Learning Objectives

Tuesday - July 23, 2019 
Pathways and Prevention

Revised GBS Prevention Guidelines (video)
Karen M. Puopolo, MD, PhD

1. Describe changes in the recommended obstetric policies for prevention of perinatal GBS disease
2. Describe current recommendations for assessing risk for neonatal early-onset GBS disease

Fetal membrane defenses against GBS infection (video)
Ryan Doster, MD, PhD

1. Explain the structure of human fetal membranes.
2. Describe ways that cells within the fetal membranes combat bacterial infections.
3. Describe the consequences of immune responses to GBS during pregnancy

Group B Streptococcus in Breastmilk (video)
Kirsty Le Doare, MD, PhD

1. Immunity to GBS in breastmilk
2. Whether we need to culture breastmilk in cases of GBS sepsis

Theoretical Approaches to the Prevention of Peripartum GBS Neonatal Sepsis in Pregnancy and Delivery at Term (video)
James M. Nicholson, MD MSCE

1. Be able to re-create the basic paradigm of “PREVENTION”
   
2. Be able to list several theoretical approaches to the prevention of “Early-Onset” and “Late-Onset” GBS neonatal sepsis
   
3. Become aware of the need to create research databases that can newly identify risk factors that are associated with GBS neonatal sepsis
   
4. Become aware of the need to actively research novel interventions that might prevent GBS sepsis

Streptococcus agalactiae ST283 causing invasive sepsis in healthy adults is widespread in SE Asia (slides)
​Timothy Barkham, MBBS, MSc, FRCPath

1. Discuss that GBS can be foodborne
2. Explain that a specific strain, ST283, is causing widespread adult human sepsis in SE Asia

Wednesday - July 24, 2019
​Identifying Colonization and Signs 

Maternal obesity and the risk of group B streptococcal colonisation in pregnant women (poster)
​Lucía Gómez Mompeán, MD

1. To understand the importance of obesity and its direct relation to GBS colonisation and the several consequences that this can involve.
2. To make clinicians think about the possible strategies to control and minimize BMI in pregnant women.
3. To consider maternal obesity as one of the risk factors that should be taken into account for offering antibiotics against early onset GBS disease in neonates, particularly if a routine screening policy is not implemented.

Our GBS Story – The Graeve Twins (video)
Angela Graeve, RN, BSN

1. Restate the estimated relative risk of invasive GBS infection in a twin sibling of an affected infant
2. Parents: know to take any changes in their baby’s behavior seriously
3. Providers: Know to take GBS seriously!

Timely Recognition and Prevention of Late Onset GBS Sepsis (video)
Ozlem Equils, MD, FAAP

1. Identify the signs and symptoms of late onset GBS infection in a neonate
2. Prevention strategies for late onset GBS

Group B Streptococcal Bone and Joint Infections in Neonates and Infants (video)
​ Jaime G. Deville, MD 

1. Discuss the pathogenesis of GBS bone infections in neonates and infants
2. Identify the clinical manifestations of GBS bone infections in neonates and infants

Tracking Progress & Perinatal Research 

Ending Preventable Stillbirths: Introducing a scorecard to measure progress against global targets (video)
Susannah Hopkins Leisher, MA, MSc, MPhil

1. Understand the global “ending preventable stillbirths” call to action
2. Understand global progress(and lack thereof)as measured against this call to action

The Pregnancy Research Project: A Collaborative Approach to Pregnancy Research (video)
​Lindsey J. Wimmer, RN, MSN, PHN, CPnp, CPLC 

1. Discuss the Pregnancy Research Project goals, aims and participation criteria
2. ​Identify opportunities for research projects derived from Pregnancy Research Project data.

Thursday - July 25, 2019
Parent Support and Empowerment 

Early oral motor stimulation to assist babies with NG tube feeding and promote oral feeding by assisting parents in how to correctly promote oral feeds (video)
Andria Calicchio van Niekerk, BA Speech Therapy & Audiology

1. Know when to start oral stimulation / consult with speech therapists
2. Know the importance of early intervention

What parents should know to help protect their baby from group B strep (GBS) (video)
Amy Perhach

1. To identify key information that pregnant women and new parents should know to be able to help protect their baby from group B strep disease
2. To identify where this information can be referenced, if needed

Today's doula goes farther. From preconception assistance, lifestyle counselling to birth, loss & beyond, doulas deliver compassionate informed physical and emotional support (video)
Charmaine Carvalho, BSc, LMT, MLDT, LBA

1. Gain deeper understanding of the scope and breadth of doula work
2. Appreciate the benefits of doula participation during birthing
3. Be cognizant of the finding of a lowered need for primary c-sections
4. Recognize the value in gifting doula services to offspring & loved ones
5. Understand that patients and families are provably happier after doula participation

How to present difficult information positively to help patients listen and feel heard (video)
Sherokee Ilse, BA, BLFA

1. Discuss patient messaging on difficult topics–how to present information in an effective, compassionate and intentional manner
2. Explain the 5 Principles of Patient-Centered Care and how they can guide care
3. Describe the importance of offering the ‘why’ behind messages providers give patients
4. Give 3-4 strategies care providers can use to empower patients and promote positive, intentional care through attitudes, language and presentation

Is Written Consent Required Before Fetal Membrane Stripping Especially among GBS Carriers? (video)
​James A. McGregor, MDCM 

1. Understand the mutual obligation of informed consent in medical practice
2. Recognize the adverse effect of not providing consent