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

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

4.  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

6.  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

8.  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

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

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

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

18. 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.

19. 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

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

62. 225 updates and 14 new additions to the Clinical Practice Guideline (CPG) for Pregnancy Management – name three of each HHow will you incorporate the CPG provider reference cards into practice? HHow will you incorporate the Purple Book into practice? WWhere do you find the CPG and how do you order reference cards and purple book/pamphlets for patients?

64. elizabeth.murray@amedd.army.mil