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This presentation will include a review of the development of the sensory system and the mismatch between the infant’s development and the sensory experience in the Special Care Nursery, identify components of mother and infant behaviors during social interaction and the challenges mothers experience when feeding and interacting with their premature infants, and present the three intervention strategies of the integrated H-HOPE intervention, an intervention designed to facilitate mother-infant interaction and the transition from gavage to oral feeding and from the hospital to home.

Six months after conducting its national Listening to Mothers II survey, Childbirth Connection recontacted participants with a follow-up survey about their postpartum experiences. This ground-breaking look at lives of U.S. mothers in the first 18 months after giving birth clarifies that recent mothers experience notable social, physical and emotional challenges that frequently persist over many months, and face inadequate policies, services and support. As there is no current provision for routine collection of postpartum outcome data, these concerning circumstances are largely hidden, and unaddressed. This presentation summarizes these postpartum experiences and their implications for maternity nursing and the health system.

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Making institutional changes in maternity care practices has been shown to significantly increase breastfeeding initiation and duration. While the Baby Friendly Hospital Initiative's "Ten Steps to Success Breastfeeding" represent the ideal, making incremental changes in maternity practices can positively impact breastfeeding success. A recent Colorado study has documented five supportive hospital practices (among the Ten Steps) that significantly extend the duration of breastfeeding. These highly "doable" supportive practices have been dubbed "The Can Do 5!". This presentation will address the five supportive hospital practices, challenges and solutions to implementation, and ways to equip expectant families for an optimal hospital experience.

Non-invasive ventilation continues to be a preferred method of neonatal respiratory support. This support is proven to be a kinder and gentler form of ventilation with decreased long term complications.

Inflicted Traumatic Brain Injury in Children

Inflicted head trauma is the leading cause of traumatic death in infants. This talk will provide an update on what has been formerly called the Shaken Baby Syndrome, and focus on providing the attendee an understanding of the mechanisms and sustained injuries in this syndrome. Relevant issues pertaining to the incidence, presentation, identification, treatment and outcome of children will be provided to aid the health professional to most appropriately help promote safety and best outcome for the child. This course will then touch on prior controversies and end on a promising tone presenting the current effective prevention programs.

Neonatal encephalopathy and the resulting hypoxic ischemic encephalopathy injury, can lead to devastating neurological morbidities and mortality. Moderate hypothermia has been shown to mitigate some of the consequences of neonatal encephalopathy resulting in better short and long term outcomes for these patients.

Childbirth Connection carried out a 2.5 year multi-stakeholder consultation with national health care leaders to identify barriers to delivery of optimal maternity care and priorities for moving toward a high performing maternity care system. This involved key informant interviews; an engaged steering committee; a consensus vision statement of optimal maternity care; deliberations, reports and recommendations from five stakeholder workgroups; an invitational symposium to present and discuss the vision statement and workgroup reports; synthesis of deliberations into a Blueprint for Action; and a special issue making these materials widely available. This presentation describes the project, highlights recommendations of greatest relevance to the nursing community, and invites nurses to join in implementation.

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“Genetic and genomic science is redefining the understanding of the continuum of human health and illness. Therefore, recognition of genomics as a central science for health professional knowledge is essential. The public will increasingly expect that the registered nurse (RN) will use genetic and genomic information and technology when providing care” (American Nurses Association [ANA] & International Society of Nurses in Genetics [ISONG], 2007, page 7). Clinical, academic and research practice increasingly includes concepts that are based in genetics and genomics. All RNs, regardless of level of education, work setting or role, must be able to deliver competent genetic- and genomic-focused care (Consensus Panel on Genetic/Genomic Nursing Competencies, 2006). The purpose of this module is to provide the perinatal nurse with basic knowledge of and information about genetics and genomics to incorporate into nursing practice.

Preterm Infants: Transition to Home and Follow-up focuses on discharge management, transition to home and postdischarge issues for preterm infants and their families. The module emphasizes incorporating family-centered care principles into nursing practice to enhance parental confidence and competence. The module focuses on preterm infants, including infants discharged on medications, infants requiring short-term technological support (such as cardiorespiratory monitors and oxygen) and late preterm infants. Many late preterm infants are not admitted to the newborn intensive care unit (NICU) but are cared for in mother-baby units or low-risk nurseries. Nurses can use this module to learn and expand discharge planning skills.

Registration/Continental Breakfast

COMING SOON!

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This presentation will attempt to clarify the proposed relationship between stress and adverse birth outcomes (i.e., preterm birth, low birthweight) by providing theoretical frameworks to elucidate possible mechanisms via which percieved stress negatively affects pregnancy outcomes, and will provide examples from the literature of studies involving populations of color (Latinos and African-Americans) to examine how racism functions as a distinct stressor in minority populations.

COMING SOON!

The presentation will cover updates on the NICHD 2008 fetal monitoring definitions and provide case studies to illustrate the changes.

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This presentation will provide an overview of the relationship between obesity and pregnancy.

COMING SOON!

A general discussion of the medical liability crisis as it pertains to perinatal medicine and a focused discussion of perinatal liability issues applicable to nursing.

This presentation will equip perinatal nurses with the communication skills and tools to build mutually supportive teams at the beginning of the day, shift, or case. Additionally, participants will learn a time tested formula to speak up and "stop the line" to correct risks to patient safety.

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Kim Dowat, CNM, PhD

This talk will cover how to use herbs safely and give reliable references for herbal information, inclduing a review of how herbs are processed and a description of herbal products that are commonly available. Herbs that are commonly used in the perinatal and post-partum period will be presented with special emphasis on herbs for breastfeeding mothers. Safe herbal remedies for common ailments for breastfeeding mothers will also be covered.

The Neonatal Resuscitation Program (NRP) is in the process of planning one of the most important transitions in NRP history. Resuscitation skills will be taught in a more hands-on, team-oriented environment. Providers will learn in a more interactive teaching and learning environment, taking advantage of the technological advances and educational methodologies in simulation education and apply them in a new way to improve the level of care to newborns. Scenarios will be followed by a review and discussion, ideally using interactive debriefing methods.

Carol Burke, RNC, CNM, APN