PIV

Power Hour Breakout

(G5) Vascular Access in Obstetrics: Is It Enough or Too Much?

Presenter(s)

• 

  Jay Beebe, PhD, APRN, PHN, CCRN, CRNA, VA-BC™, CRNI®, CPAN, CAPA

  Senior Nurse Anesthetist/Vascular Access Specialist
  University of California San Francisco

  Nothing to Disclose

Co-Presenter(s)

• 

  Kathleen Beebe, PhD, RNC-OB

  Professor of Nursing
  Dominican University of California

  Nothing to Disclose

During pregnancy, labor, birth, and the early postpartum period, women undergo significant physiological changes impacting every body system, including the vasculature. Throughout the intrapartum period, vascular access device insertion is common, whether or not it is indicated. This session will address the unique considerations of using vascular access devices in the obstetric patient including: physiologic changes affecting the vasculature of pregnant and birthing women, processes and effects of anesthetic administration on the maternal-fetal unit related to PIVC necessity, and the impact of selected pregnancy complications on clinical decision-making regarding vascular access requirements. Controversies, challenges, and gaps in knowledge about PIVC use in obstetrics will be introduced.

Learning Objectives:

• State the unique physiologic changes that occur during uncomplicated and complicated pregnancy, labor, and birth pertinent to the vascular system
• List 3 indications for vascular access in the obstetric patient
• Describe the interdisciplinary collaboration needed to apply effective decision-making regarding safe insertion and maintenance of vascular access devices
• Discuss the controversies, risks and gaps in knowledge related to vascular access in the obstetric patient