Medical Interactive Community

EFM Case Study #19: Substance and Opioid Use Disorders in Pregnancy

Chronic untreated substance and opioid use disorders (SUD/OUD) are associated with lack of prenatal care, preterm birth, fetal death, and other pregnancy complications. This activity will present an overview of the maternal and fetal effects of SUD and OUD in pregnancy and highlights 3 primary factors in the management of this specialty population.

EFM Case Study #20: Postpartum Opioid Use Disorder and Neonatal Abstinence Syndrome

As many as 94% of drug dependent mother’s birth drug dependent newborns. Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. This course outlines the special needs of women and their newborns during postpartum (pain control, sedation and fall risk, breastfeeding, contraception, safe transition of the newborn to extrauterine life, and neonatal abstinence syndrome assessment and management).

EFM Case Study #21 & #22 (FL)

Case Study #21 and #22 address monitoring laboring patients and their fetuses. Case Study #21 discusses how failing to monitor the FHR/UC data violates the standard of care for the reasonably prudent obstetrical caregiver and offers solutions to prevent it. Case study #22 outlines strategies for providers and hospitals on how to safely adopt intermittent auscultation (IA) into clinical practice.

EFM Case Study #21: Failure to Monitor

Failing to maintain a continuous EFM strip can imply that the perinatal team was inattentive to the mother, fetus, or both. This activity discusses how failing to monitor the FHR/UC data violates the standard of care for the reasonably prudent obstetrical caregiver and offers solutions to prevent it.

EFM Case Study #22: Intermittent Auscultation Safety and Risks

There is a current disconnect between scientific evidence that supports the use of intermittent auscultation (IA) in low-risk pregnant patients and the use of IA in clinical practice. This activity outlines strategies to providers and hospitals on how to safely adopt IA into clinical practice.

EFM Fundamentals in Practice #01: UC Data, Part 1

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on uterine contraction data especially related to the baseline rate and variability.

EFM Fundamentals in Practice #02: UC Data, Part 2

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on uterine contraction data especially related to abnormal uterine contraction patterns that are frequently seen during labor and the evaluation and calculation of Montevideo units.

EFM Fundamentals in Practice #03: FHR Data, Part 1

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on the assessment and interpretation of fetal heart rate data.

EFM Fundamentals in Practice #04: FHR Data, Part 2

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on the assessment and interpretation of fetal heart rate data especially detecting the presence of accelerations and periodic or episodic decelerations.

EFM Fundamentals in Practice #05: Maternal-Fetal Oxygenation

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on maternal-fetal oxygenation and acid-base balance.

EFM Fundamentals in Practice #06: 3-Tier FHR Interpretation System

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many short modules. This module in the series concentrates on concepts regarding the application of oxygen physiology to the NICHD 3-Tier FHR Interpretation Category System.

EFM Fundamentals in Practice #07: General Interventions

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many modules. This course in the series concentrates on the general interventions that are administered in an effort to gain more information about the maternal-fetal condition.

EFM Fundamentals in Practice #08: Interventions To Reduce Uterine Activity

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many modules. This course in the series concentrates on the interventions that are administered in an effort to reduce uterine activity.

EFM Fundamentals in Practice #09: Interventions To Promote Fetal Oxygenation

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many modules. This course in the series concentrates on the interventions that are administered in an effort to promote fetal oxygenation.

EFM Fundamentals in Practice #10: Interventions Using Algorithms

All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, IHI, NQF) support multidisciplinary EFM education and training. This education series is divided into many modules. This course in the series concentrates on tying the previously discussed interventions together with the ACOG and AWHONN management algorithms.

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