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Comparison of Perinatal Experiences in Recurrent Trisomy 18: Incorporating Fetal-Centered Care into the Birth Plan
Presenter(s): Abigail Ramseyer, DO
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Program Overview:

In this presentation, the speaker provides instruction to learners on Comparison of Perinatal Experiences in Recurrent Trisomy 18: Incorporating Fetal-Centered Care into the Birth Plan.

 

Target Audience:

The target audience includes all healthcare professionals such as physicians, nurses, pharmacists, and allied health professionals who would like to learn about Impact of Comparison of Perinatal Experiences in Recurrent Trisomy 18: Incorporating Fetal-Centered Care into the Birth Plan and how it pertains to their respective professions.

Release and Expiration Dates:
5/26/2017 - 5/26/2020

Objectives:  

  1. Describe the interdisciplinary approach to designing the birth plan in pregnancy affected by a life-limiting fetal diagnosis.
  2. Compare a patient's experience with and without fetal-centered care.
  3. Demonstrate improved experience when patient and family is integrated into the birth plan construction.

Biographical Info:

Dr. Abigail Ramseyer grew up in a Northern Michigan town called Traverse City, attended Michigan State University for undergraduate studies completing a Bachelor’s of Science in Anthropology.  She attended Medical School at the Kirksville College of Osteopathic Medicine and graduated in 2007.  She was a Navy Health Professional Scholarship recipient.  She completed internship and Residency at Naval Medical Center Portsmouth in Portsmouth, Virginia in 2011, which is where Dr. Ramseyer met and worked with Dr. Magann.  She then spent 5 years at the Naval Hospital in Camp Lejeune, North Carolina as an attending Ob-Gyn.  After completing military service, Dr. Ramseyer moved to Lubbock, Texas and began a Fellowship in Hospice and Palliative Medicine at Texas Tech University.

 

References:

  1. Bennett, Joann, J. Dutcher, M. Snyders.  “Embrace: Addressing Anticipatory Grief and Bereavement in the Perinatal Population.”  Journal of Perinatal and Neonatal Nursing.  2011: Vol. 25, No. 1, pp 72-76.
  2. Breeze, A.C.G., C. C. Lees, A. Kumar, H.H. Missfelder-Lobos, E.M. Murdoch.  “Palliative Care for the Prenatally Diagnosed Lethal Fetal Abnormality.”  Archives of Diseases in Childhood Neonatology Edition.¨ 2007: 92: F56-F58.
  3. “Cesarean Delivery on Maternal Request.” Committee Opinion: Number 559.  April 2013: The American College of Obstetricians & Gynecologists.
  4. Cote-Arsenault, Denise,  Erin Denney-Koelsch.  “Have no regrets:” Parents’ Experience and developmental tasks in pregnancy with a lethal fetal diagnosis.  Social Science & Medicine.  2016: 154, pp 100-109.
  5. Cote-Arsenault, Denise,  Erin Denney-Koelsch.  “My Baby is a Person”: Parents’ Experiences with Life-threatening Fetal Diagnosis.  Journal of Palliative Medicine.  2011: Vol. 14, No. 12, pp 1302-1308.
  6. Howard, Elisabeth D. “Family-Centered Care in the Context of Fetal Abnormality.”  Journal of Perinatal and Neonatal Nursing.  2006: Vol. 20, No. 3, pp 237-242.
  7. Leuthner, Steven, and Emilie Lamberg Jones.  Fetal Concerns Program: A Model for Perinatal Pailliatve Care.  The American Journal of Maternal Nursing.   2007: Vol. 32, No. 5, pp 274-278.
  8. Leuthner, Steven R.  “Fetal Palliative Care.”  Clinics in Perinatology.  2004: 31, pp 649-665.
  9. Leuthner, Steven R.  “Palliative Care of the Infant with Lethal Anomalies.”  Pediatric Clinics of North America.  2004: 51, 747-759.
  10. Munson, David.  Steven R. Luethner.  Palliative Care for the Family Carrying a Fetus with a Life-Limiting Diagnosis.  Pediatric Clinic of North America.  2007: 54, pp 787-798.
  11. Pierucci, Robin L., R. Kirby, S. Leuthner.  “End-of-Life Care for Neonates and Infants: The Experience and Effects of a Palliative Care Consultation Service”.  Pediatrics.  2001: Vol. 108, No. 3, pp 653-660.
  12. “Safe Prevention of the Primary Cesarean Delivery.”  Obstetrics Care Consensus.  March 2014, reaffirmed 2016: Number 1. The American College of Obstetricians & Gynecologists.
  13. Shelkowitz, Emily, S. Vessella, P. O’Reilly, R. Tucker, B. Lechner.  “Counseling for Personal Care Options at Neonatal End of Life: A Quantitative and Qualitative Parent Survey.”  BMC Palliative Care.  2015: 14:70.
  14. Spinnato, Joseph A., V. Cook, C. Cook, D. Voss.  “Aggressive Intrapartum Management of Lethal Fetal Anomalies: Beyond Fetal Beneficence.”  Obstetrics & Gynecology.  1995: Vol. 85, No. 1, pp 89-92.
  15. Sumner, Lizabeth H., K. Kavanaugh, T. Moro.  “Extending Palliative Care Into Pregnancy and the Immediate Newborn Period: State of the Practice of Perinatal Palliative Care.”  Journal of Perinatal and Neonatal Nursing.  2006:  Vol. 20, No. 1, pp 113-116.
  16. Williams, Constance. D. Munson, J. Zupanic, H. Kirpalani.  “Supporting bereaved parents: pratical steps in providing compassionate perinatal and neonatal end-of-life-A North American perspective.” Seminars in Fetal & Neonatal Medicine.  2008: 13, pp 335-340.
  17. Tosello, Barthelemy, G. Haddad, C. Gire, M. Einaudi.  “Lethal Fetal Abnormalities: How to Approach Perinatal Palliative Care.”  Journal of Maternal-Fetal & Neonatal Medicine.  2016: DOI: 10.1080/14767058.2016.1186633
  18. Wool, Charlotte, John T. Repke, Anne B. Woods.  Parent Reported Outcomes of Quality Care and Satisfaction in the Context of Life-limiting Fetal Diagnosis.  The Journal of Maternal-Fetal and Neonatal Medicine.  2016: DOI: 10.1080/14767058.2016.1195362
  19. Wool, Charlotte.  Systematic Review of the Literature: Parental Outcomes After Diagnosis of Fetal Anomaly.  Advances  in Neonatal Care.   2011: Vol. 11, No. 3, pp 182-192.


Speaker Disclosures: 
The planners, speakers, moderators, peer reviewers and /or panelists of this CME activity have no relevant financial relationships with commercial interests to disclose.

Planners:                                                     Peer Reviewers:
Kim Miller                                                      Kim Miller
Sarah Rhoads
Susan Smith Dodson
Curtis Lowery

Speaker:
Abigail Ramseyer, DO

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  5. Complete the post-test. (must pass the post-test with a score of 80% to receive credit)
  6. Complete Evaluation.
  7. Must pass the post-test and complete evaluation to receive credit.
  8. Certificate or transcript available in the “My Profile” tab.
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Type:  Internet Activity (Enduring Material)
30 Registered Users
Credits
1 Hours> Non-Accredited
1 Credits, 1 Cases> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit™
1 Contact Hours> American Nurses Credentialing Center> ANCC