467 Maternity Care Update
Upon completion of this session, you should be able to:
- Describe the counseling of patients regarding preconception and reproductive care.
- List common drugs that should be avoided in pregnancy.
- Describe the components of routine prenatal care including evidence-based laboratory tests and screenings, determination of estimated due date, recommended vaccines, and appropriate timing of delivery.
- Summarize updates in aneuploidy screening including appropriate use of cell-free fetal DNA testing.
- Define, diagnose, and manage common conditions affecting pregnant patients including hypertension, diabetes, hypothyroidism, depression, and obesity.
- Summarize changes in the labor curve, including new definitions of active labor, failed induction, first-stage arrest, and second-stage arrest.
- Identify factors associated with the need for cesarean delivery and describe interventions to minimize the risks of cesarean delivery.
- Identify common breastfeeding difficulties and complications.
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Andrew Smith, MD, is a faculty member and director of the obstetrics curriculum at the Lawrence Family Medicine Residency in Lawrence, Massachusetts. Dr Smith is also an assistant professor at Tufts University School of Medicine in Boston. He practices and teaches, has spent significant time working in rural Guatemala, and has served as the surgical obstetrics fellowship director at the Lawrence Family Medicine Residency.
Wendy B. Barr, MD, MPH, MSCE, is residency director at the Lawrence Family Medicine Residency and an assistant professor of family medicine at the Tufts University School of Medicine. She practices and teaches family medicine, including maternity care, and performs research in maternity care. She serves on multiple state and regional advisory committees to improve maternity care and is a founding member of the Leadership Council of the IMPLICIT Network.
Erin Bassett-Novoa, MD, is a family physician at the Greater Lawrence Family Health Center in Lawrence, where her practice includes surgical obstetrics and inpatient medicine. She is a community faculty member at the Lawrence Family Medicine Residency, where she also completed her residency with a focus on high-risk and surgical obstetrics.
Nicholas LeFevre, MD, is a faculty member at the John Peter Smith Hospital Family Medicine Residency in Fort Worth, Texas, where he practices and teaches. He is a faculty member in the Maternal Child Health Fellowship, where he teaches high-risk prenatal care, obstetric surgery, and ultrasound. He is an Advanced Life Support in Obstetrics instructor and has presented obstetrics research regionally and nationally.
- 5.00 AAFP prescribed