“Very relevant topics that are current and the content of lectures can be applied to practice. I really feel like I took away valuable points that I will apply to my practice.”
– L. Senere, MD

“I attend Symposia Medicus conferences expecting to leave with valuable, updated information to enhance my practice.”
– C. Thomas, CNM

“Always a quality and fun conference through Symposia Medicus!”
– J. Lawrence, MD


Our 27th Annual Spring Conference on High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, PAs, 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.

Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide 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 choices on the conference registration form in this brochure. Space is limited so please reserve early.

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 27th Annual Spring Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Maui.


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

Evaluate and manage major and minor trauma in pregnancy

Review the implications of obesity in regard to maternal and perinatal health

List maternal and fetal complications associated with neurologic diseases and emergencies

Recognize the risk factors for postpartum depression

Describe physiologic changes of pregnancy that hinder early recognition of sepsis


At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the case studies test, surveys, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


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.


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 up to 18 cognate credits to this program.

Certified Nurse Midwives
The American Midwifery Certification Board (AMCB) accepts Category 1 CME approval from organizations accredited by the ACCME.

NCCPA 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. PAs 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.

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™

Pharmacology Content for Prescriptive Authority
A maximum of 3 hours in pharmacology content for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology content for prescriptive authority are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as requirements may vary state to state.


Each registrant will have online access to session materials. The session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure.

If you are unable to attend this conference, extra copies of the session materials (either paper, flash drive, or digital copy) will be available one week after the conference. The cost is $65 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Linda Chambliss, MD, MPH, FACOG
Professor of Obstetrics & Gynecology
Creighton University School of Medicine
Clinical Professor of Obstetrics & Gynecology
University of Arizona College of Medicine
St. Joseph’s Hospital & Medical Center
Phoenix, Arizona

Karrie Francois, MD
Conference Co-Chair

Clinical Assistant Professor
University of Arizona
Tucson, Arizona
Honor Health
Scottsdale Prenatal Associates, PLLC
AMOMI Pregnancy Wellness ~ Spa
Scottsdale, Arizona

Loralei Thornburg, MD
James R. Woods, Jr. Professor of
Obstetrics & Gynecology
Division & Fellowship Director of
Maternal Fetal Medicine
University of Rochester
Rochester, New York

Patricia Witcher, RN, MSN
Conference Co-Chair

Clinical Outcomes Manager
Women’s Services
Northside Hospital
Atlanta, Georgia

Melissa S. Wong, MD, MHDS
Assistant Clinical Professor
Maternal-Fetal Medicine
Cedars-Sinai Medical Center
Los Angeles, California

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, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.



Wednesday, March 11

7:00am Registration & Check-in
8:00 Welcome & Introduction
Karrie Francois, MD
8:15 Act FAST: An Evidence-Based Approach to Trauma in Pregnancy
Melissa S. Wong, MD, MHDS
9:00 Barriers to Collaboration: Why We Must Overcome Conflict Between & Among Care Providers
Patricia Witcher, RN, MSN
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 How Big is Too Big? Managing the Obese Gravida
(Rx = 20 minutes)
Karrie Francois, MD
11:15 Cardiac Disease in Pregnancy
(Rx = 20 minutes)
Loralei Thornburg, MD
Noon Pregnancy: A Window to Future Health
Linda Chambliss, MD, MPH
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Group Reception
(Faculty, Participants, and Guests)

Thursday, March 12

8:00am Stroke in Pregnancy (Rx = 15 minutes)
Loralei Thornburg, MD
8:45 Operative Vaginal Delivery: Quo Vadis
Melissa S. Wong, MD, MHDS
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Neurologic Emergencies in Pregnancy
(Rx = 15 minutes)
Loralei Thornburg, MD
11:00 Fetal Heart Rate Tracing Review
Melissa S. Wong, MD, MHDS
11:45 Sepsis in Pregnancy: Should We Be Implementing Non-Obstetric Guidelines?
Patricia Witcher, RN, MSN
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
. • Case Studies in High Risk Obstetrics: Closing the Gap on Contributors to Mortality & Severe Maternal Morbidity
Patricia Witcher, RN, MSN
. • Domestic Violence: A Public Health Crisis
Linda Chambliss, MD, MPH
. • Too Much Consumption: Managing Consumptive Coagulopathy in Pregnancy
Karrie Francois, MD
. • Tranexamic Acid, Tamponade, and Thromboprophylaxis: New Considerations for Postpartum Hemorrhage in 2020
Melissa S. Wong, MD, MHDS
4:30 Break

Smaller Group Breakouts – Session Two
(Session One Topics Repeated)

6:15 Adjourn for the Day

Saturday, March 14

8:00am Postpartum Depression: More Common Than You Think (Rx = 20 minutes)
Linda Chambliss, MD, MPH
8:45 Non-Obstetrical Surgery During Pregnancy
(Rx = 15 minutes)
Loralei Thornburg, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Managing Diabetes During Pregnancy
(Rx = 40 minutes)
Karrie Francois, MD
11:00 Current Management of Twins
(Rx = 15 minutes)
Linda Chambliss, MD, MPH
11:45 When Her Blood Pressure Boils: Managing Hypertension in Pregnancy (Rx = 20 minutes)
Karrie Francois, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Aloha! The magical island of Maui, land of legend and incredible beauty, is the setting for our 27th Annual Spring Conference on High Risk Obstetrics. Famous for its breathtaking beauty and spectacular white sand beaches, Maui is also dramatically covered with mountain slopes and lush valleys.

Situated on 40 spectacular oceanfront acres along the famed Ka’anapali Beach, the Hyatt Regency Maui Resort & Spa offers unlimited activities and amenities in a setting of tropical luxury. The resort is just four miles north of historic Lahaina town and a short walk from Whaler’s Village for shopping, dining, art, boating excursions and night life. With unparalleled panoramic views of the magnificent Pacific Ocean, the resort puts you close enough to hear the waves from your guestroom while enjoying the gentle breezes of paradise.

Enjoy additional amenities at the new Hyatt Residence Club, located in the north end of the resort. Swim and relax in four new pool areas, including a zero-entry lagoon and an infinity relaxation pool with ocean views. Cool off with a refreshing drink at Pau Huaka’i, a beachfront Tiki Bar, and pick up items to go, including delicious gourmet foods and wine at the Lahaina Provision Company market and deli. For shopping at the hotel, Macy’s Hyatt Regency offers a first class selection of top fashion brands including Ralph Lauren, Calvin Klein, Clinique, Estee Lauder, and Levis.

Spend the day pampering yourself at the Marilyn Monroe™ Spa, play a round of championship golf at the Royal Ka’anapali Course and Ka’anapali Kai Course, or hit the court for a tennis match. For authentic Island adventure, go snorkeling at Black Rock, enjoy an authentic Polynesian Lu’au, or ride the Pacific waves at the white sand beach. You can also enjoy whale watching, as this is the perfect time to see these beautiful creatures in Maui’s warm waters.

Whatever your pleasure, you’ll be sure to find it on Maui, at our 27th Annual Spring Conference on High Risk Obstetrics.


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

You can register and receive conference 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 with Visa, MasterCard, American Express, or Discover; 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.

Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information.


If postmarked by
January 1, 2020
If postmarked after
January 1, 2020
Physicians $695 $795
Residents, Nurses, PAs, & All Others $595 $695

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

Tuition includes continuing education, online access to session materials, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email


Conference group rateshave been arranged at the Hyatt Regency Maui Resort & Spa. Rooms at our group 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. If you wish to extend your stay, group rates may be available three days before and three days after the conference.

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.


Room Type View Group Rates
Resort View Overlooking the gardens & landscaping $309/night

All rooms are approximately 450 sq. ft., and have either a king bed with a full size pull-out sofa sleeper or one queen bed with one double bed.

Rooms include a lanai or balcony, and feature a mini-fridge iron/ironing board, robes, hair dryer, flat screen TV, and an iHome alarm clock radio.

Golf Mountain
View of the West Maui Mountains and Ka’anapali golf courses $329/night
Partial Ocean View Partial view of the Pacific Ocean from the lanai $369/night
Deluxe Ocean
Full view of the Pacific Ocean, overlooking the hotel grounds, pool, and ponds $409/night
Premier Ocean
Unobstructed view of the Pacific Ocean and the islands of Lana’i and Moloka’i $449/night
By booking your lodging with Symposia Medicus, the Resort Fee charge of $32.00 plus 4.166% tax, per room, per night is discounted to $15.00 plus tax. The Resort Fee includes: in-room & throughout resort standard Wi-Fi, two reusable keepsake water bottles (per room, per stay, upon arrival) with access to refillable water stations throughout the resort, 24-hour access to the oceanfront Stay Fit gym, daily yoga/fitness classes, local, 1-800/1-888 phone calls, in-room safe, in-room coffee/tea, resort shuttle service to/from Ka’anapali, one hour daily tennis or basketball court time (includes tennis/basket balls & rackets), lei greeting upon arrival, 10% off at Macy’s (located in the hotel), cultural programs including lei making & hula lessons, wildlife tours, penguin and koi feedings, PressReader (digital newsstand), concierge services through Expedia Local Expert, personalized guest request texting service (see front desk for more details), discounted pricing for in-house guests at Drums of the Pacific Luau, 25% discount on greens fees at Ka’anapali golf courses (Royal & Kai Courses), complimentary beach portrait session, and 5x7 print from Grins2Go at Hyatt Regency Maui. Items listed are subject to change.
By booking with Symposia Medicus you will also receive a 25% discount on hotel’s two person cabanas (advance reservations are required and are based on availability).

If you are interested in access to the Regency Club, please contact Symposia Medicus for more information.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.416% state and local taxes
- $15 (plus 4.166% tax) discounted resort fee

Maximum guestroom occupancy is four, regardless of age. An infant under 12 months of age is allowed as a 5th guest at no charge, however, is subject to crib or rollaway rental fee, if needed.

Mandatory additional person charges (below) include daily buffet breakfast, taxes, and gratuities:
- Children 4 years and under are FREE
- Children 5 to 12 years old are $16/person, per night
- Children 13 to 18 years old are $36/person, per night
- Adults 19 years and older are $116/person, per night

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in

Rollaways & Cribs: Rollaway beds and cribs are $25 each, per night (based on availability and subject to change). Only one rollaway or one crib is allowed per room.

Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Late check-outs are based on availability and additional charges may apply.

Early Departure Fee: Please confirm your scheduled departure date with the hotel at check-in. An early departure fee equal to one night’s room and tax will be charged to any guest who checks-out of the hotel before their confirmed departure date.

Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay, plus $100 per day to cover incidental charges; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Self-parking is discounted to $18 per day, for conference guests. Valet parking is available at $32 per day (subject to change).

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after February 5, 2020; 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 emailed/postmarked by January 8, 2020. Between January 9, 2020 and February 5, 2020, one night’s deposit is forfeited. After February 5, 2020, no hotel refunds can be made.

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be 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 be flying into Kahului Airport (OGG), which is approximately 28 miles from the Hyatt Regency Maui Resort & Spa. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, Delta, Hawaiian, 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.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Code,” located at the bottom of the “Book Flights” box. Once you click on this link, another page will appear. On this page, you will need to insert
ECMC881 in the “Discount Code” box, located at the right hand side of the page.
Delta Airlines For discounts on Delta Airlines, please visit www.delta.com, enter your travel plans, and then click on the “Advanced Search” link located below the “Passenger” box. Once you click on this link, a panel will appear and you will need to insert NMT7R in the “Meeting Code” box. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
Hawaiian Airlines For discounts on Hawaiian Airlines flights, please book online at https://www.hawaiianair.com/affiliate and insert SYMPOSIA MED into the “Preferred Affiliate Program Code” box, located at the right-hand side of page.
United Airlines For discounts on United Airlines, please visit www.united.com and click on Advanced Search, located on the bottom left corner of the "Book Travel" box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZH4W711859 in the "Promotions and Certificates" box at the end of the page. For questions, please call the United Airlines Convention Desk at (800) 426-1122.


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made online or by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS www.avis.com 800-331-1600 AWD #B766625
Budget www.budget.com 800-772-3773 BCD #U076767