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EFM Case Study #4: Neonatal Encephalopathy (1 hour Monograph)

Hours: 1.00

Best suited for: Obstetricians and family practice physicians. Midwives, obstetric nurse practitioners, residents and other interested healthcare practitioners skilled in EFM or EFM stakeholders are also welcome to participate.

Original Release Date: September 18, 2015
Review Date: March 18, 2018
Expiration Date: September 18, 2018

General Description: New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NNE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads to NNE or cerebral palsy. Research and obstetric medical malpractice claims data shows evidence of misuse, underuse, or inconsistent use of the new ACOG/AAP guidelines in clinical practice. This monograph includes an EFM case study to practice application of concepts, and offers risk management and patient safety solutions regarding the topic.

Learning Objectives: Upon completion, participants should be able to
1. Describe the neonatal symptoms consistent with an acute peripartum or intrapartum event
    based on new ACOG/AAP criteria.
2. In a case study format, apply new neonatal encephalopathy (NNE) criteria during a
    newborn assessment, identify acidotic FHR pattern characteristics, and recognize maternal
    risk factors that lead to cerebral palsy.
3. Use the new ACOG/AAP acute peripartum or intrapartum FHR patterns and NNE criteria in
    clinical practice and include in policies, procedures, protocols at your facility or office practice.

Learning Assessment: There will be a posttest for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and posttest and print your certificate online.

CME Credit: 1.0


State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida -  This activity includes content in Preventing Medical Errors
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

CME Information - Read

Disclosure Policy - Read

About the Authors: Carol A. Curran RNC, MS, OGNP - Read Bio & Dr. Kenneth Brown - Read Bio

Disclosure Statement: The author, expert reviewer, editors, and planning committee members for this activity have no relevant financial relationships to disclose.

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented by LAMMICO as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2015

Bibliography: To view and download References & Resources for this presentation, please select the References button below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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