories, biologics
      • Hepatitis/HIV
      • STIs – G/C, Chlamydia, HSV, Syphilis
    • Pregestational Diabetes Mellitus
    • Fetal/Neonatal and Maternal Risks
  • Psychiatric/Mental Health
    • Anxiety/Depression - SSRI’s/TCSs
    • Bipolar – Lithium
    • Schizophrenia – Antipsychotics
  • Risks/Classes of Medication
  • Supplements/OTC
  • Other medications
  • Immunizations

Part 2: Determining Risk Factors

  • Age related risk
    • Education and effect of age on fertility
    • Women > 35 years
    • Women >40 years
  • Genetic Factors/Family History
    • Carrier Screening
    • CF/Spinal Muscular Atrophy
    • Others
    • Red Flags
  • Labs
    • Standard Panel
    • Selective Panel
  • Past pregnancies/miscarriages

Target Audience

  • Nurse Practitioners
  • Advanced Practice Nurses
  • Clinical Nurse Specialists
  • Physician Assistants
  • Pharmacists
  • Physicians
  • Nurses 
  • Midwives
  • Doulas

Copyright : 05/07/2024

Polycystic Ovarian Syndrome (PCOS) and Fertility Treatments

Provides a comprehensive overview of both PCOS and fertility treatments. Includes an overview of PCOS patho, risk factors, and treatment. Also covers evaluation and interventions for infertility from lifestyle modifications to in-vitro fertilization.

Program Information

Objectives

  1. Describe PCOS and the pathophysiology of the condition to understand better the syndrome and diversity of symptoms the patient may present with
  2. Identify risk factors and conditions related to PCOS and ways to modify modifiable risk factors
  3. Characterize goal-specific therapy options for the most commonly reported symptoms by patients and to prevent progression and/or co-morbidities
  4. Determine the pharmacological mechanisms of commonly prescribed fertility medications, including their indications, contraindications, and potential side effects.
  5. Identify appropriate candidates for various infertility treatments based on patient medical history, diagnostic tests, and prognostic factors.
  6. Apply evidence-based guidelines and best practices in the selection and management of infertility treatments, optimizing patient outcomes while minimizing risks and complications.

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists

Outline

PCOS

  • Pathophysiology of the condition
  • Diversity of symptoms
  • Risk factors and conditions related to PCOS
  • Goal-specific therapy options for symptoms
  • Prevention of progression and/or co-morbidities

Infertility

  • Initial Evaluation
  • Lifestyle Modifications
  • Ovulation Induction and Timed Intercourse
  • Intrauterine Insemination
  • In Vitro Fertilization

Copyright : 05/13/2024

The Highs and Lows of Diabetes Management in Pregnancy

Unlock the critical skills needed to manage diabetes in pregnancy. Gain expertise in distinguishing pregestational and gestational diabetes, delve into the pharmacokinetic profiles of various insulin products and understand the complexities of insulin resistance during pregnancy. Learn to create and apply tailored insulin regimens, ensuring optimal care for pregnant patients with diabetes.

Program Information

Objectives

  1. Differentiate diagnostic criteria of pregestational diabetes versus gestational diabetes.
  2. Analyze the differences of insulin products pharmacokinetic profiles.
  3. Discuss insulin resistance in pregnancy.
  4. Apply and create insulin regimens for a pregnant patient.

Outline

Overview of Pre-Gestational Diabetes

  • Diabetes Burden
  • Diagnostic Criteria

Impact on Pregnancy

  • Maternal
  • Fetal
  • Medication Changes

Gestational Diabetes

  • Risk Factors
  • Early Screening Strategies
  • Glucose Tolerance Testing
  • Placenta Induced Insulin Resistance
  • Comparison of Insulin Needs During Pregnancy

Management of Gestational Diabetes

  • A1C Goals
  • Lifestyle Management
  • Insulin Initiations
  • Insulin Adjustments

Other Considerations

Post Partum Adjustments

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists

Copyright : 06/12/2024

Substance Abuse Management in Pregnancy

Explore the critical aspects of medication and opioid use in pregnant mothers. Learn about pathophysiology, risk factors, and barriers to care, with in-depth discussions on medications of abuse like benzodiazepines and heroin. Master effective treatment strategies, including medication-assisted options such as methadone, buprenorphine, and naltrexone, and gain expertise in managing chronic, intra-labor, and postpartum pain, as well as understanding and addressing neonatal abstinence syndrome.

Program Information

Objectives

  1. Define common medications associated with substance abuse disorder and the epidemiology in pregnancy.
  2. Compare the effectiveness of methadone and buprenorphine for substance use disorder in pregnancy.
  3. Analyze the impact of polysubstance abuse on the management of substance use disorder.
  4. Develop strategies to manage postpartum pain in patients with a history of chronic opioid disorder or use.
  5. Recognize the risk of neonatal abstinence syndrome (NAS).

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists

Outline

Medication/Opioid Use in Pregnant Mothers

  • Pathophysiology
  • Risk Factors Screening
  • Barriers to Care

Medications of Abuse

  • Benzodiazepines
  • Heroin

Treatment Strategies

  • Cessation

Medication Assisted Strategies

  • Methadone
  • Buprenorphine
  • Naltrexone

Pain Management in Pregnancy

  • Chronic Pain
  • Intra-labor Pain Control
  • Post Partum Pain

Neonatal Abstinence Syndrome

Key Take-Aways

Copyright : 06/11/2024

Managing Hypertensive Disorders in Pregnancy

Learn everything you need to know to manage hypertension in pregnancy. Includes specifics on pre-pregnancy screening, pre-eclampsia, HELLP syndrome, TLP, and more. Includes guidelines for postpartum follow-up and lactation.

Program Information

Objectives

  1. Analyze the importance of blood pressure management in relation to patient cases
  2. Distinguish between blood pressure disease states in pregnancy
  3. Identify appropriate treatment algorithms for hypertensive crisis in pregnancy
  4. Assess reported side effects and create an appropriate treatment plan

Outline

Introduction

  • Importance of blood pressure management in pregnancy

Blood Pressure Management in Pregnancy

  • Importance and impact on maternal and fetal health

Section 2: Blood Pressure Disease States in Pregnancy

  • Differentiating chronic hypertension, gestational hypertension, preeclampsia, and eclampsia
  • Clinical criteria and diagnosis

Treatment Algorithms for Hypertension

  • First line antihypertensive medications
  • Alternative medications
  • Step-by-step guide to managing hypertensive emergencies
  • Pre-eclampsia
  • Medication options and protocols

Assessing Side Effects and Creating Treatment Plans

  • Common side effects of antihypertensive medications
  • Developing personalized treatment plans based on patient profiles

Conclusion

  • Summary of key points

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists

Copyright : 05/29/2024

Preventing Post Partum Complications: It Starts with Education

Discover essential strategies for recognizing and managing common postpartum complications. Learn about conditions such as gestational diabetes, postpartum hypertension, infections, and more, while gaining insights into effective medications and patient education. Collaborate with healthcare providers to ensure optimal maternal health during the crucial postpartum period.

Program Information

Target Audience

  • Nurses
  • NPs
  • PAs
  • MDs
  • DOs
  • Pharmacists,

Objectives

  1. Recognize common postpartum complications affecting maternal health.
  2. Discuss the role of medications in managing postpartum complications.
  3. Collaborate with other healthcare providers to monitor and address postpartum complications.
  4. Provide patient education on postpartum care and the recognition of complications.

Outline

Introduction

  • Overview of postpartum period and common complications.
  • Importance of recognizing and managing postpartum complications.

Gestational Diabetes Mellitus (GDM) Postpartum

  • Understanding GDM and its postpartum implications.
  • Management strategies and medications.
  • Patient education on monitoring blood sugar levels.

Postpartum Hypertension

  • Identification and causes of postpartum hypertension.
  • Medication and lifestyle management.

Infections After Delivery

  • Common postpartum infections (e.g., surgical site infection, superficial, deep).
  • Role of antibiotics and other treatments.
  • Educating patients on signs of infection and prevention measures.

Postpartum Depression

  • Symptoms and risk factors of postpartum depression.
  • Therapeutic approaches including medication and counseling.
  • Importance of mental health support and patient education.

Hemorrhoids and Constipation

  • Causes and symptoms of postpartum hemorrhoids and constipation.
  • Treatment options including medications and dietary adjustments.
  • Providing advice on preventive measures and home care.

Perineum Pain

  • Causes of perineum pain postpartum.
  • Pain management techniques and medications.
  • Patient education on healing and pain relief strategies.

Collaborative Care and Patient Education

  • Strategies for effective collaboration among healthcare providers.
  • Comprehensive patient education on recognizing and addressing postpartum complications.
  • Resources and support systems for postpartum care.

Copyright : 05/30/2024

Maternal Mental Health and Pregnancy: Can Perinatal Mood Disorders be Prevented?

Perinatal Mood & Anxiety Disorders (PMADs) are the number one complication during pregnancy and childbirth. This illness affects over 20% of pregnant and postpartum women and has increased exponentially since COVID. Any woman who can be identified, as at risk for PMADs during pregnancy, using validated screening tools, can be proactively assessed, diagnosed, and treated, potentially erasing the emergency/crisis intervention for a new postpartum mom. With evidence based multidisciplinary treatment modalities, all women get better, and return to their normal baseline of mental health. Gestational diabetes affects approximately 4-6% of the same population, and the medical community is always  assessing for that illness, why is it, that an illness that affects upwards of 4x that number is not given the same attention and respect. If you are a healthcare provider who treats women in the childbearing age range, work in behavioral mental health, or a pediatrician, this information will give you what you need to start to be able to identify these women, give proper screening tools, and refer to resources and treatment that is appropriate for this temporary and treatable illness.

Program Information

Objectives

  1. Recognize PMAD risk factors that increase a pregnant woman’s chance of developing PMADs during pregnancy.
  2. Determine four screening tools we can use, during pregnancy, to assess a woman’s risk for developing PMADs.
  3. Argue the question “can PMADs be prevented”.
  4. Determine treatment modalities that are safe and effective during pregnancy for PMADs.

Outline

Perinatal Mental Health Conditions

  • Baby Blues, Unipolar/Major Depression, Bipolar Disorder
  • Perinatal Anxiety Disorders, Schizoaffective/Schizophrenia, Postpartum Psychosis
  • Borderline Personality Disorder, Posttraumatic Disorder, Obsessive-Compulsive Disorder
Patient Screening
  • Talking to Your Patient About Mental Health and Screening
  • Administering and Scoring the Screening Tools
  • Supplemental Screening Tools
Assessment and Treatment of Perinatal Mental Health Conditions
  • Talking to Your Patient About Mental Health and Treatment
  • Starting Treatment
  • Follow Up Treatment
Education and Resources
  • Provider
  • Patient
  • Family

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants
  • Midwives
  • Doulas

Copyright : 03/10/2023

Integrative Maternity Health Care

Most of us understand that the term “Integrative Medicine” means natural, complementary, and alternative wellness care. But what of “Maternity Integrative Healthcare” (aka “Perinatal Integrative Medicine”)? What do you know about that as Birth Practitioners? What wellness products, services, therapies and modalities can you knowledgeably and confidently recommend as safe and beneficial?

We should all know this information because it fundamentally forms the holistic “Art” of maternity healthcare (as opposed to the medical “Science” of maternity healthcare women are currently drowning in). For most women their maternity journey should be a natural normal non-traumatic life-enhancing serious of events, devoid of serious medical complications and dramatic emergency deliveries. And increasingly women know this, and are demanding this.

From numerous studies performed all over the world, research consistently concludes, that regardless of country or demographic or race or education or fiscal security/insecurity – around two-thirds of ALL expectant mothers, globally, intentionally opt to use complementary or alternative Integrative Medicine during their pregnancy. Women themselves WANT natural, and for most their goal is NORMAL. However, few feel confident to discuss their perinatal integrative medicine usage decisions with their modern Midwife, let alone their mainstream orthodox ObGyn.
Why? Because intuitively they know that discussing naturopathic remedies with health professionals who are not trained in naturopathy, will typically receive derisive fear-based reactions, stemming from a complete lack of formal education in PIM (perinatal integrative medicine) on the part of the Midwife/OB.

Under Kathy’s role as founding director of IIMHCO [Intl Integrative Maternity HealthCare Org] who are global thought-leaders on PIM, they have pioneered leading-edge holistic maternal and neonatal integrative wellness healthcare guidance, to empower Birth Practitioners worldwide, to feel able to empower their pregnant/laboring/postpartum clients to confidentially embrace their own integrative healthcare, to support preventing complex pregnancies, and support preventing labor complications. During this workshop you will become experienced in using the Birth Practitioner handbook guide – knowledge is power … and your enhanced knowledge can enhance your client’s power.

Program Information

Objectives

  1. Define what Perinatal Integrative Maternity HealthCare medicine is and is not, including understanding MMPs vs TCHTs (updating from the historical terms of CAMs and T&CMs).
  2. Seek awareness of and/or recommend clients, to various natural health wellness options during the maternity journey: Preconception – Pregnancy – Labor Prep – Birth – Postpartum - Neonates.
  3. Educate couples trying to conceive about Pre-Conception Healthcare.
  4. Advise women on simple holistic remedies to treat common minor discomforts of pregnancy.
  5. Teach expectant mothers how to prepare their cervix for labor, and how to put together their own ‘Wholistic Birth-Rite’ Kit.
  6. Have the knowledge and confidence to guide women with complex obstetric complications about ways they can integrate complementary support.
  7. Be confident on how to look up, within the supplied OH MAMA guide, natural remedies for recommending to clients.
  8. Post-webinar free option to complete becoming a formally certified “PIM-Friendly” maternity healthcare provider [Perinatal Integrative Medicine friendly] – including the right to use the IIMHCO PIM-Friendly logo.

Outline

  • Overview of Therapeutic Modalities Basics
    • IM: Integrative Medicine
    • IMHC/PIM: Integrative Maternity HealthCare aka Perinatal Integrative Medicine (incl definitions)
    • Maternity Needs overlapped onto Maslow’s Hierarchy
    • Five Categories of CAMs (Complementary & Alternative Medicine) and T&CMs (Traditional & Complementary Medicines)
    • New Terms: TCHTs & MMTs
  • Overview of the Antepartum (Pre-Pregnancy & Pregnancy)
    • Preconception
    • Routine Pregnancy Care
    • Common Discomforts of Pregnancy
    • Pregnancy Pathophysiology
    • Labor & Birth Preparation
  • Overview of the Intrapartum (Labor & Birth)
    • ‘Wholistic Birth-Rite’ Kit Prep
    • First Stage: Labor (latent & active dilatation)
    • Second Stage: Birth (baby)
    • Third Stage: After-Birth (placenta)
    • Holistic support for Natural Labor & Normal Birth
    • Complementary support for Medical Complexities & Obstetric Complications
  • Overview of the Postpartum (Mother & Baby)
    • Maternal wellness & disease
    • Neonatal wellness & disease

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants
  • Midwives
  • Doulas

Copyright : 01/25/2023

Managing Hypertension and High Stress in Pregnancy: A Somatic Approach

Too often patients who appear anxious or with elevated blood pressure are told to “take a breath and relax.” Rarely ever does that advice work, because the antidote for stress or stress-indulged hypertension is often (and mistakenly) believed to be relaxation. View bestselling author and trauma-informed health strategies, Parijat Deshpande in this session to learn about the hidden realities of stress physiology. Through a combination of science, research, and riveting anecdotes, she will bust commonly held myths about stress, review why stress is not a mental heath issue or a relaxation issues and show audience members how understanding the intersection between stress and hypertension can help you empower your patients for an even healthier pregnancy.

Program Information

Objectives

  1. Determine what is stress and what is it not?
  2. Differentiate between acute, chronic, and traumatic stress.
  3. Evaluate the intersection between stress and hypertension.
  4. Provide support to a “stressed out” patient in clinic, at a home visit or, inpatient.

Outline

An overview of stress physiology

  • Common myths about stress
  • What is the stress physiology cycle?
  • Why does a cycle not complete? (Acute/chronic/traumatic stress)
  • What happens when a stress physiology cycle does not complete? (acute/chronic/traumatic stress)
The intersection of stress and hypertension in pregnancy
  • The role of the nervous system in hypertension during pregnancy
  • The role of the immune system in hypertension during pregnancy
  • Biological, racial, societal, social, etc, rick factors
  • Movement and posture as mediating (and possibly moderating) variable for hypertension
The role of the provider/practitioner
  • Identifying stress without pathologizing stress
  • Trauma-sensitive approaches to asking questions, listening for answers, and building trust
  • Suggestions for inpatient vs outpatient settings
  • How to warm the hand-off to specialists or different care

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants
  • Midwives
  • Doulas

Copyright : 03/09/2023