Obstetric Care Today

David Glenn Weismiller, MD, ScM, FAAFP

David Glenn Weismiller, MD, ScM, FAAFP

Time and place: 7:30–8:30 a.m. Saturday, Room 225AB; and 10–11 a.m. Saturday, Room 225AB, Hemisfair Ballroom C1

About the presenter: David Weismiller, MD, ScM, FAAFP, who directs the AAFP Board Review Express® Live Course, has provided Maternity care for 25 years. He started this year as a professor at the new University of Nevada-Las Vegas School of Medicine and provides full scope care as part of UNLV Medicine.

Session overview: The session will concentrate on the best practices for routine prenatal visits in regards to assessing risk based on family, social, and environmental history. Weismiller also will look at how to collaborate with the patient to ensure the use of healthy diets and lifestyle modifications that will improve pregnancy outcomes. Other topics include a review of the latest recommendations for preventing preeclampsia, preventing pre-term delivery, and managing gestational diabetes post-delivery, as 35 to 50 percent of those with gestational diabetes develop overt diabetes within 10 years of delivery. He also will cover issues related to aneuploidy diagnosis.

Why this session matters to you: Up to a quarter of family physicians provide maternity care, Weismiller said. Family physicians who are not actively involved in maternity care have patients who may become pregnant, so it’s important for the physicians to prepare. “If there are some underlying pre-existing conditions, looking at how we optimize that individual's care in anticipation of pregnancy is really important,” he said.

The take-home: Family physicians may be called upon to manage or co-manage medical problems, such as diabetes, that appear at any point during a pregnancy. “It's important for us who are doing maternity care, regardless of the specialty, to have an understanding of the current scientific literature on obstetric care,” he said. “There's really a science of this discipline that needs to be applied in a relevant, practical way, to best serve our patients.”

Also of note: The medical school at UNLV opened this summer, with its first class of students starting in late July.