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Workshop: Optimizing Care and Long-term Outcome of Near-term Pregnancy and Near-term Newborn Infant

July 18-19, 2005

Hyatt Regency, Bethesda, Maryland

AGENDA


 

July 18, 2005

AM Registration: 7:45 AM-8:00 AM

Welcome, Introduction, Conference Objectives: 8:00 AM-8:15 AM
Drs. James Hanson, Catherine Spong, and Tonse Raju

Conference Co-moderators: Kenneth Leveno, M.D., and Ann Stark, M.D.
 
Session 1: Definition and Epidemiology: 8:15 AM-10:00 AM
Moderator: Ann Stark, M.D.
  
 1. Definition of “Term, Near-term, and Preterm” and Assessment of Gestational Age
  Speaker: William Engle      25 min
  
 2. Race/Ethnicity-Specific Gestational Age Distribution: National Center for Health Statistics (NCHS) Data
  Speaker: Michael Davidoff      25 min
 
 3. Epidemiology of Preterm Birth: Obstetric Perspective
  Speaker: Kenneth Leveno      25 min
 
Discussion: 9:30 AM-9:45 AM
 
Coffee Break: 9:45 AM-10:00 AM
 
Session 2: Biological Basis for Morbidity and Mortality at Near-term Gestations:
10:00 AM-12:30 PM
Moderator: Alan Jobe, M.D.
 
1. Physiology of Lung Fluid Clearance and Effects of Labor
 Speaker: Lucky Jain      25 min
 
2. Control of Breathing
 Speaker: Carl Hunt      25 min
  
3. Brain White-Matter Maturation
 Speaker: Hannah Kinney      25 min
 
Discussion: 11:15 AM-11:30 AM
 
4. Gastrointestinal Maturation and Feeding
 Speaker: Joseph Neu      25 min
  
5. Developmental Immunology at Late Preterm Gestations
 Speaker: Wade Clapp      25 min
  
Discussion: 12:20 PM-12:30 PM
 
Lunch (on your own): 12:30 PM-1:30 PM
 
Session 3: Clinical Obstetrical Issues: 1:30 PM-3:30 PM
Moderator: Kenneth Leveno, M.D.
 
1. Preterm Labor and Premature Rupture of Membranes (PROM): To Deliver or Not to Deliver
 Speaker: John Hauth      25 min
 
2. Preeclampsia and Preterm Labor
 Speaker: Baha Sibai      25 min
 
3. Multiple Gestations and Effect of Assistive Reproduction Technology (ART) on Near-term Deliveries
 Speaker: Mary D’Alton      25 min
 
4. Prevention of Stillbirth: Impact on Near-term Deliveries
 Speaker: Gary Hankins      25 min
 
Discussion: 3:10 PM-3:30 PM
 
Coffee Break: 3:30 PM-3:45 PM
  
 Session 4-A: Clinical Neonatology Issues: 3:45 PM-4:50 PM
 Moderator: Rose Higgins, M.D.
  
1. Delivery Room and Transitional Care Issue
 Speaker: Abbott Laptook      25 min
 
2. Jaundice, Blood-Brain Barrier, and Kernicterus Registry
 Speaker: Vinod Bhutani      25 min
 
Discussion: 4:35 PM-4:50 PM
 
Adjourn: 4:50 PM
 
 

 

July 19, 2005

  
Session 4-A (Continued): Neonatal Issues: 8:00 AM-9:40 AM
Moderator: Rose Higgins, M.D.
 
3. Risk Factors for Neonatal Morbidity and Mortality among Near-term Newborns
 Speakers: Carrie Shapiro-Mendoza & Kay Tomashek:      25 min
 
4. Near-Term Infants in the Neonatal Intensive Care Unit (NICU)
 Speaker: Reese Clark      25 min
 
5. Respiratory Problems in Near-Term Infants: Is it TTN, RDS, Pneumonia, or Persistent Pulmonary Hypertension of the Newborn (PPHN)?
 Speaker: Gabriel Escobar      25 min
 
Discussion: 9:15 AM-9:30 AM
 
Session 4-B: Neonatal Issues: 9:30 AM-10:55 AM
Moderator: Tonse Raju, M.D.
 
6. Neonatal and Post-Neonatal Apnea: Collaborative Home Infant Monitoring Evaluation (CHIME) Data
 Speaker: Carl Hunt      25 min
 
7. NEC, Gastroesophageal Reflux, and Feeding Issues
 Speaker: Joseph Neu      25 min
 
8. Drug Disposition
 Speaker: Robert Ward      25 min
 
Discussion: 9:45 AM-9:55 AM
 
Coffee Break: 10:55 AM-11:05 AM
 
Session 5: Public Health and Policy Issues: 11:05 AM-12:30 PM
Moderator: Lillian Blackmon, M.D.
 
1. Place of Birth and Regionalization
 Speaker: Marie C McCormick      25 min
 
2. Re-hospitalization
 Speaker: Gabriel Escobar      25 min
 
3. Follow-up Care for Near-term Infants and Their Mothers
 Speaker: Reese Clark      25 min
 
Discussion: 12:20 PM-12:30 PM
 
Lunch (on your own): 12:30 PM-1:30 PM
 
Session 6: Summary and Conclusions: 1:30 PM–3:00 PM
Drs. Higgins, Leveno, Raju, and Stark
 
1. Summary by Sessions Moderators: (~10 min presentation each, and Q&A)
 
  • Session 1 Summary: Definition and Epidemiology: Dr. Stark
  • Session 2 Summary: Biological Basis of Mortality and Morbidity: Dr. Jobe
  • Session 3 Summary: Clinical OB Issues: Dr. Leveno
  • Session 4 Summary: Clinical Neonatology Issues: Drs. Higgins and Raju
  • Session 5 Summary: Public Health and Policy Issues: Dr. Blackmon
2. Additional Issues and Conclusions:
 
  1. Research priorities
  2. Publication plans
  3. Time line
  4. Other action items
Adjourn: ~2:45 PM
  
  



Workshop Speakers and Participants
(Alphabetically by Last Name)

Duane Alexander, M.D., National Institute of Child Health and Human Development (NICHD), Bethesda, Maryland; Rachel Avchen, M.D., Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Susan Bakewell-Sachs, Ph.D., R.N., The College of New Jersey School of Nursing, Ewing, New Jersey; Vinod Bhutani, M.D., Stanford University School of Medicine, Stanford, California; Lillian Blackmon, M.D., University of Maryland School of Medicine, Baltimore, Maryland; Robin Bissinger, M.S.N., R.N.C., N.N.P., National Association of Neonatal Nurse Practitioners, Goose Creek, South Carolina; Zacharia Cherian, M.D., Washington Hospital Center, Washington, DC; Wade D. Clapp, M.D., Cancer Research Institute, Indianapolis, Indiana; Resse H. Clark, M.D., Pediatrix Medical Group, Inc., Sunrise, Florida; Mary D’Alton, M.D., Columbia Presbyterian Medical Center, New York, New York; Karla Damus, R.N., MSPH, Ph.D., Albert Einstein College of Medicine and National March of Dimes (MOD), White Plains, New York; Michael Davidoff, M.P.H., MOD, White Plains, New York; William Allan Engle, M.D., Indianapolis, Indiana; Gabriel Escobar, Oakland, California; Nancy Green, M.D., MOD, White Plains, New York; Gary Hankins, M.D., University of Texas Medical Branch, Galveston, Texas; James Hanson, M.D., NICHD, Bethesda, Maryland; John Hauth, M.D., University of Alabama at Birmingham, Birmingham, Alabama; Rosemary D. Higgins, M.D., NICHD, Bethesda, Maryland; Carl E. Hunt, M.D., National Center for Sleep Disorders Research, National Heart, Lung and Blood Institute, Bethesda, Maryland; John Ilekis, Ph.D., NICHD, Bethesda, Maryland; Lucky Jain, M.D., Emory University School of Medicine, Atlanta, Georgia; Alan H. Jobe, M.D., Ph.D., Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Hannah C. Kinney, M.D., Harvard Medical School, Boston, Massachusetts; Abbot Laptook, M.D., Women and Infant’s Hospital, Brown University, Providence, Rhode Island; Kenneth Leveno, M.D., University of Texas Southwestern Medical Center at Dallas, Dallas, Texas; Scott Lorch, M.D., MSCE, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; Marie McCormick, Harvard University, Boston, Massachusetts; Barbara Medoff-Cooper, Ph.D, FAAN, University of Pennsylvania School of Nursing; Philadelphia, Pennsylvania; Menachem Miodovnik, M.D., Washington Hospital Center, Washington, DC; Joseph Neu, M.D., University of Florida, Gainesville, Florida; Susan Pagliaro, M.A., NICHD, Bethesda, Maryland; Joann R. Petrini, Ph.D., MOD, White Plains, New York; Tonse N. K. Raju, M.D., NICHD, Bethesda, Maryland; Uma Reddy, M.D., NICHD, Bethesda, Maryland; Eileen Santa, M.A., National Academies of Sciences, Institute of Medicine, Washington, DC; Anne Santa-Donato, R.N.C., M.S.C., Association of Women’s Health, Obstetric, and Neonatal Nurses, Washington, DC; Richard Schwartz, M.D., Maimonides Medical Center, Brooklyn, New York; Carrie K. Shapiro-Mendoza, Ph.D., M.P.H., CDC, Atlanta, Georgia; Baha M. Sibai, M.D., University of Cincinnati, Cincinnati, Ohio; Kathleen Rice Simpson, Ph.D., R.N.C., FAAN, St. Louis University School of Nursing, St. Louis, Missouri; Ann R. Stark, M.D., Baylor College of Medicine, Houston, Texas; Adrienne Stith-Butler, Ph.D., National Academies of Sciences, Institute of Medicine, Washington, DC; Catherine Spong, M.D., NICHD, Bethesda, Maryland; Kay Marie Tomashek, M.D., M.P.H., CDC, Atlanta, Georgia; Carol Wallman, M.S.N., R.N.C., NANN, Wellington, Colorado; Robert M. Ward, M.D., University of Utah, Salt Lake City, Utah; Marian Willinger, M.D., NICHD, Bethesda, Maryland; and Marshalyn Yeargin-Allsopp, M.D., CDC, Atlanta, Georgia