Activity ID
1814Expires
February 24, 2027Format Type
InternetCME Credit
1Fee
$0-$50CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)
Description of CME Course
Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may correct the position of the fetus. AWHONN encourages use of various birth positions for spontaneous rotation. ACOG and SMFM guidelines encourage practitioners to perform manual rotation of the fetal occiput in the setting of fetal malposition in the second stage of labor as an intervention prior to operative vaginal delivery or surgery. Our course uses three case studies to outline new management recommendations.
Diplomate Engagement
Pre and Post-test with feedback to the learner.
Evaluation survey at the end of the course.
Post activity surveys asking what has been put into practice.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Family Medicine
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
To outline the clinical implications of OP malpresentation.
To analyse 3 EFM case studies and compare to existing practice.
To review and indicate how new guidelines can be successfully incorporated into Clinical Practice.
Keywords
Electronic Fetal Monitoring, OP Malpresentation, EFM Triage, EFM Standard Terms, EFM Guidelines, Neonatal Encephalopathy, EFM pH Implications, Oxygen Therapy, Medical Knowledge
Competencies
Interpersonal & Communication Skills, Medical Knowledge, Patient Care & Procedural Skills
CME Credit Type
AMA PRA Category 1 Credit
Practice Setting
Inpatient, Outpatient
National Quality Strategies and/or Quadruple Aim Care Processes
Patient Safety/Medical Errors, Evidence Based Practice, Interprofessional, Cognition, Human Learning & Problem Solving, Women's Health
