1. Perinatal Outreach Education PROJECT
Dr. Shauna Popson
West Virginia Wesleyan College

2. Educational Activities
Substance Abuse Presentations by Stephanie Nicodemus, CNM, Dr. Mike Stitely, and Dr. Stefan Maxwell
Wheeling, Weirton, Thomas Memorial, Raleigh County Medical Association
Stephanie presented at the 2010 Spring Continuing Education Conference for Social Workers
Conference on Maternal and Infant Mental Health at Sharp Hospital, Weston—Dr. Maxwell
Web-ex webinar to be posted this summer with CEUs and CMEs

3. Answering the Questions of Perinatal Illicit Substance Exposure
Presented by
Sandra Young, DNP, RNC
Where: Wheeling Hospital, Conference Room – C
When: April 26, Tuesday
Time: 11:30 AM until 12:45 PM (Light lunch provided)
Where: Reynolds Medical Center Community Room  
Time: 7 AM until 8:15 AM (breakfast provided) 
Objectives:
At the conclusion of this educational offering, the participant will be able to:
1.  Identify times when further actions should be taken to assess for substance use during pregnancy.
2.  Describe methods of identification of substance exposure.
3.  Identify signs and symptoms of Neonatal Abstinence Syndrome.
4.  Discuss resources for treatment when substance exposure has been identified.

4. Dr. Shailini Singh Grand Rounds at WVU--OB GYN
“A Novel Approach in the Management of Pregnancy Associated with Metabolic Syndrome and Decreasing Perinatal Morbidity due to Preeclampsia and Prematurity”

5. POSTPARTUM HEMORRHAGE: Review and Simulation Experience
Dr. Jay Bringman
Dr. Michael Stitely
Describe common causes, risk factors, and signs & symptoms of postpartum hemorrhage
Describe conservative management of uterine atony and abnormal placentation
Review strategies of blood product replacement
Describe the management of advanced ectopic pregnancy and abnormal placental attachment
Participants will practice direct uterine pressure. MDs will practice damage control surgical techniques

6. Presenters in action!

7. Networking….. Posters that details our mission and your work…
Breastfeeding Symposium—June 2010
Maternal and Infant Mental Health Conference--July 2010
Growing Healthy Children Conference—August 2010
WV Perinatal Summit—November 2010
Newborn Day—April 2011
Women’s Conference—May 2011
Multidisciplinary and Multi-agency focus..
WV Go Sane-Foundation for Rape Information Services
Jim Matney with WVSBIRT Clinical Project Director Bureau for Behavioral Health and Health Facilities and Janine Breyel and her committee
Shenandoah University—affiliation with WV Wesleyan to establish a midwifery program and nurse practitioner in psychiatric nursing
WV Breastfeeding Alliance—working with Cinny Kittle on Road Show
Working with Ann Dacey on Hospital Assessments
Piloted a Community Baby Shower in Upshur County with nursing students

8. Nurse Manager Survey I. Priority of Topics
Identified Needs:
Advanced Fetal Monitoring (8)
AWHONN Standards of Care (10)
Postpartum Hemorrhage (8)
Preeclampsia (7)
Tool Kit for Neonatal Resuscitation (5)
STABLE (1 day course) (5)
Conducted April and May 2011 on Survey Monkey

9. Second Areas of Interest:
Limiting Late Pre-term Deliveries
Diabetes in Pregnancy
Postpartum Depression, mood and Anxiety Disorders
High Touch Nursing Care During Labor and Delivery
Moderate to Low Interest in:
Use of Progesterone to reduce PTL
Breastfeeding for Health Care Providers
Skin-to-Skin After Birth
Domestic Violence Screening

10. II. EducationAl Format

11. II. Educational Format

12. II. Educational Format

13. III. Educational Resources

14. NuRsINg GraNd Rounds??

15. Future Plans for
Better diagnosis of Neonatal Abstinence Syndrome thereby preventing uncontrolled withdrawal.
Better identification of women who are abusing illicit substances through skilled interviews so that prenatal treatment can occur and baby is born without NAS.
Improvement in fetal monitoring skills to prevent fetal hypoxia.
Timely and appropriate intervention during the emergency of postpartum hemorrhage that will prevent anemia, DIC, and emergency hysterectomies, or loss of life.
Targeted training for community-based nurses to stabilize and care for premature, or ill neonates until transport arrives.
Improve adherence to AWHONN’s Standards among the delivering hospitals.
Care and treatment of the preeclamptic mother to prevent morbidity and mortality.