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| Spring - Summer 2007 | A Coalition for Healthy Mothers/Healthy Babies |
North Carolina Perinatal Association |
In
this issue: |
Useful links and other information |
From the President: - "Looking towards the Horizon"
Greetings!
Spring has sprung. Many things are growing and that includes the North Carolina Perinatal Association (NCPA). In October 2006, I assumed the responsibilities of NCPA President. My job, as President, is to facilitate the members of NCPA to do the “work” of the organization. What do I mean by the “work”? The North Carolina Perinatal Association was formed to “provide leadership, education and advocacy to promote the health and well being of childbearing families” (Bylaws). It is an Association that encourages membership by any individual interested in promoting perinatal health and that means anyone, not just nurses and physicians.
I have been a neonatal nurse for 29 ½ years, providing care to the newest members of our population. There are days when I wonder how much progress have we made in the care provided to pregnant women (preconceptional, pregnant, postpartum), infants (well and sick) and their families. Often it is one step forward and two back. The art and science of perinatal (preconception through a neonates first 30 days of life) care has grown rapidly. We understand disease processes better, we have better equipment, we have a better plan of care and we have a clearer comprehension of the impact on families. However, we do not know all the answers and we do not have enough resources. There is much we can do, as we partner together, to promote perinatal health. Thus, I thought I’d take this first communication to reiterate some of the “work” of the North Carolina Perinatal Association and why a group of individuals came together in 1985 to form a state organization and be a part of a larger group, the National Perinatal Association. There is “work” for everyone and it is fun and rewarding.
Through the guidance of the Advocacy and Legislative Committee, members become educated about the legislative process and those rulings, bills, guidelines which impact perinatal care. We learn how to develop an effective advocacy effort with the legislature. We learn how to build coalitions and how to collaborate with other organizations seeking the same goals.The Committee sends out periodic advocacy alerts via email, so we, the membership can respond to our legislatures and encourage others to do so too. We partner with the March of Dimes for ‘Advocacy Day’. This is a spring day spent in Raleigh visiting our legislatures and reminding them about the trees on the horizon, the sand dollars in the sea, the infants and their mothers who are the future of our nation. Through a partnership with the March of Dimes and the work of the Child Fatality Task Force, members are easily reminded of our purpose, to promote perinatal health .Through collaboration with the North Carolina Perinatal Outreach Program, we seek to educate and mentor. Through a partnership with the South Carolina Perinatal Association, we sponsor a yearly Perinatal Conference. And like many organizations, we have products, for purchase that can remind us of our “work” and encourage others to say, “hey, what is NCPA?”. Through our newsletter, we seek to educate, inform and embrace. Through our yearly Ann Wolfe Scholarships and Baby Booty Awards, we seek to recognize those individuals, organizations and companies that have contributed to promoting perinatal health in North Carolina.
Much work has been done through NCPA, but we are in our adolescence. There is much more work to be done. North Carolina’s infant mortality rate is still one of the highest in the nation, with a huge disparity seen among our non-white families. We seek new ideas for collaborative efforts that develop, promote and support perinatal health in North Carolina. We seek to support professional educational programs that focus on the continuum of perinatal care. We seek to encourage the multidisciplinary members of perinatal health care, to share their talents and expertise to promote perinatal health in North Carolina. We seek to increase public awareness of perinatal health. There is a niche for everyone. There is more education, more collaboration, more special programs and more fun to be had.
The 14th Annual NC/SC Perinatal Partnership Conference will take place October 21-23, 2007. Fourteen years ago, we joined with the South Carolina Perinatal Association to offer a professional conference to provide education for the improvement of perinatal health outcomes. NCPA hosts the conference, this year. It will be held at the Joseph S. Koury Convention Center, Four Seasons-Sheraton in Greensboro, NC. This year’s agenda is full of many exciting topics. We will have 3 Precons: “Keeping Birth Normal”, “Developmental Care in the NICU” and “Home Visiting: Maternal/Newborn Assessment and Safety”. This year, our conference title is “PERINATAL EXCELLENCE: A SEASON OF CHANGE”. A SNEAK PREVIEW OF THE Conference includes presentations “Care of the High-Risk Family: Medical and emotional Concerns”, “Domestic Violence”, “Finding Hope through Loss” and “Centering: An Approach to Prenatal Care”. The Annual Conference provides an opportunity to meet and network with individuals in many disciplines who share the common goal of improving the health of mothers, infants and families. Brochures will be available the first of August, so please mark your calendar and plan to attend. If you do not receive a brochure, please let myself or someone on the NCPA Board know and we will send you one immediately.
Frequently, when I become reflective about the work we do in perinatal care, I use similes. Many of you have heard the story of the little boy on the beach throwing sand dollars back into the sea. To paraphrase it- An older gentleman walks by, stops and asks the little boy what he is doing and the boy responds throwing the sand dollars back in to save them. The gentleman responds, but why, there are so many? And the boy responds, yes, but it makes a difference to this one. What we do everyday, no mater your role, it makes a difference. Or a colleague shared with me our progress probably seems minimal, if you look at the horizon and see the mountains. They are so big and so far away. But, as one moves closer, one can see the trees, the individuals with all their uniqueness, the parts of the whole. No mater what your role, it makes a difference. Finally, 20 years ago, I was traveling in the west. It was night and we were in the Arizona desert. I looked out on the horizon and saw a one light. I wondered who lived there?, were there children?, if so, where did they get their health care? And where did they go to school? No mater what your role, it makes a difference. We care for individuals and their families. No mater what your role, it make a difference.
There is much going on in the NCPA. The Horizon is a little closer, but there is still much that can be done to promote the health and well being of childbearing families. There are many sand dollars to be thrown back into the sea. There are still many trees in the distance. There are lonely lights in the dark distance. There are still too many losses, too many infants in NICUs, too many maternal complications and too much morbidity. Please consider bringing your talents and gifts to the North Carolina Perinatal Association. If you are not a member, please consider joining. It is easy; a membership form is found right here on this web site. If you are a member, please consider your involvement.The organization is only as good as its members. We have done great things; we have many great things to do. I hope to see you in Greensboro in October.
Martha Schaub-Bordeaux, MSN, PNP
President, North Carolina Perinatal Association
Phone: 919-681-6029
Email: borde003@mc.duke.edu
Smoking Cessation on-Line Course A smoking cessation online course is up and running through Northwest AHEC, and is very easily accessible. The program is interactive, and has case studies at the end of the course which allow a learner to apply learned content. CE credit is available for almost every group of provider - nurses, MD's, social workers, substance abuse counselors, and psychologists included. 4.00 contact hours is awarded at the completion of this course The web site: http:/northwestahec.wfubmc.edu We are thrilled to offer this option, as the addenda for health departments have a strong recommendation in this next year for family planning departments to counsel using
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We are pleased to announce the launching of the Physical Some of the great new features that have been added to The consumer site serves as a complement to our professional site,
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Preconception health offers a new perspective on an old problem. This vision presents healthy women as a desirable end in itself, as well as an important way to improve the health of babies. North Carolina has a high rate of infant death, ranking 45th in the nation. Many preconception risks have been identified as harmful to women and their children, including alcohol misuse, obesity, smoking, closely spaced pregnancies and exposure to sexually transmitted infections.
Preconception health acknowledges the impact of women’s health on birth outcomes - offering a new way to promote both infant health and women’s wellness. New partnerships are needed to implement this vision and create a brighter future for the women of today and the children of tomorrow.
Preconception care is defined by the Centers for Disease Control and Prevention as interventions that aim to identify and modify biomedical, behavioral and social risks to a woman’s health or pregnancy outcome through prevention and management. It emphasizes health behaviors and risks, which must be acted on before conception or early in pregnancy to have maximal impact. The fundamental elements
of preconception care include: 
~ screening for medical and social risk factors
~ providing health education, and
~ delivering effective interventions.
Unfortunately, the current model of health care for women of reproductive age centers around pregnancy, resulting in missed opportunities for prevention.
Historically, North Carolina has been an innovator in preconception health. Leaders in the public and private sector continue to play an important part in the national preconception health and health care movement. The Centers for Disease Control and Prevention, the American College of Obstetricians and Gynecologists, and the March of Dimes have all published guidelines addressing preconception care. The CDC, in partnership with over 35 national organizations, has put forth an ambitious vision for improving preconception health and health care in the United States.
Implementing this vision will require more than effective clinical care for women. Changes in the knowledge, attitudes and behaviors related to reproductive health among both men and women are paramount. Emphasis should be placed on the systems and policies that facilitate improved access to services and support as well as on the needs of individuals. Health care providers and communities will need to support women and families in making healthy lifestyles and behaviors a habit. Many different organizations, health care providers and community advocates can help move North Carolina closer to this vision. In some cases it may be the addition of an evidence-based, low cost service or a modification in the way that a health message is presented. In others, it may be groups of people coming together to advocate for substantive change.
North Carolina, with its long history of demonstrated commitment, capacity and resourcefulness, is a great place to develop a national model for preconception health. We invite you to become part of this initiative, and challenge you to move to the next level of engagement and creativity. You can join a group of people who have begun to work on reinvigorating the Preconception Health movement in North Carolina. Please go to www.mombaby.org and click on Preconception to access minutes from our initial meeting of March 14 and for directions to our next meeting.
Controversy at the Heart of Infant Sleep Practices |
There is a controversy afoot, not only in North Carolina but across the country. At the heart of the matter is a simple question: “Should I sleep with my baby or not?” As medical providers, we are faced with the challenge, “What do we tell parents about sleeping with their infants (bed sharing)?”
On the one hand, the American Academy of Pediatrics and leading Sudden Infant Death Syndrome (SIDS) researchers, educators, advocacy organizations and many SIDS parents recommend that infants not sleep in the same bed with their parents or siblings, but rather that the infant sleep nearby. These groups suggest that parents offer the protection that a crib provides and allow infants to sleep in a crib or bassinet in the parent’s room next to their own bed, just not in the same bed.
On the other hand, breastfeeding advocates encourage mothers to let baby sleep with them to make breastfeeding easier and to encourage bonding. A message from the La Leche League states "Co-sleeping can be a safe and warm way to parent babies. We encourage each family to make an informed decision about what will work best for them."
Groups on both sides of the co-sleeping or bed sharing debate have a common goal: we want babies to survive and thrive. How then, can we resolve this hot button issue? Step one is to turn to epidemiological data and to try and understand circumstances surrounding infant deaths attributed to SIDS and to accidental asphyxiation in our state.
Since the advent of the North Carolina Back To Sleep Campaign in 1994, our state’s SIDS rates have declined more than 30%. Nationally the Back To Sleep Campaign is credited with more than a 50% reduction in SIDS. Despite this good news, more than 100 infants continue to die suddenly and unexpectedly in the Tar Heel state. SIDS accounts for 10 percent of our infant deaths. Our SIDS rate of .8 per 1,000 live births historically exceeds the national SIDS rate of
.5 per 1,000 live births (2004 provisional data, CDC). Since 2003, our state’s previous decline in SIDS has stagnated.
Of significant concern is the dramatic increase in infant deaths associated with co-sleeping (bed sharing) since 2003. In 2005, of the 36 accidental asphyxiation infant deaths, 32 occurred with the infant sleeping with a parent or sibling in the same bed or on a sofa, according to the Office of the Chief Medical Examiner (OCME). The tragedy of these accidental suffocation and strangulation infant deaths is that they are preventable!
With SIDS deaths, parents and caregivers can proactively lower the risk of SIDS but until the exact causes are known, SIDS deaths are not considered entirely preventable. However, creating a safe sleep environment and using safe sleep practices for infants applies to both the accidental infant deaths associated with sleeping and to SIDS.
State data indicate that 64% of infants are positioned on their backs to sleep, 18% on their side and 17% on their stomach, so reinforcement of the back to sleep message is needed (PRAMS, 2004). Presently our state’s law enforcement agencies are not required to investigate infant deaths, any infant death scene investigation is voluntary. Thorough, standardized infant death scene investigations would strengthen our understanding of these tragic infant deaths, aid in more accurate cause of death diagnoses and sharpen our understanding of circumstances surrounding these infant deaths.
Right now, health professionals across North Carolina have a golden opportunity to support public policy that can help save babies’ lives. In response to the NC Child Fatality Task Force recommendation that the General Assembly fund an Infant Safe Sleep and SIDS Risk Reduction Campaign, two bills were promptly introduced: HB200 (Earle, Bell, Weiss) and SB81 (Purcell). Contacting your representatives and voicing your support to these Safe Sleep Awareness Campaign bills can make a difference in the lives of your patients, your community and our state.
For information about the North Carolina Back To Sleep Campaign visit www.NCHealthyStart.org.
References:
La Leche League
About the author:
Christine O’Meara, MA, MPH is the campaign coordinator for the North Carolina Back To Sleep Campaign for SIDS Risk Reduction. The campaign is a partnership between the North Carolina Healthy Start Foundation and the NC Division of Public Health, Women’s and Children’s Health Section, Women’s Health Branch.
Reducing the Risk of Recurring Preterm Birth: the NC 17P Project
Submitted by Sarah Verbiest, MSW, MPH
Premature birth is a complex and urgent issue. In North Carolina, one out of every eight babies is born too soon. Researchers and clinicians have acknowledged that there will not be a single, silver bullet to stop preterm birth. Instead there will be glimmers of scientific findings that will work for different groups of women. As each of these new prevention opportunities comes to light, it is important for health care providers and public health professionals to work together to help them reach all eligible women.
One such hopeful finding is 17 alpha hydroxyprogesterone caproate (17P). Weekly injections of 17P from about 16 weeks gestation until 36 completed weeks of pregnancy reduces the risk of a repeat preterm birth by 33%. The medication is found to effective for the following group of patients: women with a history of a previous singleton spontaneous preterm birth between 20and 36 weeks gestation who are currently pregnant with a singleton pregnancy. Unfortunately, 17P is not effective for women carrying multiples, women with shorten cervix, and women currently in preterm labor. In addition to receiving the weekly injections, women should be well versed in the signs and symptoms of preterm labor and should continue all other recommended healthy behaviors such as not smoking, eating nutritious meals, and resting.
In June 2006, the North Carolina General Assembly appropriated $150,000 in nonrecurring funds to prevent preterm birth by improving access to and appropriate utilization of 17P. The appropriation is being used to expand education for health care providers and consumers as well as to increase access to the medication by making it available to low-income women free of charge. In April 2007, the Division of Medical Assistance demonstrated its commitment to reducing preterm birth by agreeing to pay for the medication for eligible mothers with Medicaid. Across the state partnerships are being created among tertiary care centers, health departments, and private providers to come up with systems that are flexible to help women comply with this treatment regimen.
North Carolina Medicaid intensive care nursery costs for infants born weighing less than 2500 grams totaled over $120 million in 2003 (43% of Medicaid costs for newborns). A cost effectiveness analysis has been conducted and shows that 17P offers significant savings. Using a model developed by the March of Dimes, it is estimated that about 5,000 women in North Carolina each year would meet the criteria for 17P. This model suggests that about 890 premature births could be averted with the correct use of 17P. Premature birth is a complex issue. A range of activities must take place in North Carolina to address prematurity. The 17P Project represents a strong statewide partnership effort to maximize one important tool in the fight against preterm birth.
A wealth of information about 17P may be found at www.mombaby.org. The content includes scientific articles, the American College of Obstetricians and Gynecologists Guidelines for 17P, a free online educational video, frequently asked questions, sources of 17P, patient education materials and more! To access the information, go to www.mombaby.org, click on the purple puzzle piece for health care providers and then on progesterone.
Neonatal Outreach Educator and Trainer Becomes a Quality Improvement Fellow
Submitted by Sarah Verbiest, MSW, MPH
This summer Karen Metzguer, MSN, will begin her yearlong journey as a George W. Merck Fellow with the Institute for Healthcare Improvement (IHI) in Boston, Massachusetts. The Institute for Healthcare Improvement is a not-for-profit organization leading the improvement of health care throughout the world. The Institute works to improve the lives of patients, the health of communities, and the joy of the health care workforce. They seek to accelerate the measurable and continual progress of health care systems throughout the world toward safety, effectiveness, patient-centeredness, timeliness, efficiency and equity.
The IHI Fellowships are very coveted and awarded to only seven healthcare professionals each year. As an IHI Fellow, Ms. Metzguer will receive intensive training in skills critical to leading successful quality improvement initiatives. One-third of her time will focus on her role as a student, offering a wealth of valuable training opportunities. These range from participating in a Clinical Effectiveness certificate program at the Harvard School of Public Health to weekly leadership seminars with quality improvement experts from around the world. Another portion of her time will be spent working directly with IHI leaders on transformational change projects on topics such as perinatal quality bundles and the 5 million lives campaign. The final portion of her time will be spent focused on developing a quality improvement program in North Carolina. Ms. Metzguer will focus on the Perinatal Quality Collaborative of North Carolina with a particular interest in the educational techniques required to translate best practice into every day practice.
On a professional level, Ms. Metzguer is looking forward to jettisoning the many hats she wears everyday so she can immerse herself in focused learning on a single, important topic. After 30 years of service in the field of neonatolgy at the University of North Carolina at Chapel Hill this is a treasured opportunity. As a long-time native of Hillsborough, North Carolina, Ms. Metzguer is also looking forward to her first taste of city life.
Karen Metzguer’s training will guide the translation of the skills and knowledge gained as an IHI Fellow to her work as a quality improvement leader in North Carolina. The IHI program supports participants’ leadership at a local level by helping them build their organization and state’s capacity to achieve the highest level of quality improvement. We wish Ms. Metzguer all the best in her new endeavor and looking forward to sharing in the benefits of her learning!
To learn more about the Institute for Healthcare Improvement please go to www.ihi.org.
For Those Who Support Mother and Babies: A New Resource Comes to North Carolina
Submitted by Sarah Verbiest, MSW, MPH
The Center for Infant and Young Child Feeding and Care is an important new resource for policy makers and health care professionals who care for mothers and children. Founded on January 1, 2006, the Center’s mission is to enable the mother/child dyad to succeed in optimal infant feeding through operational and translational research, service support and evaluation, policy development and training. The Center was launched with sufficient resources to permit immediate action in the public health sector as well as training in both the clinical and program skills that are necessary for increased support to enable every woman to choose and succeed in optimal infant feeding. The Center is in the Department of Maternal and Child Health Department, which is chaired by Dr. Bert Peterson. The Department, with its state, national and global interests, serves as the perfect home for this center of excellence.
The Center was launched to meet a need for increased attention and evidence-based advocacy for breastfeeding and related maternal and child health and nutrition. Breastfeeding is a single intervention that results in improved neurological, physiological, and immunological development, reducing the risks of illness and mortality for every child. Breastfeeding reduces the number and severity of infectious diseases, and helps the immune system to mature. It reduces the risk of cancers, chronic gut disease, and cardiac risk factors, including obesity and high blood pressure, while enhancing maternal postpartum recovery and reducing her risks of certain cancers, bone thinning, and diabetes. Breastfeeding also helps preserve the environment by reducing waste products and fossil fuel use. Skin-to-skin and access to the breast in the immediate postpartum minutes leads to ready initiation of breastfeeding and necessary temperature control for the infant.
Exclusive breastfeeding is recommended for the first six months of life, and continued breastfeeding with age-appropriate, responsive complementary feeding is recommended for up to two years of age and beyond. The quality and quantity of the complementary foods -- the additional foods given to the breastfed infant from 7-24 months and beyond while breastfeeding continues -- also contribute to future health, growth, and development. The mother’s health and well being, and the support she is given during pregnancy and birthing is essential for breastfeeding success. Optimal infant feeding also depends on the active support of the father, her family and society. Social, workplace, and healthcare support are all necessary, and the policies and programs needed to secure support in all these areas are the focus of the Center’s work.
At the helm of the Center is Professor of the Practice, Miriam Labbok, MD, MPH, FACPM, IBCLC, FABM. Prior to her tenure at UNC, Dr. Labbok was a Senior Advisor with UNICEF, Chief of Nutrition and of Maternal Health at USAID, and taught at Johns Hopkins University, Georgetown University Medical Center, and Tulane University. She has lectured internationally on maternal and child health with an expertise in breastfeeding. She is well published and well versed in this important topic. We look forward to the wealth of information and resources she brings to North Carolina.
For more information email ciycfc@unc.edu or call 919-966-3774. The Center website can be accessed at www.sph.unc.edu/mch/ciycfc.
www.MotherBabyUniversity.com Web Site
Several years ago, I was the Clinical Nurse Specialist (CNS) for the NICU at my facility. While in that position, in an effort to provide convenient, ongoing but inexpensive educational offerings for the NICU staff, I offered 1-hour inservices on current or requested neonatal topics that we nicknamed “Pea Pods.” These were quick, on-the-unit inservices that the staff could attend during their workday. It gave the staff a chance to eat a snack or their lunch, gain new or enhance existing knowledge and earn continuing education credit all at the same time………everyone seemed to benefit.
Shortly after this, my position as CNS was eliminated and I accepted the position as Neonatal Outreach Education Coordinator (NOET). From an educational perspective I did pretty much the same thing, except with multiple facilities instead of just one. Within a short time, as I offered continuing education classes to these facilities I began to notice that attendance was becoming a problem—most times the units said they didn’t have enough staff to spare to go to the inservice and still cover the patients or the staff said they’d worked overtime to cover their unit and just couldn’t spare the time to come in for the inservice. One particular time, I arrived to do an inservice and no one was there. A few minutes later, the head nurse came into the room and, after apologizing multiple times, which I assured her wasn’t necessary, she said she could either send a nurse to my class or she could cover the unit………….without hesitation I agreed the unit was most important, packed up my “stuff” and drove home. It was during that return trip that I remembered what I and so many of the NICU staff always asked—“why can’t I do this at home in my pajamas and fussy slippers, when it’s convenient for me?” That was my “why not?, why can’t I?, and how do I make it happen?” moment. To stay within my area of nursing…..it was the birth of www.motherbabyuniversity.com
The Neonatal Outreach Education WebPage—known as motherbabyuniversity—is dedicated to providing educational and patient care information for staff working in the perinatal and neonatal areas. Inside this WebPage you will find:
Self Study Modules: These are texts of selected neonatal topics covering applicable embryology, risk factors, clinical presentation, medical, pharmacological and/or surgical management, nursing care, and parental issues. Each module is learner-directed and has received Continuing Education Hours; credit varies with the modules length and/or complexity. After reading a module, complete the accompanying computerized test on-line and submit it. The test is graded electronically and you are notified of your success or failure. If you are successful, you are prompted to print out the accompanying Continuing Education Certificate (you may print as many copies as you'd like). If you are unsuccessful, you are encouraged to re-read the material and retest. There is NO fee for these educational offerings.
PeaPod presentations: These are slide (outline) presentations covering applicable embryology, risk factors, clinical presentation, medical, pharmacological and/or surgical management, nursing care, and parental issues. Each Pea Pod is learner-directed and has received Continuing Education Hours; credit varies with the presentations length and/or complexity. Again, after reading the presentation, complete the accompanying computerized test on-line and submit it. The test is graded electronically and you are notified of your success or failure. If you are successful, you are prompted to print out the accompanying Continuing Education Certificate (you may print as many copies as you'd like). If you are unsuccessful, you are encouraged to re-read the material and retest. There is NO fee for these educational offerings.
Baby Book Files: These documents provide baby care information generally needed by the current or former NICU infant (e.g.. medication information, diagnoses) but may be used by anyone. They are intended as a parent teaching/learning tool and are written on a 5th-6th grade level.
Outreach Letter: The outreach letter is published 3-4 times throughout the year. It is a source of information for the various regional perinatal and neonatal staffs about upcoming educational programs that I am aware of, a brief "thumb-nail" educational offering and acknowledgement of area facility activities. It has also been used to post questions/concerns that one facility has and is seeking input from others.
Continuing Education |
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Perintal Region I No Events Listed Perinatal Region II May 10, 2007 - Women's Health 2007 - NW AHEC, Winston-Salem, NC. May 31, 2007 - Current Issues in Labor & Birth - NW AHEC, Winston-Salem, NC. August 9 & 16, 2007 - OB/Neonatal Review Course - NW AHEC, Winston-Salem, NC. Sept. 12, 2007 - Basic Fetal Monitoring - NW AHEC, Winston-Salem, NC. Sept. 20, 2007 - Risk Management: Nursing Documentation and More - NW AHEC, Winston-Salem, NC. Oct. 2, 2007 - Advanced Fetal Monitoring - Hugh Chatham Hospital, Elkin, NC. Oct. 10, 2007 - Risk Management for Nursing Managers - NW AHEC, Winston-Salem, NC. Nov. 13 & 14, 2007 - 25th Annual Gravidas at Risk - Holiday Inn Select, Hickory, NC. For information
on the above Region II events, contact May 16, 2007 - The High Risk Newborn: Sharing the Care Conference - Hickory, NC. June 19, 2007 -
S.T.A.B.L.E. Transport Stabilization Program - For information on the above Region II events, contact Debbie Gordon at dgordon@wfubmc.edu. Perinatal Region III May 14, 2007 - Discharge Planning and Developmental Follow-up of the Hight Risk Infant - Carolinas Medical Center, Charlotte, NC. Sept. 13 & 14, 2007 -3rd Annual Maternal/Neonatal Symposium - The Westin Hotel, Charlotte, NC. October 5 & 12, 2007 - Concepts in Neonatal Care - Carolinas Medical Center, Charlotte, NC. November 2, 2007 - 14th Annual Service Coordination Seminar - Charlotte AHEC, Charlotte, NC. For information on the above Region III events, contact Pamela Spivey, RN at Pamela.Spivey@carolinashealthcare.org.
"Education is the movement from darkness to light." Allan Bloom
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Perinatal Region IV May 24 , 2007 - 4th Annual Child Service Coordination Conference: Staying on Course to Protect Our Children - Wake County Commons, Raleigh, NC. May 29 & 30, 2007 - Labor Support Seminar - Andrews Center, Raleigh, NC. July 13, 2007 - Advanced Fetal Monitoring - Rex Cancer Center Auditorium, Raleigh, NC. July 30, 2007 - Lactation Exam - Holiday Inn, Capital Blvd., Raleigh, NC. August 3, 2007 - Basic Fetal Monitoring - Andrews Center, Raleigh, NC. August 27, 2007 - Newborn Connections (Prematurity Emphasis) - TBA. Sept. 7, 2007 - Basic Spanish for OB - Andrews Center, Raleigh, NC. Sept. 25, 2007 - STD Action Learning Lab - Andrews Center, Raleigh, NC. October 8, 2007 - 17th Annual Art of Breastfeeding - Friday Center, Chapel Hill, NC. For information on
the above Region IV events, contact Diane Yelverton June 21 & 22, 2007 - Lamaze Childbirth Educator Seminar - Johnston Co. Health Department, Smithfield, NC. October 4 & 5,
2007 -
Lamaze Childbirth Educator Seminar - Caldwell Co. Health Department, Lenoir, NC. Perinatal Region V No events listed. Perinatal Region VI August 29 & 30, 2007 - Basic Course for Breastfeeding Educators - Monroe Conference Center, Greenville, NC. Sept. 13, 2007 - Spanish for the OB Monroe Conference Center - Greenville, NC. Sept. 27, 2007 - Basic Fetal Monitoring - Monroe Conference Center, Greenville, NC. October 17, 2007 - Maternal/Newborn Assessment - Monroe Conference Center, Greenville, NC October 24 & 25, 2007 - Basic Course for Breastfeeding Educators - Monroe Conference Center, Greenville, NC. November 8, 2007 - Statewide MOD Prematurity Symposium - Monroe Conference Center, Greenville, NC. (Note: Program has been rescheduled to January 12, 2008) November 15, 2007 - Level II/Spanish for the OB Professional - Monroe Conference Center, Greenville, NC. For information on the above Region VI events, contact Mildred Carraway at carrawaym@ecu.edu or (252) 744-3088. |
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Mona Brown Ketner RN, MSN 
