Advances in Maternal and Fetal Medicine by uploaddoc

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									21st AN N U AL

Advances in
Maternal and
Fetal Medicine
Steamboat Springs, Colorado
January 26 – February 1, 2002
Advances in Maternal and Fetal Medicine
Steamboat Springs, Colorado • January 26 - February 1, 2002



Educational Objectives                                  ACNM Credit ACCME contact hours in Category 1
                                                        are accepted by the Continuing Competency Program
Upon completion of the program, participants should     of the American College of Nurse-Midwives for pro-
be able to:                                             grams relevant to nurse-midwifery.
    • Describe the diagnosis and management of
      Von Willebrands Disease during pregnancy.         Nurses and nurse-midwives attending this program
    • Understand the principals of fetal surgery.       may report 20.5
    • Discuss the perinatal factors associated with
      cerebral palsy.




                                                                                                                  PHOTO CREDITS: STEAMBOAT PHOTOS / CYNTHIA HUNTER • STEAMBOAT PHOTO (SNOWMAN) / LARRY PIERCE • GROUP SHOT / COLD SMOKE PHOTOGRAPHY
                                                        Program Faculty
    • Understand the diagnosis and treatment of
      hypercoagulable states during pregnancy.              Russell K. Laros, Jr., M.D.
    • Describe an algorithm for the use of antenatal        Stephanie E. Mann, M.D.
      corticosteroids.                                      Craig T. Albanese, M.D.
    • List causes of maternal mortality.
                                                            Sharon K. Knight, M.D.
    • Discuss the diagnosis and management of
      preterm premature rupture of the membranes.           Samuel C. Hughes, M.D.
    • Discuss the principals of genetic counseling.         Michael L. Socol, M.D.
    • Be able to summarize the principals of                Mary E. Norton, M.D.
      prenatal diagnosis.
                                                            Julian T. Parer, M.D., Ph.D.
    • Outline a plan of management of severe
      hyperemesis.                                          Per L. Sandberg, M.D.
    • Understand the principals of management
      of blood group isoimmunization.
    • Discuss the diagnosis and management of
                                                        Steamboat Springs, Colorado
      preeclampsia.                                     Known as “Ski Town U.S.A.,” Steamboat Springs has
                                                        produced more Olympians than any other U.S. town.
                                                        Steamboat is actually a complete mountain range
Accreditation                                           spread out over five mountains. The 2,939 acres of
                                                        permitted terrain offers great snowboarding, tree
The University of California School of Medicine, San
                                                        skiing, wide-open meadows, long bump runs and
Francisco, (UCSF) is accredited by the Accreditation
                                                        groomed cruisers with trails for all levels of ability.
Council for Continuing Medical Education to provide
continuing medical education for physicians.
                                                        Extensive “kids” and “teens” day and evening pro-
                                                        grams make Steamboat an inviting family destination.
UCSF designates this educational activity for a maxi-
                                                        When you hang up your skis you can check out a
mum of 20.5 in Category 1 credit toward the AMA
                                                        genuine Western environment complete with apres-ski
Physician’s Recognition Award. Each physician
                                                        “pubs”, lounges, live country music and dancing,
should claim only those hours of credit that he/she
                                                        Western BBQs, and gourmet
actually spent in the activity.
                                                        dining. Enjoy rigorous
                                                        outdoor activities
ACOG Credit The American College of Obstetricians
                                                        including balloon-
and Gynecologists has assigned 20.5 hours (Formal
                                                        ing, dog sledding,
Learning) to this program.
                                                        high country
                                                        snowmobile
Nurse Credit The California State Board of Regis-
                                                        tours, winter
tered Nursing includes Category 1 courses of the
                                                        horseback
CMA Accredited Continuing Medical Education to
                                                        rides, sleigh
be acceptable toward meeting the requirements for
                                                        rides and hot
license renewal. Nurses from states other than
                                                        springs.
California must check with their local state board
for specific continuing education policies.
ADVANCES IN MATERNAL AND FETAL MEDICINE • STEAMBOAT SPRINGS, COLORADO

                                                                        SATURDAY, JANUARY 26                                            WEDNESDAY, JANUARY 30
                                                                          4:30–5:45 p.m. Registration                                     6:45 a.m.   Continental Breakfast
                                                                          5:45 p.m.      Von Willebrands Disease and Pregnancy            7:30 a.m.   Minimal Access Surgery
                                                                                         Russell K. Laros, Jr., M.D.                                  Craig T. Albanese, M.D.
                                                                          6:15 p.m.      IUGR: How Small is Too Small?                    8:00 a.m.   Genetic Screening: Who, Why, When and
                                                                                         Stephanie E. Mann, M.D.                                      Where? Mary E. Norton, M.D.
                                                                          6:45 p.m.      Adjourn                                          9:00 a.m.   Adjourn
                                                                                                                                          4:30 p.m.   CONCURRENT SESSIONS (select one)
                                                                        SUNDAY, JANUARY 27                                                            3A. Strategies to Reduce the Cesarean
                                                                          4:30 p.m.      Overview of Fetal Surgery                                        Section Rate
                                                                                         Craig T. Albanese, M.D.                                          Michael L. Socol, M.D. or
                                                                          5:30 p.m.      Refreshments                                                 3B. Fetal Heart Rate Monitoring: Is Fetal Pulse
                                                                          5:45 p.m.      Urogynecologic Issues in Pregnancy                               Oximetry Necessary?
                                                                                         Sharon K. Knight, M.D.                                           Julian T. Parer, M.D., Ph.D.
                                                                          6:45 p.m.      Adjourn                                          5:30 p.m.   Refreshments
                                                                                                                                          5:45 p.m.   CONCURRENT SESSIONS (select one)
                                                                        MONDAY, JANUARY 28                                                            4A. Hypercoagulable States and Pregnancy
                                                                                                                                                          Russell K. Laros, Jr., M.D. or
                                                                          6:45 a.m.      Continental Breakfast
                                                                                                                                                      4B. Management of Episiotomy Breakdown
                                                                          7:30 a.m.      Controversies for Both Services: Progress in                     Sharon K. Knight, M.D.
                                                                                         Labor and Epidural Anesthesia
                                                                                         Samuel C. Hughes, M.D.                           6:45 p.m.   Adjourn
                                                                          8:00 a.m.      Perinatal Factors Associated with
                                                                                         Cerebral Palsy                                 THURSDAY, JANUARY 31
                                                                                         Michael L. Socol, M.D.                           6:45 a.m.   Continental Breakfast
                                                                          9:00 a.m       Adjourn                                          7:30 a.m.   Hyperemesis: What Really Works?
                                                                          4:30 p.m.      AIDS and Drug Abuse: The Double Epidemic                     Per L. Sandberg, M.D.
                                                                                         Samuel C. Hughes, M.D.                           8:00 a.m.   Preeclampsia: New Developments
                                                                          5:30 p.m.      Refreshments                                                 Stephanie E. Mann, M.D.
                                                                          5:45 p.m.      Case Presentations: Ask the Professors           9:00 a.m.   Adjourn
                                                                                         Drs. Hughes, Norton, Laros, Parer, Rosen         4:30 p.m.   CONCURRENT SESSIONS (select one)
                                                                                         and Socol                                                    5A. Blood Group Isoimmunization
                                                                          6:45 p.m.      Wine and Cheese Party – Informal Discussions                     Michael L. Socol, M.D. or
                                                                          9:00 p.m.      Adjourn                                                      5B. Genetic Counseling
                                                                                                                                                          Mary L. Norton, M.D.
                                                                        TUESDAY, JANUARY 29                                               5:30 p.m.   Refreshments
                                                                          6:45 a.m.      Continental Breakfast                            5:45 p.m.   CONCURRENT SESSIONS (select one)
                                                                          7:30 a.m.      Management of Preterm Premature Ruptured                     6A. Clinical Trials in Fetal Surgery
                                                                                         Membranes                                                        Craig T. Albanese, M.D. or
                                                                                         Michael L. Socol, M.D.                                       6B. Rational Algorithms for Antenatal
                                                                          8:00 a.m.      Diagnosis and Treatment of Cervical                              Corticosteroids
                                                                                         Incompetence                                                     Julian T. Parer, M.D., Ph.D.
                                                                                         Julian T. Parer, M.D., Ph.D.                     6:45 p.m.   Adjourn
                                                                          9:00 a.m.      Adjourn
                                                                          4:30 p.m.      CONCURRENT SESSIONS (select one)               FRIDAY, FEBRUARY 1
                                                                                         1A. Maternal Mortality: What Have We Learned     6:45 a.m.   Continental Breakfast
                                                                                             and How Do We Use It?                        7:30 a.m.   Crash Cesarean Section: Reality Versus
                                                                                             Samuel C Hughes, M.D. or                                 Optimum
                                                                                         1B. Advanced Maternal Age: Fact or Fiction?                  Julian T. Parer, M.D., Ph.D.
                                                                                             Stephanie E. Mann, M.D.                      8:00 a.m.   Vaginal Breech Delivery: The Hannah Study
                                                                          5:30 p.m.      Refreshments                                                 Versus the UCSF Experience
                                                                          5:45 p.m.      CONCURRENT SESSIONS (select one)                             Russell K. Laros, M.D.
                                                                                         2A. ASA and ACOG Guidelines: Some                9:00 a.m.   Adjourn
                                                                                             Highlights and Why We Get Sued!              4:30 p.m.   CONCURRENT SESSIONS (select one)
                                                                                             Samuel C Hughes, M.D. or                                 7A. Surgery During Pregnancy
                                                                                         2B. OB Ultrasound: Who, What, Where,                             Per L. Sandberg, M.D. or
                                                                                             When and How?                                            7B. Platelet Disorders in Pregnancy
                                                                                             Mary E. Norton, M.D.                                         Russell K. Laros, Jr., M.D.
                                                                          6:45 p.m       Adjourn                                          5:30 p.m.   Refreshments




                                                                        program
                                                                                                                                          5:45 p.m.   CONCURRENT SESSIONS (select one)

                                                                        2002                                                                          8A. HIV Update
                                                                                                                                                          Stephanie E. Mann, M.D.or
                                                                                                                                                      8B. Selective Reduction for Complications
                                                                                                                                                          of Monoamniotic Twinning
                                                                                                                                                          Craig E. Albanese, M.D.
                                                                                                                                          6:45 p.m.   Adjourn
 UNIVERSITY OF CALIFORNIA SAN FRANCISCO • ADVANCES IN MATERNAL AND FETAL MEDICINE • JANUARY 26 – FEBRUARY 2, 2002
lodging, skiing and travel   RESORT INFORMATION                                   SKI and SNOWBOARD RENTALS                           deposit, you will receive a written confirmation,
                             STEAMBOAT SPRINGS Located 200 miles                  Discounted rates have been arranged with            information on travel insurance, and a request
                             northwest of Denver, and reached by major jet        Steamboat Ski Rentals including free children       for final payment.
                             service to the Hayden Airport 22 miles west,         rentals with a 5 or more day parental adult
                             Steamboat offers a family environment of 2,939       rental. Information will be sent with your          All reservations are subject to availability.
                             acres of fine ski runs, lift capacity of over        confirmation for requesting ski rentals, or         EARLY DEPOSITS WILL RECEIVE PRIOR-
                             32,000 skiers per hour, and elevations to            you may make advance reservations by                ITY. ACCOMMODATIONS NOT UNDER
                             10,568 ft. Ski Time Square at the base area          calling (800) 859-9959, and indicate your           DEPOSIT BY NOVEMBER 15, 2001 WILL BE
                             has a variety of shops, galleries and popular        group name “University of California OB/GYN         RELEASED. Requests for lodging received
                             restaurants. Steamboat is noted for its excel-       Conference at Steamboat.”                           after that date will be processed on a space
                             lent ski school, teen events, and children's pro-                                                        available basis and may be subject to a late
                             grams including “Kids Ski Free.” Other activities    AIR TRANSPORTATION                                  fee of $25/person.
                             include cross-country skiing, ice-skating, sleigh    Transportation to Steamboat is to Denver or
                             rides, balloon rides and outdoor pools.              the Yampa Valley Regional airport at Hayden,        Deposits must be BY CHECK in U.S. Dollars.
                                                                                  22 miles west of Steamboat. DISCOUNTED              Because of the differing credit card acceptance
                             ACCOMMODATIONS A selection of hotel                  RATES FOR AIR, VAN SERVICE AND CAR                  policies by the suppliers, some portions of
                             rooms and condominiums has been reserved             RENTALS ARE AVAILABLE when making                   these packages might be payable by credit
                             by Universal Travel for course participants at       arrangements through Universal Travel.              card.
                             the spectacular new STEAMBOAT GRAND                  Lower fares might be available through
                             RESORT and CONFERENCE CENTER adja-                   other sources. Air tickets will be issued           FINAL PAYMENT DUE DATE
                             cent to the base ski area. Accommodations            electronically (e-tickets) where possible and       Final payment for the lodging package
                             include queen and king bedded rooms, kitch-          will be in the airline computer at the airports.    is DUE BY NOVEMBER 15, 2001, in U.S.
                             enette units and 1 to 3 bedroom suites with full     An itinerary and record locator will be mailed      Dollars. All arrangements except car rental
                             kitchen facilities (see descriptions under pack-     to you confirming the arrangements.                 must be prepaid in full, or space will be
                             age pricing). The Steamboat Grand features                                                               subject to cancellation.
                             world-class amenities such as fitness center,        If e-tickets are not possible, paper tickets will
                             on-site Day Care, heated pool and spas, three        be issued and a Federal Express charge will be      LIABILITY
                             restaurants, business center services, laundry       made to your credit card for the delivery of air    The above information is current as of July 1,
                             facilities and free underground parking.             tickets. Please advise if you do not want this      2001. All rates and conditions can change with-
                                                                                  secure delivery service in which case tickets       out notice. Please note that you are traveling
                             Other properties such as the Sheraton,               will be mailed and Universal Travel assumes         independently, and not on an escorted tour.
                             Thunderhead, and Chateau Chamonix can                no responsibility for safe delivery. Please mark    Universal Travel is not responsible for flight
                             be included in the ski packages by request.          the travel request form for further information.    cancellations, delays or mis-connections,
                             All lodging is on a Saturday to Saturday basis                                                           overnight amenities, carrier bankruptcies or
                             with no refund for late arrival or early departure   A ticket-processing fee of $15 will apply to all    defaults, fare changes, or other additional
                             unless pre-arranged.                                 air bookings (1 or more persons traveling on        costs that might be incurred.
                                                                                  one reservation). Additionally, a $20 per ticket
                             LIFT TICKETS Group rate adult (age 13-64)            fee, plus airline change fees, will apply to all    CANCELLATIONS
                             lift tickets are available only if purchased in      cancellations, changes and re-issues of airline
                             advance with the accommodation packages.             tickets for any reason including fare reductions.   Air – See above.
                             These are priced at $240 for 6 out of 8 days,        All fees and policies regarding the sale of air-
                             and can be adjusted for shorter stays or             line tickets are subject to change without          Lodging – cancellations of lodging are subject
                             deleted from the package entirely.                   notice.                                             to the following PER PERSON administrative
                                                                                                                                      service fee, plus any hotel/condo charges
                             Other promotional tickets available only at the      NOT INCLUDED                                        resulting from cancellation or inability to resell
                             slopes are (prices are not yet determined):                                                              the space: Before October 1, $20; October 1 to
                                                                                  Baggage handling at airports and hotels, tips,      November 1 $30, November 1 to December 1,
                                  • A “Youth” under age 13, $192 for 6-           seminar registration, meals, and other items
                                    days. FREE when parent holds a 5 or                                                               $40; After December 1, $60.
                                                                                  of a personal nature. Also not included are
                                    6 day ticket                                  alternate arrangements should land, air or
                                  • “Child” age 5 and under ski FREE                                                                  Airport Van Transfers – Cancellation between
                                                                                  ground transportation as arranged not be avail-     7 days and 48 hours of travel, will incur a $10
                                    with adult purchase of any day ticket.        able or not operate. WE STRONGLY ADVISE
                                  • “Young Seniors” age 65 - 69 ski for                                                               fee. NO REFUND if cancellation occurs within
                                                                                  THAT TRAVELERS INSURE THEMSELVES                    48 hours of travel.
                                    $36/day and skiers age 70 and over            AGAINST TRIP CANCELLATION, INTERRUP-
                                    ski FREE.                                     TION, ACCIDENT AND BAGGAGE LOSS.                    For lodging and travel information, please call:
                             Proof of age is required on site for all 11 and                                                          Universal Travel – UC Desk
                                                                                  RESERVATIONS                                        9:00 a.m. to 5:00 p.m. Pacific Time, Mon.-Fri.
                             12 year olds or who appear of that age. Only
                             “adult” tickets may be pre-purchased. Others         Please return the enclosed Lodging Application      Phone      (415) 421-1891
                             are to be purchased at the slopes.                   form together with your deposit check directly                 (800) 886-1882
                                                                                  to Universal Travel. Lodging deposits are
                             SKI and SNOWBOARD SCHOOL                             $200/adult unless otherwise advised. Certain        Off-hour msgs. (415) 421-1882
                             Phone 970-879-6111, ext. 531                         properties may require a larger deposit at          E-Mail to utravelsfo@aol.com
                                                                                  time of booking, and we will advise you of this
                             CHILDREN’S PROGRAMS Most DO NOT                      situation when it applies. Upon receipt of your     CST REGISTRATION #1005464-10
                             include lifts. For information, call 970-879-6111,
                             ext. 531 or 543.
                                                                                  ROOM TYPES                                           Numbers of persons, U.S.          $ / person
                                                                                                                                       1    2      3     4                5      6
                             PACKAGE RATES Rates shown include                    • Double Queen – 2 queen beds                       1922 1081   868   762               -      -
                             various discounts, are available only through        • Deluxe King – 1 king bed, Fireplace,              2002 1121    -      -               -      -
                             Universal Travel, are in U.S. Dollars per adult,          whirlpool tub, balcony
                             and include 7 nights at the Steamboat Grand,         • Studio – QMurphy bed, Kitchenette, QSofabed 1840           1040    840      740       -        -
                             resort fees and taxes, and a six-day adult lift      • Parlor – QSofabed, Kitchen, fp, 2-child daybeds 1840       1040      -        -       -        -
                             ticket.                                              • 1-BR Suite – King or 1 Queen and parlor unit    3130       1685    1204     963       -        -
                                                                                  • 2-BR Suite – King and 1 or 2 Queens and           -        2248    1579     1244    1043      910
                                                                                       parlor unit
                                                                                  • 3-BR Suite – By request

                                                                                  Note: 1. Lodging subject to availability. 2. Hotel rooms, Parlors, Studios, and 1-BR Suites have
                                                                                        1 bath, 2-BR Suites have 2 baths, 3-BR Suites have 3 baths. Fireplaces are gas fired.
course registration form




                                                                                                    lodging and travel request form
                           Mail to                          OCME Registration • M14106                                                PLEASE MAIL THIS FORM TO REQUEST LODGING
                                                            UCSF, Box 0742
                                                                                                                                      PACKAGES – Reservations are not accepted by phone
                                                            San Francisco, CA 94143-0742
                           Fax                              (415) 502-1795                                                            Mail to                Universal Travel
                           Registration Information         (415) 476-5808                                                                                   11 Tillman Place, Suite 400
                           Course Information               (415) 476-4251                                                                                   San Francisco, CA 94108

                                                                                                                                      Phone                  (415) 421-1891
                           ___________________________________________________                                                                               (800) 886-1882
                           Last Name                        First                         M.I.

                           ___________________________________________________                                                        University of California • OB/GYN Conference
                           Degree                           Specialty                                                                 Steamboat Springs, CO • January 26 to February 2, 2002
                           ___________________________________________________                                                        Please print:
                           Address
                                                                                                                                      ___________________________________________________
                           ___________________________________________________                                                        Name
                           City                             State                         Zip

                           ___________________________________________________                                                        ___________________________________________________
                                                                                                                                      Address
                           Daytime Phone                    Fax

                           ___________________________________________________                                                        ___________________________________________________
                           Email                                                                                                      City                          State                     Zip

                           Date of birth to be used as                                                                                ___________________________________________________
                           OCME registrant number ____ ____ / ____ ____ / ____ ____   X X                                             Phone: Business
                                                          Month           Date          Year
                                                                                                                                      ___________________________________________________
                           Please indicate if you have any special needs:                                                             Phone: Home                   Fax

                                                                                                                                      Names of persons sharing – LIST AGES WHEN UNDER 19
                           What is the one-letter code located on the mailing label on
                           the back of this form?________                                                                             OR OVER 60: ___________________________________

                           CONCURRENT SESSION SELECTION (Required)                                                                    _______________________________________________
                           Please number the concurrent sessions in order of your pref-
                                                                                                                                      _______________________________________________
                           erence. You will be notified of your assignment at registration.
                                                                                                                                      We wish to make the following arrangements (check box):
                               Tuesday                            Tuesday
                               4:30-5:30                          5:45-6:45                                                           A. Lodging Package:
                           1A. _______                        2A. _______                                                                   Lodging for 7 nights and 6-day lift ticket.
                           1B. _______                        2B. _______                                                                   Number of: adult tickets________
                                                                                                                                            (Senior and children tickets obtainable at the slopes.)
                              Wednesday                          Wednesday
                                                                                                                                            Lift tickets not desired.
                               4:30-5:30                          5:45-6:45
                           3A. _______                        4A. _______
                           3B. _______                        4B. _______                                                             STEAMBOAT GRAND RESORT
                                                                                                                                         Hotel – Double Queen Hotel – Deluxe King
                               Thursday                           Thursday                                                               Studio               Parlor
                               4:30-5:30                          5:45-6:45
                           5A. _______                        6A. _______                                                             Suites        1 Bedroom               2 Bedroom        3 Bedroom
                           5B. _______                        6B. _______
                                                                                                                                      Other requests or properties _________________________
                                Friday                             Friday
                               4:30-5:30                          5:45-6:45                                                           ________________________________________________
                           7A. _______                        8A. _______
                           7B. _______                        8B. _______                                                             B. Transportation:
                           REGISTRATION FEES – Make checks payable to UC Regents                                                                No transportation requested. (Estimated time of arrival at
                                                                                                                                                our lodging is _________ p.m. Property will be advised)
                           Physicians       $805 before September 1, 2001
                                            $895 from September 2, 2001                                                                         Please call me with travel information. Our preferred
                           Interns, Residents, Midwives, Nurses                                                                                 departure airport is __________.
                                            $605 before September 1, 2001
                                            $675 from September 2, 2001                                                               DEPOSIT CHECK FOR LODGING ($200/adult, NO CREDIT CARDS)
                           Please charge my credit card                                                                               Enclosed is our CHECK payable to Universal Travel for
                               Visa        MasterCard for           $ ____________________
                                                                                                                                      $________________
                           ___________________________________________________
                           Name on Card (please print)                                                                                Please charge air tickets, fees, and other authorized costs to
                                                                                                                                      my credit card.
                           _________________________________|__________________
                           Card #                                          Expiration Date                                            ___________________________________________________
                                                                                                                                      Card type (Visa, Amex, MasterCard, etc.)
                           ___________________________________________________
                           Authorized Signature                                                                                       _________________________________|__________________
                                                                                                                                      Card #                                     Expiration Date
                           Refund Policy: Cancellations received in writing before December 12,
                           2001 will be refunded, less a $100 administrative fee. No refunds will                                     ___________________________________________________
                           be made on cancellations received after that date.                                                         Authorized Cardholder Signature

								
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