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

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July 18-19, 2005
Hyatt Regency, Bethesda, Maryland


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

  1. Gastrointestinal Maturation and Feeding
    Speaker: Joseph Neu      25 min
  2. 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.

  1. Risk Factors for Neonatal Morbidity and Mortality among Near-term Newborns
    Speakers: Carrie Shapiro-Mendoza & Kay Tomashek:      25 min
  2. Near-Term Infants in the Neonatal Intensive Care Unit (NICU)
    Speaker: Reese Clark      25 min
  3. 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.

  1. Neonatal and Post-Neonatal Apnea: Collaborative Home Infant Monitoring Evaluation (CHIME) Data
    Speaker: Carl Hunt      25 min
  2. NEC, Gastroesophageal Reflux, and Feeding Issues
    Speaker: Joseph Neu      25 min
  3. 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

Last Reviewed: 11/30/2012
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