“Symposia Medicus continuously offers conferences that provide practical information that is easily applicable to clinical practice. The staff is extraordinarily friendly and the speakers are always approachable.”
– Verna A. Thornton, MD
“Symposia Medicus repeatedly and consistently provides fabulous, well-organized, and informational conferences in beautiful geographical settings. In my 37 years of practice, I always come away with new knowledge.”
– Charlyn A. Coleman, CNM
“I love Symposia Medicus conferences. They are fun and laid-back, but extremely informative. Their lectures are very up-to-date and thorough. Symposia Medicus helps make me a better physician. After attending several conferences, I now feel like I’m part of the Symposia Medicus family!”
– Karen Scharlatt, MD


Our 22nd Annual Spring Conference on High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, physician assistants, nurses, and other healthcare professionals who face challenges in the care of the high risk pregnant patient. The goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will
be placed on practical application of the
evidence-based topics presented.

Topics for this year’s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data.

Conference format will include didactic lectures, smaller group breakout and interactive sessions, case studies, and question and answer sessions.

An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants.

You are sure to enjoy our 22nd Annual Spring Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Aruba.


As a result of participating in this conference, you should have increased knowledge and enhanced competence to…

Diagnose and treat preeclampsia

Develop a management plan and timeline for treatment of the pregnant patient exposed to a viral infection

Diagnose common hemoglobinopathies using appropriate laboratory testing

Manage the pregnant patient with diabetes

Identify and manage inflammatory bowel disease in pregnancy

Appropriately use vaccine immunizations for pregnant women


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Each participant should only claim credit commensurate with the extent of their participation in the activity.

Certificates of credit will be given to participants on-site at the conclusion of the conference.


Symposia Medicus designates this live activity for a maximum of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Obstetricians and Gynecologists has assigned 18 cognate credits to this program.

Certified Nurse Midwives
The American College of Nurse Midwives accepts Category 1 CME approval from organizations accredited by the ACCME.

Physician Assistants
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 18 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 18.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 21.6 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 4 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.


Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide an opportunity for greater participant/faculty interaction, and will give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate your breakout session topic choice on the conference registration form in this brochure. Space is limited so please reserve early.


Each registrant will receive an extensive conference syllabus that includes materials on each topic presented. The full color digital syllabus will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a paper syllabus (black and white type & photos), please check the box on the registration form in this brochure.

If you bring your tablet/laptop to the conference, be aware that there are no electrical outlets at the conference tables. Make sure your tablet/laptop is fully charged each day.

If you are unable to attend this conference, extra copies of this syllabus (either paper or digital copy) will be available one week after the conference. The cost is $60 for a paper syllabus and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


Tours are planned for participants and guests throughout the conference breaks. Additional information regarding activities, hotel, location, and ground transportation will be sent to registrants.


Linda Chambliss, MD, MPH
Professor of Obstetrics and Gynecology
Creighton University School of Medicine
Clinical Professor of Obstetrics and Gynecology
University of Arizona College of Medicine
Chief of Obstetrics
Director of Maternal-Fetal Medicine
St. Joseph’s Hospital and Medical Center Phoenix, Arizona

Donna Dizon-Townson, MD
Conference Co-Chair

Associate Professor
Department of Obstetrics and Gynecology
University of Utah Health Sciences
Salt Lake City, Utah
Co-Director, Maternal-Fetal Medicine
Utah Valley Regional Medical Center
Provo, Utah

Thomas F. McElrath, MD, PhD
Associate Professor, Obstetrics & Gynecology
Harvard Medical School
Director of Preterm Birth Clinic
Director of Obstetrical Research
Brigham & Women’s Hospital
Boston, Massachusetts

Mark Newman, MD
Clinical Adjunct Professor
Louisiana State University
School of Medicine
New Orleans, Louisiana
Staff Perinatologist
Maternal-Fetal Medicine Clinic
Women’s Hospital of Baton Rouge
Baton Rouge, Louisiana

Laura Riley, MD
Conference Co-Chair

Associate Professor
Harvard Medical School
Medical Director of Labor and Delivery
Massachusetts General Hospital
Boston, Massachusetts

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, everyone who is in a position to control content (including planners, reviewers, speakers, moderators, Symposia Medicus Staff, Board of Trustees, and Planning Committee members), were asked to disclose all relevant financial relationships with any commercial interest. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the syllabus for this activity, and it will also be verbally disclosed on-site.


Wednesday, March 11

7:00am Registration & Check-in
8:00 Welcome & Introduction
Laura Riley, MD
8:15 Use of Anti-Depressants in Pregnancy
(Rx = 30 minutes)
Mark Newman, MD
9:00 Thrombophilia: Who & When to Screen & How to Treat (Rx = 15 minutes)
Donna Dizon-Townson, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Viral Infections in Pregnancy: When to Stress Out About Exposure (Rx = 40 minutes)
Laura Riley, MD
11:15 Inflammatory Bowel Disease in Pregnancy
Thomas F. McElrath, MD, PhD
Noon Diabetes in Pregnancy (Rx = 30 minutes)
Linda Chambliss, MD, MPH
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day
5:30-6:30pm Group Reception
(Faculty, Participants, and Guests)

Thursday, March 12

8:00am Opioid Use, Abuse, and Dependency During Pregnancy: The Changing Face (Rx = 45 minutes)
Donna Dizon-Townson, MD
8:45 Hemoglobinopathies in Pregnancy: Screening & Management
Mark Newman, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Premature Rupture of the Membranes: What To Do & When
Laura Riley, MD
11:00 Cerebral Palsy: What We All Should Know
(Rx = 15 minutes)
Donna Dizon-Townson, MD
11:45 Septic & Pregnant: A Practical Approach to Diagnosis & Treatment (Rx = 40 minutes)
Laura Riley, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, March 13

3:00pm Smaller Group Breakouts – Session One
. A. Recurrent Pregnancy Loss: Understanding the Issues
Donna Dizon-Townson, MD
. B. Contemporary Evidence-Based Treatment of Short Cervix & Recurrent Preterm Birth
Thomas F. McElrath, MD, PhD
. C. Postpartum Depression: More Common Than You Think
Linda Chambliss, MD, MPH
. D. Perinatal Complications of Bariatric Surgery
Mark Newman, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, March 14

8:00am Vaccine Preventable Diseases Shouldn’t Happen in Pregnancy Either: Immunizations for Pregnant Women (Rx = 25 minutes)
Laura Riley, MD
8:45 What’s New in Postpartum Hemorrhage
Linda Chambliss, MD, MPH
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (Hotel check-out, if applicable)
10:15 Treatment of Neurologic Disease in Pregnancy (With a Focus on Epilepsy & Multiple Sclerosis)
Thomas F. McElrath, MD, PhD
11:00 Complications of Pregnancies as a Result of Artificial Reproductive Technologies
Linda Chambliss, MD, MPH
11:45 Contemporary Pathophysiology, Diagnosis, and Treatment of Preeclampsia
Thomas F. McElrath, MD, PhD
12:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacology Credit for Prescriptive Authority
will be granted for these sessions


Bon bini (Welcome) to Aruba! The lovely island of Aruba, located in the Southern Caribbean, plays host to our 22nd Annual Spring Conference on High Risk Obstetrics.

Aruba - where arid desert, calm azure seas, tranquil beaches, caves and rock formations, combine to create a one-of-a-kind natural setting. This 70-square mile island maintains an average daily temperature of 80º F, is cooled by gentle trade winds, and is rich in natural beauty. While you’re on the island, you can take a trip through Arikok Park and view ancient divi divi trees, learn everything you could ever want to know about donkeys at the Aruban Donkey Sanctuary, or explore one of Aruba’s museums for a glimpse into the history of the island. Aruba also offers numerous shopping and dining opportunities, and the capital city of Oranjestad, with its multicolored houses and sloping roofs, is full of shops, boutiques, and restaurants to suit every taste.

Our conference hotel, the Renaissance Aruba Resort & Casino, is located in downtown Oranjestad and features both family-friendly (Ocean Suites) and adult-only (Marina Hotel) lodging. If you are looking for a romantic getaway, the Marina Hotel is the perfect place to relax and enjoy a kid-free zone; or bring the kids- the Ocean Suites are a wonderful location to explore and enjoy time with your family. The resort’s private boats will whisk you away to the resort’s private island - 40-acres of island paradise and the only private beach in Aruba. While at the resort, you can experience sailing; scuba diving; snorkeling; kayaking; take a refreshing swim in the ocean; relax in one of the two gorgeous pools; or get refreshed with a massage, body wrap, or facial at the beautiful Okeanos Spa.

The resort has eight wonderful restaurants, lounges, and gaming at the Crystal and Seaport Casinos. Discover the beauty and warmth of lovely Aruba while attending our 22nd Annual Spring Conference on High Risk Obstetrics at the Renaissance Aruba Resort & Casino.


Enrollment for this conference is limited in order to provide the best possible learning environment. Early registration is advised.

You can register and receive our lodging group rates by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 or (800) 327-3161; OR

Fax form with Visa, MasterCard, American Express, or Discover to (925) 969-1795; OR

By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287.

For additional conference or lodging information, call Symposia Medicus at (800) 327-3161 or (925) 969-1789, or visit our website at www.symposiamedicus.org.


If postmarked by
December 31, 2014
If postmarked after
December 31, 2014
Physicians $640 $740
Residents, Nurses, PAs & All Others $540 $640

Discounts are available for retired healthcare providers, active military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education certification, extensive conference syllabus, break refreshments, and group reception. The group reception is for faculty, registrants, and their guests.

Conference registration will be confirmed via email and more information on travel, hotel, and activities will be emailed and also available on our website

This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information


Conference group rates have been arranged at the Renaissance Aruba Resort & Casino. The group rates will also be available three days before and three days after the conference, based on availability, if you wish to extend your stay.

Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging, hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards.

Please note that rooms at these rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase.


Adult-Only Accommodations (Marina Hotel)

Room Type/View

Group Rates

Resort View $299/night
Maximum occupancy is 2
These newly renovated rooms offer specular views of Oranjestad, or the hotel atrium with the unique water launch. Features either a king or two double beds.
Island View $319/night
Maximum occupancy is 2
Set on higher floors, newly renovated rooms feature a king bed and offer sweeping views of the island of Aruba.
Ocean View
(Limited availability, reserve early)
Maximum occupancy is 2
Splendid ocean, marina, and/or pool views complement these newly renovated guest rooms, which offer a king bed.
All rooms feature a private French balcony, flat screen TV, access to Wi-Fi, mini fridge, coffeemaker, and a newly redesigned bathroom with a rain shower. The following are available to guests at the hotel on a complimentary basis: fitness center, water taxi to Renaissance Island beaches, beach/pool towels, beach/pool chairs, and jogging trails. Complimentary guest room internet access is also included in Symposia Medicus group rates.

Family-Friendly Accommodations (Ocean Suites)

Room Type/View

Group Rates

Island Suite
Views of the hotel grounds
$379/night Both Island and Ocean suites are spacious one-bedroom suites with a king bed, large bathroom, and a living room with a queen sofa bed. There is a TV in both rooms, wet bar with mini fridge, microwave and coffeemaker, and a balcony or patio
Ocean Suite
Pool & beach views
The following are available to guests at the hotel on a complimentary basis: fitness center, water taxi to Renaissance Island beaches, beach/pool towels, beach/pool chairs, jogging trails. Only adults have Marina Hotel privileges. Complimentary guest room internet access is also included in Symposia Medicus group rates.


Hotel Policies

Above group rates do not include the following (subject to change):
- 22.64% Room Tax
- $3.00 per room, per night Environmental Levy
- $4.00 per person, round trip (18 years and older) Bellman Gratuities
- $1.00 per room, per night Maid Gratuities

For the Marina Hotel (adult-only accommodations), maximum guestroom occupancy is two people (no exceptions)

For the Ocean Suites Hotel, maximum guestroom occupancy is four, regardless of age. Additional occupants over two in room will pay the below mandatory additional person charges (includes daily buffet breakfast):
- Children 5 and under are free
- Children ages 6-12 are $10 each, per night
- Persons 13 years and older are $20 each, per night

Rollaway beds are complimentary (subject to change and availability). For adult-only accommodations, rollaway beds are only available in rooms with a king bed.

Cribs are complimentary (subject to change and availability). Cribs are not allowed in adult-only accommodations.

Adult guests (18 & over) have privileges in both towers. The resort has designated several areas as exclusive to adults. These include the following:
- Marina Hotel Rooms
- Renaissance Marina Hotel Pool Area
- Okeanos Spa
- Renaissance Marina Hotel Fitness Room
- The Lounge, Midnight Grill
- Renaissance Island – Flamingo Beach (there is an adult side and a family side, with a restaurant and gift shop in the middle)
- Crystal Casino
- Seaport Casino

Check-in time is 4:00pm and check-out time is noon. A late check-out can only be confirmed on the date of departure by the front office.

Early Departure Fee: Please confirm your scheduled departure date with the hotel at check-in. An early departure fee of $200.00 may be charged if you check out of the hotel prior to your scheduled departure date, without having notified the hotel by midnight the day after check-in.

Credit/Debit Card Policy: Upon check-in, the hotel will require a credit card and will place a hold for any estimated incidental charges during your stay. Please be aware that if you use a debit card instead of a credit card, the funds will be immediately removed from your account (even if you have prepaid your stay). The amount will be based on the average length of your stay, and an estimate of incidental charges (approximately $100/day). These funds will not be released back into your account for up to
10-15 business days after you check out.

Parking: Self-parking is complimentary for conference guests. Valet is not available.

Cancellation Policies

Conference cancellations must be confirmed in writing to Symposia Medicus and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after February 4, 2015; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if postmarked by January 7, 2015. Between January 8, 2015 and February 4, 2015, one night’s deposit is forfeited. After February 4, 2015, no hotel refunds can be made.

All cancellations must be made in writing to Symposia Medicus (via email, fax or mail) and postmarked by the dates stated above

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


You will fly into Queen Beatrix International Airport (AUA), which is approximately 10 minutes from the Renaissance Aruba Resort & Casino. Information on ground transportation will be sent to registrants and available online at our website.

Symposia Medicus has arranged for discount fares with Delta and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below.

In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here.

Delta Airlines For discounts on Delta Airlines, please visit www.delta.com and click on the link “More Search Options”, located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMJHR in the “Meeting Event Code” box, located at the right hand side of the page. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
United Airlines For discounts on United Airlines flights, please book online at www.ual.com and insert ZSN7150020 in the offer code Airlines box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.