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VA/ DoD Clinical Practice Guideline Management of Pregnancy Update

VA/ DoD Clinical Practice Guideline Management of Pregnancy Update . LTC Liz Murray, AN MSN, BSN, RNC-OB Madigan Army Medical Center. Disclosure. No conflicts of interest or relevant financial relationships No discussion of off label uses of medications or any medical devices. Objectives.

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VA/ DoD Clinical Practice Guideline Management of Pregnancy Update

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  1. VA/DoDClinical Practice GuidelineManagement of PregnancyUpdate LTC Liz Murray, AN MSN, BSN, RNC-OB Madigan Army Medical Center

  2. Disclosure • No conflicts of interest or relevant financial relationships • No discussion of off label uses of medications or any medical devices

  3. Objectives • Upon completion of this class, the participant will be able to: • Verbalize three updates and three new additions to the Clinical Practice Guideline (CPG) for Pregnancy Management • Verbalize how to incorporate the CPG provider reference cards into practice • Verbalize how to incorporate the Purple Book into practice • Verbalize where to find CPG and how to order reference cards and purple book/pamphlets for patients

  4. Do these look familiar?

  5. Background of CPG • 2003, implementation CPG Management of Uncomplicated Pregnancy • Intent • Reduce practice variation • Provide evidence-based recommendations • Identify outcome measures • Goal-oriented prenatal care system vs. interval-based visit • Patient “exited the guideline” if complications arose http://www.healthquality.va.gov/pregnancy.asp

  6. Updating CPG

  7. 2009 CPG • Goal: Improve pregnant woman and provider satisfaction with antenatal care • Gestational age antenatal visits; specific, well-defined goals • Promote partnership through education and goals • Standardized care plan • Evidence-based interventions and evaluations • Population: antenatal only • Audience: relevant to all primary and secondary health-care providers

  8. 2009 CPG • Outcomes • Initial screening and intake completed in first trimester • Timely comprehensive screening for risk factors • Timely prenatal counseling and education • Content : algorithm based

  9. http://www.healthquality.va.gov/pregnancy.asp

  10. Annotations

  11. 2009 Updates and Additions

  12. www.militaryhomefront.dod.mil/service/fap/sbs

  13. The Period of PURPLE Crying® program is the name given to the National Center on Shaken Baby Syndrome's evidence-based SBS prevention program, which includes a full color 11-page booklet and a 10-minute DVD intended to be given to parents of new infants.

  14. The 5 S’s: Five simple steps that trigger the calming reflex (swaddling, side/stomach position, shushing, swinging and sucking). For centuries, parents have tried these methods only to fail because, as with a knee reflex, the calming reflex only works when it is triggered in exactly the right way. http://www.thehappiestbaby.com

  15. Reference Cards and Purple Book

  16. https://www.qmo.amedd.army.mil/pregnancy/PregTools.htm

  17. The Purple Book

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