www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...

 
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
Perinatal Services BC’s 3rd Biennial Conference

                  March 1 - 2, 2018

              Sheraton Vancouver Airport
                    Richmond, BC

HOSTED BY:

                                       #HMHBBC

www.interprofessional.ubc.ca/initiatives/hmhb2018
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
GENERAL INFORMATION

DESCRIPTION                                                                         LOCATION
This conference is hosted by Perinatal Services BC, an agency of the                Sheraton Vancouver Airport
Provincial Health Services Authority. It is an opportunity for health care          7551 Westminster Highway, Richmond, BC
professionals interested in the care of pregnant and postpartum women and           We are pleased to offer a group rate of $149 for single or double occupancy,
their newborns to be updated on new research and clinical best practices            plus applicable taxes. To reserve a room, please book online or call +1-800-
across the continuum of perinatal and newborn care. This conference                 663-0299. Let the hotel personnel know that you are booking under the
will engage health care professionals from a wide range of disciplines in           Healthy Mothers and Healthy Babies 2018 Conference room block to receive
knowledge transfer and interprofessional collaboration in order to provide          the reduced rate.
the best care possible and ensure healthy mothers and babies. The format
will include plenaries, breakout sessions, poster sessions, and networking
opportunities.                                                                      TRAVEL INFORMATION
                                                                                    The Sheraton Vancouver Airport (7551 Westminster Highway) is conveniently
                                                                                    located in Richmond BC, and offers free, 24-hour transportation to and from
LEARNING OBJECTIVES                                                                 the Vancouver Airport. By Skytrain, the Canada Line connects the conference
As a result of attending this conference, participants will be able to:             hotel to downtown Vancouver in under 30 minutes (www.translink.ca). The
  • Review clinical best practices and new research acquired from                   Richmond-Brighouse and Landsdowne SkyTrain stations are each about a 10
     researchers, experts, women and their families, and fellow participants,       minute walk from the hotel.
     that will enhance shared decision making with pregnant and postpartum
     women;                                                                         PARKING
  • Reflect on five new developments across the continuum of care from              Parking at the hotel is complimentary for conference attendees. Should you
     conception to postpartum that will impact clinical practice;                   wish to park in the hotel parking lot, please visit:
                                                                                    www.verrus.com/default.asp?ctState=hpEventPark&hpEventUID=107386
  • Discuss current surveillance and system improvements in perinatal
                                                                                    to register your lisence plate. Once your license plate is registered, you can
     services that are relevant to improving maternal/fetal and newborn
                                                                                    simply park, and proceed to the conference.
     outcomes; and
    • Integrate knowledge learned by engaging in dialogue with other                Vancouver provides visitors with many opportunities to experience the West
      health care professionals from a range of disciplines, as well as women       Coast lifestyle. If you would like more information on travelling in the area or
      and their families.                                                           things to do and see in Vancouver, go to: www.tourismvancouver.com

WHO SHOULD ATTEND
This conference will be of interest to all those who are interested in care for pregnant women and their newborns. The interdisciplinary target audience includes
but is not limited to:
    • Administrators/Managers/Planners                                          • Midwives
    • Allied Health Professionals (Occupational Therapists, Physical            • Nurses and Nurse Practitioners
      Therapists,                                                                 (Primary Care, Public Health, and Acute Care)
    • Educators, Informatics Professionals, Respiratory Therapists, etc)        • Physicians (Primary Care and Specialists)
    • Dietitians                                                                • Policy Makers
    • Doulas                                                                    • Researchers
    • Faculty of Nursing, Medicine, or Health Sciences                          • Students/Learners
    • Lactation Consultants

ACKNOWLEDGEMENTS
We would like to acknowledge with great appreciation the financial contributions through unrestricted educational grants from:

                                                                                                                 Printing Support

2                                                                                                                     Healthy Mothers and Healthy Babies
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
GENERAL INFORMATION

REGISTRATION & TUITION FEES                                                            REFUND/TRANSFER & CANCELLATION
The tuition fee includes conference materials, refreshment breaks, and                 POLICY
lunches on both days of the conference. Please see the registration form               There will be a $50 cancellation fee until the end of the Early Bird deadline
for further details. The Early Bird discounted registration rate expires               (January 26, 2018). After that there will be a $100 charge for up to two weeks
on January 26, 2018. Registration prior to February 15, 2018 is strongly               (February 15, 2018) prior to the conference (all fees incl. taxes). Two weeks or less
recommended to ensure you receive all conference materials.                            there will be no refund.
Online: The most secure method. Secure, fast, online registration is                   If you are unable to attend the conference, you are welcome to send a colgue
available for Visa and MasterCard holders at the conference organizer’s                in your place. There will be no fee to make this change up to January 26, 2018,
website: interprofessional.ubc.ca                                                      provided you notify us via phone or email. Substitution requests must come from
                                                                                       the original registrant (or the administrator who arranged for the registration)
Phone: Register and pay over the phone. Toll-free within Canada/USA:
                                                                                       and include the original registrant’s name, the amount paid, plus the substitute
1-855-827-3112 or Local/International: +1 604-827-3112.
                                                                                       attendee’s email, full name, city and affiliation. Substitution requests received
Fax: Fax the registration form to +1 604-822-4835 and indicate that you                after this date will incur a $75 processing fee.
would like to pay with VISA or MasterCard. We will email you the secure
online link to enter your credit card information.                                     PROFESSIONAL CREDITS
Mail: Send the registration form with cheque to:                                       Participants will receive a certificate stating 11.5 hours of educational
        Interprofessional Continuing Education                                         instruction they have attended. For updates regarding credits and other
        The University of British Columbia                                             conference updates, visit our website:
        Room 105-2194 Health Sciences Mall                                             http://interprofessional.ubc.ca/initiatives/hmhb2018/
        Vancouver, BC, V6T 1Z3, Canada
         Make cheque payable to: The University of British Columbia
                                                                                       EXHIBITING
Alternative Payment Methods:                                                           Organizations interested in exhibiting at this conference are invited to
Mail or fax complete registration form along with one of the following:                contact the conference organizers for more information.
 1. Signed purchase order (PO)                                                         Exhibit space is limited. Please contact by phone: +1-604-822-7524 or by
  2. Letter of Authorization (LOA) from the manager on the organization’s              e-mail: cynthia.ipce@ubc.ca.
     letterhead stating that they will be paying the registration fees. The
     letter should include the amount of registration fees, name and
     contact information of the manager
  3. Signed cheque requisition form (ChReq)

PLANNING COMMITTEE                                                        ABSTRACT REVIEW COMMITTEE
Janet Walker                                                              Julie MacFarlane
Conference Co-chair                                                       Abstract Committee Chair
Director, Provincial Knowledge Transformation and Acute                   Provincial Lead, Screening Programs, Perinatal Services BC
Care, Perinatal Services BC
                                                                          Karen Buhler
Taslin Velani                                                             Head, Family Practice, Women’s Hospital of British Columbia
Conference Co-chair
Coordinator, Knowledge Translation, Perinatal Services BC                 Scally Chu
                                                                          Health Data Analysts, Perinatal Services BC
Katia Despot
Senior Education Manager, Interprofessional Continuing                    Rachel Gyger
Education University of British Columbia                                  Perinatal Faculty, School of Health Sciences, British Columbia Institute of Technology

Tamil Kendall                                                             Patricia Janssen
Interim Provincial Executive Director, Perinatal Services BC              Professor and Co-lead, Maternal Child Health, School of Population and Public Health,
Julie MacFarlane                                                          University of British Columbia
Provincial Lead, Screening Programs, Perinatal Services BC                KS Joseph
                                                                          Professor, Department of Obstetrics & Gynaecology, School of Population and Public Health,
                                                                          University of British Columbia and the Children’s and Women’s Hospital of British Columbia
                                                                          Christina Kay
                                                                          Primary Maternity Care Lead, Family Physician, Perinatal Services BC
                                                                          Janet Walker
                                                                          Director, Provincial Knowledge Transformation and Acute Care, Perinatal Services BC

     Working Together to Improve Perinatal Outcomes                                                                                                                        3
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PROGRAM AT A GLANCE

                                                   PROGRAM AT A GLANCE

                                              T H U R S DAY, M A R C H 1
    7:00 AM - 8:00 AM		                       Registration and Breakfast
    8:00 AM - 9:00 AM		                       Traditional Welcome and Opening Remarks
    9:00 AM - 10:00 AM		                      Plenary by Belinda Fu
    10:00 AM - 10:30 AM		                     Break
    10:30 AM - 12:00 PM		                     Concurrent Sessions A (Page 4)
    A1i (45 Minute Session)                  A2i (45 Minute Session)                 A3i                                     A4i
    Improving the Health Care Response       First Nation Families and Health Care   SmartMom: Texting for Prenatal          Newborn Sepsis: Who Needs
    to Gender-based Violence                 Providers – Walking the Perinatal       Education                               Treatment?
                                             Journey Together

    A1ii (45 Minute Session)                 A2ii (45 Minute Session)                A3ii                                    A4ii
    Cultivating Resilience: Maternity Care   Building Blocks for Sustainable Rural   Is Your Prenatal Ultrasound             Sudden Unexpected Postnatal
    Providers Mitigate Intergenerational     Maternity Care                          Department Family-Centred? Why You      Collapse
    Impacts of ACEs                                                                  Should Care and What You Can Do

                                                                                     A3iii                                   A4iii
                                                                                     Developing Provincial and National      Shaping Health Equity Practice: A
                                                                                     Breastfeeding Protocols:                Review of Key Perinatal Documents
                                                                                     A Cross-Organizational...               in British Columbia (2002-2017)

    12:00 PM - 1:00 PM		                      Lunch
    1:00 PM - 1:30 PM		                       Poster Session
    1:30 PM - 3:00 PM		                       Concurrent Sessions B (Page 6)
    B1i                                      B2i                                     B3i (45 Minute Session)                 B4i
    Immigrant Women and Reproductive         Pasteurized Donor Human Milk:           Informed Decision Making for Next       Legalization of Cannabis:
    Mental Health Care Access: An            When Do We Use and When Do We           Birth after Caesarean Section           Implications for Maternal and Infant
    Environmental Scan                       Abuse?                                                                          Health in BC and Emerging Best...

    B1ii                                 B2ii                                        B3ii (45 Minute Session)                B4ii
    Interventions That Improve Maternity Domperidone for Breastfeeding:              Forceps, Vacuum, or Cesarean?           Are We Over-Treating Infants with
    Care for Immigrant Women in          What Does the Evidence Tell Us?             Evaluating Mode of Delivery Options     Neonatal Abstinence Syndrome?
    England: A Narrative Synthesis...                                                Following an Arrest in Labour

    B1iii                                    B2iii                                                                           B4iii
    MotherFirst: Maternal Mental Health      Baby-Friendly Re-Designation: Not All                                           Clinical Management of Opioid Use
    Strategy for Saskatchewan                Sunny Ways and Sunny Days!                                                      Disorder in Pregnant Women

    3:00 PM - 3:30 PM		                       Break - Exhibits Open, Poster Viewing
    3:30 PM - 4:30 PM		                       Plenary Session by Cindy-Lee Dennis
    4:45 PM - 7:00 PM		 Networking Reception
    				(Held at the Conference Hotel)

4                                                                                                                          Healthy Mothers and Healthy Babies
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
PROGRAM AT A GLANCE

                                                PROGRAM AT A GLANCE

                                                  F R I D AY, M A R C H 2
7:30 AM - 8:00 AM		                         Registration and Breakfast
8:00 AM - 8:30 AM		                         Opening Remarks and Door Prizes
8:30 AM - 9:30 AM		                         BC Success Stories Panel
9:30 AM - 10:30 AM		                        Plenary by Chelsea Elwood
10:30 AM - 11:00 AM		                       Break
11:00 AM - 12:30 PM		                       Concurrent Sessions C (Page 10)
 C1i                                       C2i                                   C3i (45 Minute Session)                  C4i
 Healthy & Home: A Program for New         Shifting the Public Health Nursing    Rolling into Parenthood: Key Physical,   HerWay Home: Lessons Learned and
 Mothers                                   Care Paradigm in Island Health: The   Mental Health and Breastfeeding          Promising Practices for Supporting
                                           Mother’s Story                        Considerations When Working with...      Perinatal Substance Using Women...

 C1ii                                      C2ii                                  C3ii (45 Minute Session)                 C4ii
 Smoothing the Transition from             Walking Together: A Participatory     Benefits of Kangaroo Care: Patient       Mobile Maternity (MoM) - A New
 Hospital to Home - Innovative             Action Research Approach to           and Provider Perspectives                Kind of Telehealth
 Strategies to Prepare for Parenting…      Developing Physical Activity...

 C1iii                                     C2iii                                                                          C4iii
 Can the “ABC’s for New Parents”           MOREOB in BC: Improving Outcomes                                               Evaluating the Impact of Enhancing
 book, Developed through an                During Large Scale Change                                                      Prenatal Healthcare Services: The BC
 Interprofessional Collaboration...                                                                                       Experience with Publicly-funded...

12:30 PM - 1:30 PM		                        Lunch & Poster Viewing
1:30 PM - 3:00 PM		                         Concurrent Sessions D (Page 13)
 D1i                                       D2i (45 Minute Session)               D3i                                      D4i
 Place of Birth: Examining                 Engaging with the Truth and           Applying an Adverse Childhood            Motherwise Fills Gaps for Moms at Risk
 Interprofessional Conflict vs Effective   Reconciliation Commission Call to     Experience (ACE) Lens to the
 Collaboration Controversy among ...       Action #33: Dialogue on FASD ...      Postpartum Population

 D1ii                                      D2ii (45 Minute Session)              D3ii                                     D4ii
 Reduced Prevalence of Small-for-          Support in the Perinatal Period for   The BC Healthy Connections Project       Childbirth Education: Building
 Gestational-Age Birth For Vulnerable      Women Struggling with Addiction: A    (BCHCP): A Scientific Evaluation of      Women’s Capacity
 Women: A Study of Midwifery versus...     Trauma Informed Approach              Nurse-Family Partnership in Canada

 D1iii                                                                           D3iii                                    D4iii
 Barriers to Addressing Perinatal Mental                                         The Childbirth Fear Questionnaire        Stakeholder Consultation: Quality
 Health Issues in Midwifery Settings                                             (CFQ): A New Measure of Fear of          Process in the Production of Quality
                                                                                 Childbirth                               Improvement Maternity Education...

3:00 PM - 3:30 PM		                         Break - Exhibits Open, Poster Viewing
3:30 PM - 4:30 PM		                         Plenary Session by Louis Francescutti
4:30 PM - 5:00 PM		                         Closing Remarks, Door Prizes and Evaluation

Working Together to Improve Perinatal Outcomes                                                                                                                     5
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THURSDAY, MARCH 1, 2018

    T H U R S D AY, M A R C H 1                                                                         10:30 AM - 12: 00 P M

                             7: 0 0 A M - 8 : 0 0 A M                                                                    A1
                     R E G I S T R AT I O N & B R E A K FA S T

                             8: 0 0 A M - 9 : 0 0 A M                                A1i | 45 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
       T R A D I T I O N A L W E LCO M E & O P E N I N G R E M A R K S
                                                                                     Improving the Health Care Response to
Opening Remarks by: Susan Wannamaker, President, BC Children’s and Women’s
       Health, and Vice President, Provincial Health Services Authority              Gender-based Violence
                                                                                     Ann Pederson, PhD, Director, Population Health Promotion, BC Women’s
                    9 : 0 0 A M - 1 0 :0 0 A M                                       Hospital & Health Centre, Vancouver, BC
                                                                                     Stephanie Bouris, Policy Analyst, Women’s and Maternal Health, Division of
                              Plenary                                                Population and Public Health, BC Ministry of Health, Victoria, BC
                                                                                     Nancy Delgado, Team Leader, Nurse Family Partnership Program, Maternal
                                                                                     Child - Population Health, Kelowna Community Health Services Centre,
Improvisation and the Art of Medicine:                                               Interior Health Authority, Kelowna, BC
                                                                                     Kate Rossiter, PhD, Research & Projects Manager, Ending Violence
Adaptable Skills for an Uncertain World                                              Association of BC, Vancouver, BC
                   Belinda Fu, MD, Clinical Assistant Professor, Department of
                                                                                     Panelists from the Ministry of Health, Population Health Promotion at BC
                   Family Medicine, University of Washington; Faculty, Swedish
                                                                                     Women’s, and Interior Health’s Maternal Child Health program will speak
                   Family Medicine Residency Program, First Hill, Seattle, WA, USA
                                                                                     about the design, content, and implementation of a new online course
                                                                                     to support maternity health care providers working with women who are
                                                                                     experiencing or have survived gender-based violence.
                                                                                     Learning Objectives:
                                                                                        • Describe the responsibility of the health sector with respect to IPV in the
Medical improvisation is the adaptation of improvisational theatre training               perinatal period
methods to the healthcare context, promoting collaborative patient care                 • Identify some of the key signs of gender-based violence
through improved communication, cognition, and wellbeing. In this session,              • Understand the LIVES approach as a tool for engaging with women who
Dr. Belinda Fu describes her experiences with Medical Improv as a clinician,              may have experiences of or be experiencing IPV
patient, and educator, and explains its power to improve communication,
cognition, and resilience through experiential learning. With compelling
                                                                                     A1ii | 45 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
stories and interactive exercises, she explores how improvisation can increase
awareness of emotional cues, create rapport through affirmation, and
improve one’s ability to thrive in unpredictability.
                                                                                     Cultivating Resilience: Maternity Care Providers
Learning Objectives:
                                                                                     Mitigate Intergenerational Impacts of ACEs
  • Define medical improv                                                            Roxanne Blemings, MSW, Practice Initiative Lead, Child Youth Mental Health
                                                                                     Substrance Use Collaborative, Doctors of British Columbia, Victoria, BC
  • Describe the three main curricular components of medical improv and
    their relevance to clinical training                                             Theresa Killam, MD, CCFP, MEd, Family Physician, Calgary Foothills Primary
                                                                                     Care Network, Riley Park Marternity Clinic; Clinical Lecturer, Department of
  • Explain the core skill groups of medical improv and their relevance to
                                                                                     Family Medicine, University of Calgary, Calgary, AB
    clinical practice
                                                                                     Jan Ference, BEd, MS, NMT Mentor, IPMHF, Director, Pathways to Healing
                          10: 0 0 A M - 1 0 : 3 0 A M                                Partnership, Comox Valley Child Development Association, Courtenay, BC
                                    BREAK                                            Expanding on what we know about the power of early intervention and
                                                                                     the connection between ACEs and social determinants of health, we will
                                                                                     explore the how, the who, the what and the then what of applying the ACEs
                                                                                     questionnaire into maternity care practices.
                                                                                     Learning Objectives:
                                                                                       • Recognize how attention to adverse childhood experiences (ACEs) in
                                                                                          maternity care strengthens health outcomes for multiple generations
                                                                                       • Reflect on the practical application of ACEs history taking through case
                                                                                          examples and dialogue with peers
                                                                                       • Devise an action plan to integrate ACEs history taking and attention to
                                                                                          resilience into local inter-disciplinary maternity practice

6                                                                                                                      Healthy Mothers and Healthy Babies
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
THURSDAY, MARCH 1, 2018

                                     A2                                              Learning Objectives:
                                                                                       • Understand the components of SmartMom
                                                                                       • Understand what SmartMom offers beyond traditional phone “apps”
A2i | 45 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
                                                                                       • Understand how texting has the potential to change behaviour
First Nation Families and Health Care Providers:                                       • Learn findings of formative and process outcomes
Walking the Perinatal Journey Together
                                                                                     A3ii | 30 MINUTE PANEL SESSION | Best Practice/ Quality Improvement
Barbara Webster, RN, BScN, MSc, Clinical Nurse Specialist, Maternal Child,
First Nations Health Authority, Vancouver, BC                                        Is Your Prenatal Ultrasound Department Family-
Lucy Barney, RN, BSN, MSN, Statlimx Nation, Aboriginal Lead, Perinatal               Centred? Why You Should Care and What You
Services BC, Vancouver, BC
Understanding the history and background of First Nations people is vital            Can Do
in providing cultural safe care to childbearing families. This presentation          Suzanne Moccia, Volunteer, Patient Voice Network, Penticton, BC
will briefly discuss the history of Indigenous people and how their history          Leandro Nosal, Volunteer, Patient Voice Network, Penticton, BC
impacts on their lives today. We will use a case study to emphasize the need
                                                                                     Meggie Ross, RN, MSN, Public Health Matenity Care Program, Interior Health,
for relational practice, trauma informed care and cultural safe practices with
                                                                                     Penticton, BC
First Nation women and families as they prepare for and live the experience
of pregnancy, childbirth and parenthood.                                             Bernd Wittmann, MD, FRCSC, Maternal Fetal Medicine and OB/Gyn
Learning Objectives:                                                                 Ultrasound, Private Practice, Surrey, BC
   • Recognize the need to provide culturally based, trauma informed and             Most BC Medical Imaging departments continue to exclude family and
      relational practice care                                                       support persons from being present during the exam – restricting them to
                                                                                     a ‘show and tell’ at the end. This has been a largely unrecognized gap in our
   • Discuss ways to provide holistic care to First Nation women and families
                                                                                     continuum of family-centred perinatal care. This discussion will explore one
   • Learn what FNHA resources are available for clients and care providers          family’s journey to change this practice, a facility’s engagement in a quality
                                                                                     improvement process, and why you should consider the same.
A2ii | 45 MINUTE STANDARD LEC TURE | New Research                                    Learning Objectives:
                                                                                         • Recognize the profound impact this exclusionary policy has on the
Building Blocks for Sustainable Rural Maternity Care                                       experience for both the patient and their family/support person
Jude Kornelsen, PhD, Associate Professor, Department of Family Practice; Co-             • Explore the rationale for current policy from a medical imaging
Director, Centre for Rural Health Research; Director, Applied Policy Research              perspective, how a family-centred care framework supports a change in
Unit, University of British Columbia, Vancouver, BC                                        practice, and benchmark examples within the province
Kira Barwich, MSc, Research Coordinator, Centre for Rural Health Research,               • Discuss how a quality improvement framework can be used to guide
University of British Columbia, Vancouver, BC                                              practice change
We will present the results of a community-driven feasibility analysis of the
building blocks for sustainable rural maternity care and the evidence-based          A3iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
strategy for supporting local services. We will also discuss the applicability
to the other low-resource rural maternity services in BC and the adaptations         Developing Provincial and National
necessary for other local contexts.
Learning Objectives:
                                                                                     Breastfeeding Protocols: A Cross-Organizational,
   • Report findings from a feasibility analysis of system supports to sustain       Cross-Provincial Initiative
      rural maternity care on the North Island                                       Sonya Boersma, MScN, RN, IBCLC, Health Promotion Consultant, BFI
   • Discuss relevance of findings to other rural communities in BC                  Strategy For Ontario, Ottawa, ON
   • Formulate actionable recommendations for system change to sustain               Lea Geiger, BScN, RN, IBCLC, Provincial BFI Coordinator, Perinatal Services
      rural maternity care moving forward                                            BC, Provincial Health Services Authority, Kamloops, BC
                                                                                     Evidence-based breastfeeding protocols are in development cross-
                                     A3                                              organizationally and cross-provincially. Learn about the collaborative
                                                                                     approach, rigorous methodology, and how these will help your work with
                                                                                     clients or patients and your work implementing the Baby-Friendly Initiative.
A3i | 30 MINUTE STANDARD LEC TURE | New Research                                     Learning Objectives:
SmartMom: Texting for Prenatal Education                                                • Examine the methodology and tools used to create high-quality,
                                                                                          evidence-informed breastfeeding protocols for health care providers
Patricia Janssen, PhD, Professor and Co-lead, Maternal Child Health, School of          • Describe the lessons learned and opportunities of using a cross-
Population and Public Health, University of British Columbia, Vancouver, BC               organizational and multi-provincial approach to develop a resource that
SmartMom is a prenatal education program delivered by texting messaging.                  is applicable and transferable across provinces
Less than 30% of pregnant women attend prenatal classes in Canada.                      • Familiarize participants with the revised protocols while explaining the
Smart Mom is Canada’s first evidence-informed prenatal texting program,                   importance of having access to current, consistent, evidence-informed,
developed in partnership with Optimal Birth BC, the Ministry of Health, and               and BFI-aligned information when counselling clients with breastfeeding
the Northern Health Authority. SmartMom launched throughout the NHA in
April, 2017. Women enrol at their first prenatal visit, with a primary care nurse.

     Working Together to Improve Perinatal Outcomes                                                                                                                7
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THURSDAY, MARCH 1, 2018

                                     A4                                           A4iii | 30 MINUTE STANDARD LEC TURE | New Research

                                                                                  Shaping Health Equity Practice: A Review of
A4i | 30 MINUTE STANDARD LEC TURE | New Research                                  Key Perinatal Documents in British Columbia
Newborn Sepsis: Who Needs Treatment?                                              (2002-2017)
Pascal Lavoie, MDCM, PhD, FRCPC, Neonatologist, Division of Neonatology,          Megan Black, MPH, Epidemiologist, Aboriginal Health Program, Interior
BC Women’s & Children’s Hospitals, Vancouver, BC                                  Health Authority, Kelowna, BC
Infections in newborns can progress fast and are difficult to diagnose.           A review of key documents shaping perinatal public health practice the last
Doctors depend on clinical experience and blood tests to determine when           15 years was conducted to explore how they influence the prioritizing (or
to treat, but these tests are imperfect. This presentation is about the latest    not) of health equity. Recommendations for creating a supportive context
research on new technologies to assist healthcare workers in accurately           for health equity promotion within perinatal public health programs and
identifying which babies require treatments.                                      services in BC are offered.
Learning Objectives:                                                              Learning Objectives:
   • Review the epidemiology of neonatal death from infections locally in            • Appraise the documents that are informing perinatal public health
      BC, but also globally                                                            practice in BC
   • Identify clinical signs that most reliably indicate infection of bacterial      • Describe the influence of these documents on health equity work in
      causes that require immediate antibiotic treatment                               perinatal public health services in BC over the last 15 years
   • Describe new technologies that can help with diagnosis                          • Identify opportunities for prioritizing health equity in perinatal public
                                                                                       health practice

A4ii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement                                       12:00 P M - 1:00 P M
                                                                                                                    LU N C H
Sudden Unexpected Postnatal Collapse
Lani Wittmann, RN, MSN, IBCLC, PNC(c), Senior Practice Leader, Perinatal, BC                                    1:00 P M - 1:30 P M
Women’s Hospital, Vancouver, BC                                                              P O S T E R S E S S I O N - P R E S E N T E R S AVA I L A B L E
Kaylee Larocque, MSc, BHK, Nursing Student, School of Nursing, University
of British Columbia, Vancouver, BC                                                                        1:30 PM - 3:00 PM
Samantha Buchanan, BSc, Nursing Student, School of Nursing, University of
British Columbia, Vancouver, BC                                                                                         B1
Kate McKinnon, BSc, Nursing Student, School of Nursing, University of British
Columbia, Vancouver, BC                                                           B1i | 30 MINUTE STANDARD LEC TURE | New Research
Jessica Peattie, BSc, Nursing Student, School of Nursing, University of British
Columbia, Vancouver, BC                                                           Immigrant Women and Reproductive Mental
Sudden Unexpected Postnatal Collapse is a rare but catastrophic event.            Health Care Access: An Environmental Scan
Some countries have noted an increase in its occurrence associated with the
                                                                                  Joyce O’Mahony, RN, PhD, Assistant Professor, School of Nursing, Thompson
promotion of skin-to-skin contact and breastfeeding. We will present data
                                                                                  Rivers University, Kamloops, BC
and recommendations for the appropriate monitoring and surveillance of
mothers and newborns during the first hours after birth.                          Nancy Clark, RN, PhD, Assistant Professor, School of Nursing, University of
                                                                                  Victoria, Victoria, BC
Learning Objectives:
  • Define Sudden Unexpected Postnatal Collapse                                   Joanne Smrek, RN, BScN, Regional Knowledge Coordinator, Population
                                                                                  Health, Maternal Child Health Interior Health Authority, Penticton, BC
  • Identify risk factors for Sudden Unexpected Postnatal Collapse
                                                                                  An environmental scan was conducted to increase understanding of
  • Discuss current recommendations for providing safe skin-to-skin care
                                                                                  immigrant women’s reproductive mental healthcare services within the
     while at the same time ensuring the appropriate degree of surveillance
                                                                                  Interior Health communities of British Columbia. Based on the study’s
     for the prevention of Sudden Unexpected Postnatal Collapse
                                                                                  findings, key recommendations and implications for policy and practice
                                                                                  are presented to assist with reproductive mental health care services for
                                                                                  immigrant women.
                                                                                  Learning Objectives:
                                                                                     • Recognize what barriers and facilitators may influence immigrant
                                                                                        women’s help seeking behavior for postpartum mental health
                                                                                     • Describe what factors can facilitate capacity building for immigrant
                                                                                        women’s postpartum care
                                                                                     • Plan strategies that will contribute to culturally appropriate healthcare
                                                                                        programs and policies that address reproductive care among immigrant
                                                                                        women

8                                                                                                                     Healthy Mothers and Healthy Babies
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
THURSDAY, MARCH 1, 2018

B1ii | 30 MINUTE STANDARD LEC TURE | New Research                                B2ii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

Interventions That Improve Maternity Care                                        Domperidone for Breastfeeding: What Does the
for Immigrant Women in England: A Narrative                                      Evidence Tell Us?
Synthesis Systematic Review                                                      Lorri Puil, MD, PhD, Editor, Cochrane Hypertension, Therapeutics Initiative
                                                                                 Drug Assessment Working Group, Department of Anesthesiology,
Gina Awoko Higginbottom, PhD, MA, Postgrad Dip (Ed), BA (Hons), RN, RM,
                                                                                 Pharmacology & Therapeutics, Faculty of Medicine, University of British
RHV, Mary Secole Professor, Ethnicity & Community Health, School of Health
                                                                                 Columbia, Vancouver, BC
Sciences, Faculty of Medicine, University of Nottingham, Birmingham, West
Midlands, UK                                                                     Domperidone is widely used “off-label” to stimulate milk supply and has been
                                                                                 subject to cardiac safety advisories. Our team conducted a systematic review
The session explores the experience of immigrant women in maternity care
                                                                                 of domperidone for breastfeeding. Based on randomized controlled trials,
services. A narrative synthesis approach to systematic review was used to
                                                                                 overall, benefits fail to outweigh harm. Limited observational data suggest
identify research studies both qualitative and quantitative. In addition to
                                                                                 potential cardiac harms extend to women of reproductive age.
findings we will share aspects of the methodology of narrative synthesis
systematic review, quality appraisal and synthesis.                              Learning Objectives:
Learning Objectives:                                                                • Describe the key evidence on benefits and harms of domperidone use
                                                                                      in new mothers and their infants
   • Orientate participants to the methodology of narrative synthesis review
                                                                                    • Consider patterns and drivers of postpartum domperidone use in BC
   • Sensitive participants to the experience of immigrant women in
     maternity services                                                             • Promote evidence-based shared decision-making when women
                                                                                      experience breastfeeding difficulties
   • Enable insights into international comparisons of the experience of
     immigrant women in maternity care services
                                                                                 B2iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
B1iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement         Baby-Friendly Re-Designation: Not All Sunny
MotherFirst: Maternal Mental Health Strategy                                     Ways and Sunny Days!
for Saskatchewan                                                                 Lani Wittmann, RN, MSN, IBCLC, PNC(c), Senior Practice Leader, Perinatal, BC
                                                                                 Women’s Hospital, Vancouver, BC
Angela Bowen, RN, PhD, Researcher, College of Nursing, University of
Saskatchewan, Saskatoon, SK                                                      Frances Jones, RN, MSN, IBCLC, Coordinator, BC Women’s Lactaion Service and
                                                                                 the BC Women’s Provincial Milk Bank, BC Women’s Hospital, Vancouver, BC
The MotherFirst Maternal Mental Health Strategy includes recommendations
to increase awareness, screening, and services in Saskatchewan.                  BC Women’s Hospital was originally BFI designated in 2008 and nationally is
The presentation will summarize the process of developing the                    one of only 6 hospitals to earn this award. Being the largest maternity facility
recommendations, the implementation to date, and future trends. We will          in Canada serving the province’s highest risk mothers and babies presented
discuss a national maternal mental health coalition and World Maternal           unique challenges. This presentation describes the strategies undertaken to
Mental Health Day.                                                               achieve re-designation in 2017.
Learning Objectives:                                                             Learning Objectives:
   • Cite the rationale for a maternal mental health strategy                       • Outline 3 key BFI issues that were particularly challenging
   • Contrast the differences in Saskatchewan approach and those used in            • Describe two approaches taken at BC Women’s to change habitual
     their own jurisdiction                                                           practices
   • Discuss a national approach to improve maternal mental health                  • Identify three successful outcomes that reflected BFI standards

                                    B2
B2i | 30 MINUTE STANDARD LEC TURE | Clinical Update

Pasteurized Donor Human Milk: When Do We
Use and When Do We Abuse?
Frances Jones, RN, MSN, IBCLC, Coordinator, BC Women’s Lactaion Service and
the BC Women’s Provincial Milk Bank, BC Women’s Hospital, Vancouver, BC
The BC Women’s Provincial Milk Bank has a unique model of cost sharing
with all the provincial health authorities in order to provide ized donor milk
at no charge. This session discusses what is happening in BC with a focus on
what criteria should be used for ethical distribution.
Learning Objectives:
   • Increase awareness of availability of donor milk in BC
   • Outline why donor milk is “second best”
   • Describe what actions must take place before giving a baby PDHM

    Working Together to Improve Perinatal Outcomes                                                                                                             9
www.interprofessional.ubc.cainitiatives/hmhb2018 - March 1 - 2, 2018 - Perinatal Services BC's 3rd Biennial Conference - Perinatal ...
THURSDAY, MARCH 1, 2018

                                    B3                                                                                  B4
B3i | 45 MINUTE STANDARD LEC TURE | Clinical Update                                B4i | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

Informed Decision Making for Next Birth after                                      Legalization of Cannabis: Implications for
Caesarean Section                                                                  Maternal and Infant Health in BC and Emerging
Sarah Kaufman, Clinical Nurse Specialist, Perinatal Maternal Infant Child          Best Practice for Response
Youth Program, Langley Memorial Hospital, Fraser Health Authority, Langley BC
                                                                                   Sabrina Luke, PhD, Epidemiologist, Perinatal Services BC, Vancouver, BC
Stephanie Bouris, Policy Analyst, Women’s and Maternal Health, Division of
                                                                                   Nancy Poole, BA, DipCS, MA, PhD, Director, Centre of Excellence for Women’s
Population and Public Health, BC Ministry of Health, Victoria, BC
                                                                                   Health; Prevention Lead, CanFASD Research Network, Vancouver, BC
A panel discussion of barriers to informed decision making, patient
                                                                                   Data from BC’s Perinatal Data Registry will be introduced as a source for
experiences and resources developed for women to make informed
                                                                                   understanding the impact of cannabis use on maternal and child health. The
decisions for their next birth after a Caesarean section..
                                                                                   association between cannabis use in pregnancy and perinatal outcomes
Learning Objectives:                                                               will be presented and policy and best practices for prevention and harm
  • Describe the VBAC experience from multiple perspectives (patient,              reduction will be discussed.
     nurse educator/administrator and policy maker)                                Learning Objectives:
  • Identify barriers for patient decision making for next birth after C-section     • Educate stakeholders, partners, providers and the public about the
  • Share patient resources designed to overcome barriers and support                    trends and risks associated with cannabis use in pregnancy among
     informed choice                                                                     women in BC
                                                                                     • Highlight best practices for prevention and harm reduction, trauma-
B3ii | 45 MINUTE STANDARD LEC TURE | New Research                                        informed interventions and potential implications for providers and
                                                                                         pregnant women in BC
Forceps, Vacuum, or Cesarean? Evaluating                                             • Review recent research on the mechanisms of action of cannabis on
Mode of Delivery Options Following an Arrest                                             fetal development and pregnancy outcomes.

in Labour
                                                                                   B4ii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
Giulia Muraca, MPH, PhD Candidate, Vanier Canada Graduate Scholar,
School of Population and Public Health, Department of Obstetrics and               Are We Over-Treating Infants with Neonatal
Gynaecology, University of British Columbia, Vancouver, BC
                                                                                   Abstinence Syndrome?
The increased use of operative vaginal delivery (forceps- and vacuum-assisted
delivery) has been recommended as a strategy to reduce the rate of cesarean        Lenora Marcellus, RN, BSN, MN, PhD, Associate Professor, School of Nursing,
delivery; however, the relative safety of these interventions is unclear. This     University of Victoria, Victoria, BC
session will include information on absolute and relative estimates of perinatal   Overdiagnosis and overtreatment have gained attention as challenges for
and maternal outcomes in operative vaginal and cesarean deliveries in Canada       health systems. Neonatal Abstinence Syndrome (NAS) may be overdiagnosed
as well as population-level estimates of the associations between operative        with standardized assessment protocols and overtreated with current NICU-
vaginal delivery, obstetric trauma and birth trauma.                               based models of care. Clinical approaches have not significantly changed for
Learning Objectives:                                                               40 years and there is interest, spurred by the current opioid crisis, in revisiting
   • Define temporal trends in operative vaginal delivery, obstetric trauma        long-standing routine practices.
     and birth trauma in Canada                                                    Learning Objectives:
   • Quantify rates of severe perinatal and maternal morbidity and mortality         • Discuss the history of the development of current clinical practices
     associated with operative vaginal delivery compared with cesarean delivery         related to the care of infants with NAS
   • Characterize the individual-level and population-level associations             • Apply an ecological model to examine factors that influence current
     between operative vaginal delivery, obstetric trauma and birth trauma              clinical practices
                                                                                     • Discuss emerging models of evidence-informed care related to
                                                                                        supporting infants experiencing withdrawal, their mothers and families

10                                                                                                                    Healthy Mothers and Healthy Babies
THURSDAY, MARCH 1, 2018

B4iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

Clinical Management of Opioid Use Disorder in
Pregnant Women
Cheyenne Johnson, RN, MPH, CCRP, Director, Clinical Activities and
Development; Director, Addiction Nursing Fellowship, British Columbia Centre
on Substance Use, Vancouver, BC
This session will introduce and provide an overview to the newly released BC
Centre on Substance Use and Perinatal Services BC Guidelines Supplement
for the Clinical Management of Opioid Use Disorder in Pregnant Women.
Learning Objectives:
   • Introduce the BCCSU Guideline Supplement for the Clinical
      Management of Opioid Use Disorder in Pregnant Women
   • Provide an overview of care principles and treatment options for opioid
      use disorder during pregnancy
   • Promote care that is centered on enhancing social determinants of health in
      order to improve long-term health outcomes for the women with opioid use
      disorder and substance exposed newborn
   • Highlight the importance of incorporating trauma-informed care while
      treating pregnant women with substance use disorders
   • Recognize the importance of rooming in and encouraging skin to skin
      contact, breast feeding, and other non-pharmacological strategies to
      mitigate symptoms of withdrawal in the substance-exposed newborn
   • Discuss barriers and enablers that will influence implementation of this
      model of care for pregnant women with opioid use disorder and opioid-
      exposed newborn

                           3:00 P M - 3 : 3 0 P M
           B R EAK : E X HIBIT S O PE N & PO ST ER V I E W IN G

                                      3 : 3 0 P M - 4 :3 0 P M

                                                   Plenary
Mental Health Across the Perinatal Period
                                  Cindy- Lee Dennis, PhD, Professor, Nursing and Medicine,
                                  Department of Psychiatry; Canada Research Chair, Perinatal
                                  Community Health; Women’s Health Research Chair, Li Ka
                                  Shing Knowledge Institute, St. Michael’s Hospital, University
                                  of Toronto, Toronto, ON

This session will examine perinatal mental health problems including
depression, anxiety and co-morbidity. Prevalence, risk factors, and clinical
implications will be explored with a focus on prevention, collaborative care,
and migrant women. The importance of preconception health and the role
of technology will also be outlined.
Learning Objectives:
   • Increase understanding of prevention and treatment strategies to
      address perinatal mental health problems
   • Become aware of current research initiatives to improve the
      management of perinatal mental health problems

                                       4:45 PM - 7 : 0 0 PM
                                  NE T W O R K I N G R E C EP T I ON
T H E N E T W O R K I N G R E C E P T I O N W I L L B E H E L D I N T H E F O Y E R AT T H E S H E R ATO N VA N C O U V E R A I R P O R T
                                           7 55 1 W E S T M I N S T E R H W Y, R I C H M O N D, B C
FRIDAY, MARCH 2, 2018

         F R I D AY, M A R C H 2                                                                          9:30 AM - 10: 30 AM

                                                                                                                   Plenary
                           7:00 A M - 8 : 0 0 A M
                              B R E A K FA ST
                                                                                      Vaginal Seeding and Placentophagy:
                        8: 0 0 - 8 : 3 0 A M
             OP E NING RE M A R K S & D O OR P R I Z ES
                                                                                      Understanding the Controversy
                                                                                                         Chelsea Elwood, BMScH, MSc, MD, FRCSC, Clinical Fellow,
                       8 : 3 0 AM - 9 :3 0 A M                                                           Reproductive Infectious Disease, Department of Obstetrics &
                                                                                                         Gynaecology, University of British Columbia, Vancouver, BC

       BC Success Stories Panel
Shaping Practice to Promote Vaginal Birth in BC
Patricia Janssen, RN, PhD, Professor and Lead, Optimal Birth BC, School of
Population and Public Health, University of British Columbia, Vancouver, BC           The idea of the infant microbiome being colonized by the maternal
                                                                                      microbiome during birth has recently come to the forefront. However the
Glen Hamill, Family Practice Physician, Fort St. John Medical Clinic,                 long term evolution of the infant microbiome and role of mode of delivery
Fort St. John, BC                                                                     on it ‘seeding’ remains unclear. Placental consumption is a controversial
Erin O’Sullivan, RN, BScN, MPH, Regional Perinatal Program Development                practice with little evidence and described harm. We will review the
and Evaluation Lead, Island Health Authority, Victoria, BC                            literature for both of these practices and current recommendations.
Erica Phelps, MD, Department Head, Langley Memorial Hospital, Langley, BC             Learning Objectives:
Jacobus Strydom, MbChB, MFamMed, MCFP, Family Practice Physician, Park                  • Review the current literature on the role of the vaginal microbiome in
Avenue Medical Centre, Northern Health Authority, Terrace, BC                             predicting the fetal microbiome in pregnancy
Brenda Wagner, MD, FRCSC, MHSc, Senior Medical Director, Richmond                       • Review the potential harm of the practice of vaginal seeding
Hospital, Vancouver Health Authority, Richmond, BC                                      • Review the new ACOG recommendations regarding the practice of
This session brings together clinical leaders who have demonstrated their                 vaginal seeding
ability to increase or maintain high rates of vaginal birth in their organization       • Review the research, potential risk and benefits of placentophagy
compared to other hospitals of similar size and acuity. The-y will share their
knowledge of clinical practices and policies that have made this possible and                            10:30 AM - 11:00 AM
arrive at a common understanding of promising practices that have potential                 BRE AK: E X H IBITS O P E N & P O S TER SESSION
to increase rates of vaginal birth in other BC hospitals.
Learning Objectives:                                                                                      11:00 AM – 12:30 PM
   • Hear from representatives of BC Hospitals that have had the highest vaginal
      birth rate, what they believe to be their successful practice strategies
   • Prioritize these strategies for dissemination throughout BC Health Authorities
                                                                                                                         C1
   • Plan initiatives to incorporate these strategies into clinical pathways,
      policy change and research objectives                                           C1i | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

                                                                                      Healthy & Home: A Program for New Mothers
                                                                                      Tonia N. Olson, MN, IBCLC, Clinical Coordinator, Healthy & Home, West
                                                                                      Winds Primary Health Centre, Saskatoon Health Region, Saskatoon, SK
                                                                                      Julie Smith-Fehr, RN, BScN, MN, Maternal Services Manager; Nursing
                                                                                      Manager, Healthy & Home, West Winds Primary Health Centre, Saskatoon
                                                                                      Health Region, Saskatoon, SK
                                                                                      We describe a postpartum community nursing support program, Healthy &
                                                                                      Home, begun 25 years to bridge the gap between acute hospital care and
                                                                                      community including home visitation, clinic care, a Breastfeeding Centre and
                                                                                      Café, a Postpartum Anxiety & Depression Support Group and involvement in
                                                                                      a Baby-Friendly Coalition.
                                                                                      Learning Objectives:
                                                                                         • Describe an early discharge maternity program
                                                                                         • Assess the evaluation methods and findings
                                                                                         • Discuss recommendations for forming similar programs

12                                                                                                                     Healthy Mothers and Healthy Babies
FRIDAY, MARCH 2, 2018

C1ii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement          The purpose of this presentation is to continue sharing our learning about
                                                                                 implementing the Mother’s Story Approach; Public Health Nursing practice
Smoothing the Transition from Hospital to                                        focused on perinatal women. This year’s lecture will focus on implementation
Home - Innovative Strategies to Prepare for                                      structure and support that enables the leadership perseverance required to
                                                                                 shift a practice paradigm.
Parenting… Before Baby’s Arrival                                                 Learning Objectives:
Christina Cantin, RN, MScN, PNC(C), Perinatal Consultant, Champlain                 • Provide an implementation status summary as follow up from 2016
Maternal Newborn Regional Program, Ottawa, ON                                       • Describe the learning gleaned from implementation and current
The length of postnatal hospital stay continues to decrease across Ontario.            practice evaluation
This has created a challenge for health care providers to ensure that families      • Highlight the significance of the continued partnership with the Nuu
have the necessary knowledge to safely care for themselves and their babies,           Chan Nulth Nursing Program
and to ensure that there are no gaps in service in the early postnatal period.
                                                                                    • Outline evaluation and next steps.
The process of co-designing a postnatal planning tool for expectant parents
will be described and the results of a pilot study will be discussed.
Learning Objectives:                                                             C2ii | 30 MINUTE STANDARD LEC TURE | New Research
  • Describe a regional initiative intended to capture the current state of      Walking Together: A Participatory Action
      postnatal hospital discharge
  • Describe the development of a ‘Postnatal Planning’ tool to enhance           Research Approach to Developing Physical
      transition to parenthood and the importance of collaborating with new      Activity Programming for Aboriginal Women in
      and expectant parents in the development of tools for their use
  • Discuss the importance of collaboration between hospital and
                                                                                 the Downtown Eastside
      community perinatal care providers and new and expectant parents to        Jessica Webb, BA, Aboriginal Infant Development Consultant, YWCA
      optimize transition to home following birth                                Crabtree Corner, Vancouver, BC
                                                                                 Francine Darroch, PhD, Post-doctoral Research Fellow, Critical Research
C1iii | 3 0 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement       in Health and Healthcare Inequities, School of Nursing, University of British
                                                                                 Columbia, Vancouver, BC
Can the “ABC’s for New Parents” Book,                                            Robyn Fabiosa, BA, Aboriginal Infant Development Consultant, YWCA
Developed through an Interprofessional                                           Crabtree Corner, Vancouver, BC
                                                                                 This presentation will focus on the development of a weekly walking
Collaboration, Change the Health Outcomes for                                    program from the perspective of the Aboriginal Infant Development
Children, Families and Society?                                                  Program at Crabtree; an inclusive walking program was designed to address
Estelle Paget, BA(Hon), MA LPL (France), Founder, Executive Director,            the specific needs of women on the DTES with a focus on social inclusion.
KIDCARECANADA Society, Victoria, BC                                              Learning Objectives:
Andrew Macnab, MD, FRCPC, Professor, Division of Critical Care,                    • Gain insight in the role participatory action research played in the
Department of Pediatrics, University of British Columbia, Vancouver, BC               development of an accessible walking program
Can the “ABC’s for New Parents” book inform about social and emotional             • Identify barriers faced by women in the DTES when accessing physical
development and inspire new parents to apply the practical tips included in           activity programming
the book? What will be the outcome for the child, the family and society if        • Recognize the importance support and social inclusion has in
more infants are nurtured from the start of life?                                     overcoming fears around physical activity
Learning Objectives:
  • Use the ABCs book and discuss its relevance to their specific contexts       C2iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
  • Learn and discuss the findings from the pilot studies                        MOREOB in BC: Improving Outcomes During
  • Discuss when this resource would be most valuable to new parents
                                                                                 Large Scale Change
                                     C2                                          Facilitator: James Ruiter, MD, Vice President, Medical Director, Salus Global
                                                                                 Corporation, London, ON
                                                                                 Presenters: TBD
C2i | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement           Learn about the impact that MOREOB has had during large scale change
Shifting the Public Health Nursing Care                                          in two health authorities in BC. Stories of how MOREOB has impacted
                                                                                 patient safety and built relationships outside of the obstetric unit during
Paradigm in Island Health: The Mother’s Story                                    the opening of a new hospital and how it helped to sustain a program amid
Erin O’Sullivan, RN, BScN, MPH, Perinatal Program Development and Evaluation     negative public media will be shared.
Lead, Child, Youth and Family – Public Health, Island Health, Victoria, BC       Learning Objectives:
Liz McKay, RN, BSN, MN, Co-lead, Mother’s Story Implementation, Island Health,      • Understand the impact of front line ownership in system change
Victoria, BC                                                                        • Analyze the elements critical in building engagement in team members
Jan Tatlock, BSN, MCHS Director, Public Health, Island Health, Victoria, BC         • Apply human centric quality improvement to local context

     Working Together to Improve Perinatal Outcomes                                                                                                         13
FRIDAY, MARCH 2, 2018

                                    C3                                                                                C4
C3i | 45 MINUTE STANDARD LEC TURE | New Research                                  C4i | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

Rolling into Parenthood: Key Physical, Mental                                     HerWay Home: Lessons Learned and Promising
Health and Breastfeeding Considerations When                                      Practices for Supporting Perinatal Substance
Working with Pregnant and New Parents with                                        Using Women in Community
Physical Disabilities                                                             Amanda Seymour, Coordinator, HerWay Home, Island Health, Victoria, BC
Karen Hodge, MSW, RCSW, Registered Clinical Social Worker, Adaptability           HerWay Home (HWH) offers a multi-service drop-in and outreach program
Counselling and Consultation, Vancouver, BC                                       for pregnant women and new mothers affected by substance use. This
Melanie Basso, RN, MSN, PNC(C), Senior Practice Leader, Perinatal, BC Women’s     presentation will share highlights of HerWay Home’s outcomes, and
Hospital and Health Centre, Vancouver, BC                                         will facilitate reflection about emerging practice issues and promising
                                                                                  approaches to working with this population.
Amanda Lee, MSc Student, Experimental Medicine, Faculty of Medicine,
University of British Columbia, Vancouver, BC                                     Learning Objectives:
                                                                                     • Share HerWay Home evaluation highlights
Through personal stories, videos and evidence from the literature, Karen,
Melanie and Amanda will highlight the unique physical, mental health                 • Facilitate reflection about emerging practice issues
and breastfeeding considerations for parents with physical disabilities. This        • Identify promising approaches working in community with women
includes discussion of helpful screening tools, evidence-based interventions            who are pregnant/parenting and have substance use issues
and key community resources to support parents with physical disabilities
and their children.                                                               C4ii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement
Learning Objectives:
   • Cite current evidence to help dispel myths and misconceptions about          Mobile Maternity (MoM): A New Kind of Telehealth
     pregnancy and parenting with a disability                                    Mona Mattei, BA, PgD, CPHIMS-CA, Project Manager, Mobile Maternity,
   • Identify key needs regarding parent and infant mental health and             Grand Forks, BC
     adaptations to the physical environment across care continuums               Jude Kornelsen, PhD, Associate Professor, Department of Family Practice;
     (prenatal, antepartum, postpartum - home, hospital, community) when          Co-Director, Centre for Rural Health Research; Director, Applied Policy
     supporting parents with physical disabilities and their young children       Research Unit, University of British Columbia, Vancouver, BC
     and summarize new research findings related to lactation and women
                                                                                  Shiraz Moola, OB/GYN, Maternity Department Head, Kooteany Lake
     with spinal cord injuries and the clinical implications
                                                                                  Hospital, Nelson, BC
   • Examine screening tools, evidence based interventions and key
                                                                                  Mobile Maternity offers real-time obstetrical consults for elective and emergent
     community resources to support parents with physical disabilities,
                                                                                  conditions through secure mobile devices, and support for precipitous
     their children, and their health care team throughout preconception,
                                                                                  deliveries in remote sites. Learn from the team’s experiences providing clinical
     pregnancy and early parenthood
                                                                                  care, managing change in clinical settings, and the importance of sustaining
                                                                                  isolated rural practices within the context of other systems.
C3ii | 45 MINUTE STANDARD LEC TURE | New Research                                 Learning Objectives:
                                                                                     • Practical details on setting up a mobile telehealth program with scale and
Benefits of Kangaroo Care: Patient and Provider                                         spread experiences
Perspectives                                                                         • Clinical experience from patient, OB/GYN and primary care provider
Michelle Peltier, Birth and Postpartum Doula, Monarch Mothering Doula                   perspectives
Services, Vancouver, BC                                                              • Research data on results to date
Horatio Osiovich, MD, FRCPC, Division Head, Neonatology, BC Women’s
Hospital & Health Centre, Vancouver, BC                                           C4iii | 30 MINUTE STANDARD LEC TURE | New Research
Kangaroo Care (KC) improves physical and mental health for for preterm
infants and parents. During 2018, the Provincial Health Services Authority will   Evaluating the Impact of Enhancing Prenatal
be working with health care providers, administrators and parents across the      Healthcare Services: The BC Experience with
province to strengthen KC practice. This session will provide a patient and a
provider perspective on the benefits of KC.
                                                                                  Publicly-funded Non-invasive Prenatal Testing
Learning Objectives:                                                              Sylvie Langlois, MD, FRCPC, FCCMG, Medical Director, BC Prenatal Genetic
                                                                                  Screening Program, BC Women’s Hospital; Professor of Medical Genetics,
   • Understand how KC promotes parent and patient-centered care
                                                                                  Faculty of Medicine, University of British Columbia, Vancouver, BC
   • Increase knowledge and awareness of the benefits of skin-to-skin and
     kangaroo care for premature/low-birth weight babies                          Krystal van den Heuvel, Maternal-Fetal Medicine Fellow, BC Women’s
                                                                                  Hospital, University of British Columbia, Vancouver, BC
   • Identify strategies to overcome barriers to intermittent and continuous
     KC in their setting                                                          Scally Chu, Health Data Analyst, Perinatal Services BC, Vancouver, BC

14                                                                                                                  Healthy Mothers and Healthy Babies
FRIDAY, MARCH 2, 2018

Non-invasive prenatal testing (NIPT) is a relatively new, non-invasive screening   D1ii | 30 MINUTE STANDARD LEC TURE | New Research
test for common chromosomal abnormalities based on fetal DNA in maternal
blood. In October 2015, the BC Ministry of Health approved funding for NIPT for    Reduced Prevalence of Small-for-Gestational-
high-risk women as part of the province’s Prenatal Genetic Screening Program.      Age Birth For Vulnerable Women: A Study of
This panel will present the Program’s work to introduce, monitor, and evaluate
the impact of publicly-funded NIPT on rates of prenatal genetic screening and      Midwifery versus Physician-Led Care
use of invasive diagnostic testing in the province.                                Daphne McRae, PhD Postdoctoral Fellow, School of Population and Public
Learning Objectives:                                                               Health, University of British Columbia, Vancouver, BC
   • Describe the context of prenatal genetic screening and diagnostic             This presentation will highlight results from a BC, population level,
      testing in British Columbia                                                  retrospective cohort study (n=57,872) examining the association between
   • Explain how the introduction of publicly-funded NIPT has affected use         antenatal midwifery care and odds of small-for-gestational-age or preterm
      of invasive diagnostic testing such as amniocentesis in British Columbia     birth, compared to general practitioner or obstetrician-led care for women of
   • Describe the extent to which the introduction of publicly-funded NIPT         low socioeconomic position with low to moderate medical/obstetric risk.
      has impacted uptake of prenatal genetic screening in rural areas of BC       Learning Objectives:
   • Discuss how the outcome monitoring and impact evaluation conducted               • State the statistical association between antenatal models of care and
      as part of the NIPT-enhancement to prenatal genetic screening serves as a         small-for-gestational-age birth and preterm birth for B.C. women of low
      model for enhancement of other healthcare services                                socioeconomic position
                                                                                      • Identify maternal behaviours and conditions which modify the associations
                         12:3 0 P M - 1 : 3 0 P M                                     • Name three possible mechanisms responsible for improving infant birth
      LUN C H: E X HIBIT S OP EN & P OS T E R V I EW I N G                              outcomes for midwifery patients
                           1:30 - 3:00 PM
                                                                                   D1iii | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement

                                    D1                                             Barriers to Addressing Perinatal Mental Health
                                                                                   Issues in Midwifery Settings
D1i | 30 MINUTE STANDARD LEC TURE | Best Practice/ Quality Improvement             Hamideh Bayrampour, MSc, PhD, Assistant Professor, Midwifery Program,
                                                                                   Department of Family Practice, Faculty of Medicine, University of British
Place of Birth: Examining Interprofessional                                        Columbia, Vancouver, BC
Conflict vs Effective Collaboration Controversy                                    This presentation starts with a description of practice pattern of various
among Maternity Providers                                                          maternity care providers, particularly midwives, around perinatal mental
                                                                                   health issues. Then, findings of our recent review on perceived barriers to
Saraswathi Vedam, RM FACNM MSN Sci D(hc), Associate Professor, and                 the screening, referral, and management of perinatal mental health issues in
MSFHR Health Professional Investigator, Midwifery Program, Department              midwifery settings will be presented.
of Family Practice, Faculty of Medicine, University of British Columbia,
Vancouver, BC                                                                      Learning Objectives:
                                                                                     • Recognize the provider-level and system-level barriers to screening,
Dialogue and Shared Decisions is an online, flexible course on person-
                                                                                        referral and management of perinatal mental health issues
centered maternity care which teaches, through case-based modules, key
interprofessional competencies that support effective communication,                 • Identify that the process of screening and management may be
conflict transformation, and collaborative leadership.                                  overwhelming for some providers
Learning Objectives:                                                                 • Distinguish central elements for successful integration of perinatal
                                                                                        mental health care into midwifery practice
   • Demonstrate principles and process of shared decision making across
     health professionals and with patients to achieve patient/family and
     community goals                                                                                                  D2
   • Enable service users to design and implement their own care plans
   • Describe the respective roles of relevant health professions within the       D2i | 45 MINUTE PANEL SESSION | Best Practice/ Quality Improvement
     broader healthcare system
   • Demonstrate communication with other health professionals                     Engaging with the Truth and Reconciliation
     and patients/clients in a collaborative, respectful, responsive, and
     responsible manner
                                                                                   Commission Call to Action #33: Dialogue on
                                                                                   FASD Prevention
                                                                                   Lenora Marcellus, RN, BSN, MN, PhD, Associate Professor, School of Nursing,
                                                                                   University of Victoria, Victoria, BC
                                                                                   Nancy Poole, BA, DipCS, MA, PhD, Director, Centre of Excellence for Women’s
                                                                                   Health; Prevention Lead, CanFASD Research Network, Vancouver, BC
                                                                                   Hanna Scrivens, BA, BSW, MSW, Project Manager, Maternal, Child & Family
                                                                                   Health, Regional Teams - Vancouver Island, First Nations Health Authority,
                                                                                   Nanaimo, BC

    Working Together to Improve Perinatal Outcomes                                                                                                           15
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