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LTC Liz Murray, AN MSN, BSN, RNC-OB Madigan Army Medical Center

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

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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

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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

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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

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

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

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

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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.

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The 5 Ss: 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

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

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225 updates and 14 new additions to the Clinical Practice Guideline (CPG) for Pregnancy Management name three of each HHow will you incorporate the CPG provider reference cards into practice? HHow will you incorporate the Purple Book into practice? WWhere do you find the CPG and how do you order reference cards and purple book/pamphlets for patients?

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elizabeth.murray@amedd.army.mil