Our conference on Challenges in High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, Physician Associates, nurses, and other allied healthcare professionals who manage preconception, pregnant, and postpartum patients. Covering a wide array of topics in High Risk Obstetrics, our expert faculty will discuss the latest evidence-based advancements, present emerging clinical data, and provide skills and strategies for application and implementation into your practice. This educational activity aims to increase both the competence and performance of all attendees as well as contribute to your ability to work together as part of a coordinated healthcare team.

Topics for this year’s conference have been selected based on the educational needs underlying 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 such as current clinical guidelines, research findings, and literature reviews.

The conference format includes didactic and interactive lectures, question and answer sessions, and case studies. Following a group of lectures, the question and answer sessions allow attendees to ask the faculty critical and challenging questions about caring for patients during various obstetric situations.

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


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

Identify and treat life threatening cardiac complications during labor

Recognize key considerations in oxytocin use for induction and augmentation

Describe an evidence and consensus-based approach to intrapartum EFM management

Review appropriate advice regarding ingestions of
allergenic foods during pregnancy and breastfeeding

Identify when communication in a health provider team meeting is going wrong and when to intervene to save it

Discuss the use of opioids in post-operative pain


After 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, reviewing the educational session materials, and submitting the case studies test, evaluations, surveys, and verification of attendance 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 Standards for Integrity and Independence in Accredited Continuing 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 nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.



Symposia Medicus designates this live activity for a maximum of 13 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This ACE activity was developed with standards to address California Assembly Bill (AB) 1195 cultural and linguistic competency (CLC) and CA AB 241 implicit bias (IB) to reduce health disparities. Please refer to the accreditation page on our website for resources.

Application has been made with the American College of Obstetricians & Gynecologists (ACOG) for cognates, Formal Learning. Please check our website for updated credit information.

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

Physician Associates
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. Physician associates may receive a maximum of 13 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 13.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 15.6 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™

Pharmacotherapeutic CEUs for Nurses
This activity is designated for a maximum of 1 hour pharmacotherapeutic credits towards meeting the requirement for nursing pharmacology continuing education. Sessions awarding pharmacotherapeutic credits are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as they may vary state to state.


Each registrant will have online access to educational session materials. The educational session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions).

If you are unable to attend this conference, you may purchase an electronic copy of the educational session materials one week after the conference. Please email
for more information.


Due to the prolonged nature of the pandemic, Symposia Medicus has implemented several new policies. In the interest of the health and safety of our faculty, staff, and attendees, Symposia Medicus now requires that all conference participants be fully vaccinated (boosters are recommended). Facemasks, which will be provided at the registration desk, will also be required for this conference. We have established these policies and procedures with the intention of mitigating risk and preventing the transmission of COVID-19. We thank you for your understanding and cooperation as we strive to provide a quality continuing education experience that is safe for all involved.




All cruise rates quoted are per person, based on double occupancy (U.S. dollars, cruise only). The price of your cruise includes ship accommodations, taxes, fine dining with all meals included onboard, coffee, tea, iced tea, milk, juices, and sparkling wine with breakfast, unlimited red and white wines from Europe’s great wine regions, beer, and soft drinks with every lunch and dinner aboard the ship, bottled waters daily in staterooms, included Tours in every port (see “Tours”), on-demand entertainment in all staterooms featuring free high-speed Wi-Fi internet access, hit Hollywood movies, extensive music library, English language TV stations, and bicycles to explore on your own or on guided bicycle tours (availability based on first come, first served).

A deposit for all stateroom occupants is due to Symposia Medicus at the time of registration ($1,000 per person). Final payments are due to Symposia Medicus by Friday, July 15, 2022. Payments not received by the due date are subject to cabin cancellation with no refunds.

Final cruise documents and information will be sent via electronic documents. You will receive them via email within the four weeks prior to the cruise. Please provide your best email address on the registration form.


Conference Tuition See “Conference Registration Information”
Port Charges $196/person
(for the entire crew and cruise director)
Air Transportation See “Airline Travel Information”
Ground Transportation See “Ground Transportation”

Cruise rates also do not include: airline tickets, other trips, optional tours, meals ashore, alcoholic and certain beverages (not during breakfast, lunch or dinner), telephone calls, passport and visa fees; airport baggage fees; travel, health, accident, or other insurance; vaccinations; laundry; or other items or services of a personal nature.


A full refund will be made for written (via email) cruise cancellations received by Symposia Medicus on or before Friday, July 15, 2022. After July 15, 2022, no refunds will be made.

Name changes require the prior approval of AmaWaterways™ and can be made with no fee. Cruise tickets are non-transferable. For security reasons, no name changes are allowed by AmaWaterways™ after Monday, October 3, 2022.


Effective August 2021 until further notice, AmaWaterways requires that all guests coming onboard comply with all current regulations for travel by each jurisdiction through which the vessel will cruise. At this time, it means that all guests must be fully vaccinated with two doses of vaccines from either Moderna, Pfizer, AstraZeneca or one dose from Johnson & Johnson. Additionally, the final shots need to be administered at least 14 days before travel with any of the two dose vaccines and 28 days with the one dose vaccine. The vaccination requirement also applies to accompanied minors. This rule or others may be in effect at the time of the charter, part charter or group movement and no exceptions will be made.


If a pregnant guest has entered or will be entering their 24th week before or during the cruise, they are NOT ALLOWED to cruise.

If a pregnant guest is less than 24 weeks, a physician’s “Fit to Travel” note stating that they are in good health, not a high-risk pregnancy, and not entering the 24th week must be presented at check-in and carried onboard.


All guests under the age of 18 are to be in a stateroom with an adult, must remain supervised at all times, and their safety is the responsibility of the accompanying adult(s). Children must be at least 8 years old by September 26, 2022 to go on the cruise. Denial of boarding for children who do not satisfy this minimum age requirement may also result in the denial of boarding for one or more guests sailing with that child. No refunds will be given as a result of the denial of boarding to an underage child or other accompanying guests. AmaWaterways™ does not provide child-specific programs or child-minding facilities.

Children 8-10 years old at the time of embarkation may share a cabin at a rate of 25% of the cabin rate with 2 adults provided the child is able to share the bed with the adults – no additional or rollaway bed will be provided. Children 11-17 years old will be charged the full rate and can share a room with adults in a triple occupancy stateroom (limited). For rates and availability, please contact Symposia Medicus.


Passports are REQUIRED for every passenger. If you do not have a passport, please allow a minimum of 4-6 weeks to receive it after you complete and mail the application. Your passport cannot expire before May 10, 2023 (or 6 months after your final date of travel).

It is the sole responsibility of the guest to identify and obtain all required travel documents and have them available when necessary. These appropriate valid travel documents such as passports, visas, inoculation certificates, and/or family legal documents are required for ship boarding and country entry and/or re-entry into the United States and other countries. Based on citizenship, many countries require an entry visa. Obtaining required visas and any other required travel documentation, and assuring these are complete and correct in all ways, is the sole responsibility of each traveler. AmaWaterways™ and Symposia Medicus are not in a position to obtain or verify the accuracy or completeness of any participant’s visa or other required documentation and shall not be responsible or liable for delay or missed portion of any part of the itinerary or other problems resulting from the participant lacking the appropriate travel documentation.

Guests who do not possess the proper documentation may be prevented from boarding their flight or ship, or from entering a country, and may be subject to fines.

Note: No refunds will be given to individuals who fail to bring proper documentation.

For additional passport and visa requirements, visit the U.S. Department of State’s website at or Embassies (Consular Service Office) of each country on the sailing itinerary.


ARRIVAL FLIGHT: Marseilles Airport (airport code – MRS) is approximately 90 minutes to the cruise port in Avignon.

It is recommended you allow a minimum of five hours from the time your flight arrives into Marseilles to the time you can board the ship at 3:00pm.

DEPARTURE FLIGHT: Lyon, France (airport code – LYS) is approximately 20 minutes from the cruise port in Lyon.


They allow you to purchase airline tickets through them. After you are registered and receive a reservation number, we will send an email with the contact information to make these arrangements. AmaWaterways™ will send a verification email to confirm proper spelling and date of birth for travelers prior to making airline reservations. Any changes or cancellations may be subject to non-refundable service charges and additional airfare costs.

We recommend booking through the Cruise line, as it helps with any issues for travel that arise to/from the cruise locations


AmaWaterways™ offers pre/post cruise packages for an additional cost. After you are registered and receive a reservation number, we will send you an email with the contact information to make these arrangements.

3-Night Pre-Cruise Package – offers 3 nights (with breakfast included) in Barcelona to include hotel stay, city tour, “The Mountains and Abbey of Montserrat” excursion, TGV to Nimes, and transfer to Avignon

3-Night Post-Cruise Package – offers 3 nights (with breakfast included), to start in Lyon with a Tastes of Lyon Tour, then high-speed train transfer to Paris, which includes hotel stay, City of Light tour, and evening Montmartre and Illumination Tour


Whether you choose to make your own air travel arrangements or you book your air through AmaWaterways™, you can purchase transfers to/from the ship (only from Marseilles airport or to Lyon airport) from AmaWaterways™. Please note rates listed below are subject to change.

Arrival transfers from the Marseilles airport to the ship on November 3, 2022 are $130 per person with transfers leaving at 1:00pm and 3:30pm

Departure transfers to the airport in Lyon on November 10, 2022 are $45 per person and run throughout the morning and early afternoon

After you are registered and receive a reservation number, we will send you an email with the contact information to make these arrangements.

Ground transportation reservations must be made through AmaWaterways™ by Friday, September 23, 2022. Your flight itinerary must be provided in order to confirm your transfers.


During the cruise, you are offered complimentary sparkling wine with breakfast, unlimited complimentary beer, wine, and soft drinks with lunch, Sip n’ Sail cocktail hour (prior to dinner), and dinner. Any additional drinks (cocktails) not during dining times are available at the bar for an additional fee per drink and charged to your stateroom.


AmaWaterways™ expert chefs craft menus that feature exquisite, locally-inspired cuisine as well as traditional Western offerings. All meals will be served. At breakfast, sip sparkling wine as you partake in fresh pastries or made-to-order from the menu. For lunch, head to the restaurant for full menu service and high-quality regional wine or beer. Dinner is a multi-course affair with wine recommendations that accompany visually stunning, delicious dishes.

Special dietary requests must be provided to Symposia Medicus at time of reservation. An effort will be made to meet the request, but AmaWaterways™ cannot assure the request can be accommodated. AmaWaterways™ is unable to accommodate kosher requests.

For additional information, please visit:


A sightseeing tour is included in each city or town you visit, along with free time to explore the city according to your own interests. AmaWaterways™ offers the below:

Included Tours – Standard tours offered in each port. These are included in the price of the cruise. Pre-registration is not required, but it is recommended. Included tour registration is available online approximately 60 days prior to embarkation once online check-in is completed.

Special Interest Tours – Tours offered in place of the standard tours in each port. These are included in the price of the cruise. Pre-registration is not required, but it is recommended (approximately 60 days prior to embarkation once online check-in is completed), with the exception of bike tours. Bike tours are only available to book once onboard, on a first come, first served basis.

Optional Tours – Tours offered as an option for an additional cost. These are in addition to the standard tours offered at each port and can only be booked once onboard, on a first come, first served basis.

During all the tours, AmaWaterways™ provides a sophisticated audio headset system that allows guests to comfortably listen to the tour guide while taking photos and admiring some of Europe’s hidden gems.


For more information about clothing to pack and more, please visit:

For information on the AmaKristina ship, please visit:

For more information on health, safety, and COVID-19 protocols, please visit:

Medical Services: Onboard medical professionals are not available on any vessel. If medical services are required, efforts to contact local medical providers will be made. A participant requiring such assistance is solely responsible for all related charges.

Smoking: Smoking is only permitted on the ship’s Sun Deck in the designated smoking area.

Disabled Travelers: Facilities are not available onboard or in many places visited on the cruises and cruise tours AmaWaterways™ offer.


Angela C. Anderson, MD, FAAP
Associate Professor of Pediatrics & Emergency Medicine
Brown University School of Medicine
Division of Pediatric Pain & Palliative Care
Consultant in Clinical Toxicology & Pharmacology
Hasbro Children’s Hospital
Providence, Rhode Island

Michael Belfort, MBBCH, DA(SA), MD,
Conference Chairperson

Ernst W. Bertner Chairman & Professor
F. B. McGuyer Endowed Chair in Fetal Surgery
Department of Obstetrics & Gynecology
Professor, Departments of Anesthesiology, Surgery, and Neurosurgery
Baylor College of Medicine
Director, Texas Children’s Fetal Center
Obstetrician & Gynecologist-in-Chief
Texas Children’s Hospital
Houston, Texas

John M. Kelso, MD
Division of Allergy, Asthma and Immunology
Scripps Clinic
Clinical Professor of Pediatrics &
Internal Medicine
University of California San Diego
School of Medicine
San Diego, California

Lisa A. Miller, CNM, JD
Founder, Perinatal Risk
Management & Education Services
Certified Nurse-Midwife
Vancouver, Washington

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 24 months. Symposia Medicus will also ensure that any and all relevant financial relationships will be mitigated before the conference commences. Beyond disclosure and mitigation 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 educational session materials for this activity and speakers will provide a disclosure slide for each presentation, which they will also disclose verbally on site.

faculty photo




6:00pm Conference Check-In
Welcome Reception & Faculty Introductions
Avignon, France


Avignon, France 7:30am
Tarascon, France 9:30am 7:00pm
Avignon “Bridge,” France 9:00pm 9:30pm
Avignon, France


4:00pm Cardiac Disease in Pregnancy: Most Common Issues Seen (Rx = 10 minutes)
Michael Belfort, MBBCH, DA(SA), MD, PhD
4:45 The Three P’s are Not “Push Pit, Please:” Understanding Uterine Activity in Labor
Lisa A. Miller, CNM, JD
5:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
6:00 Adjourn for Day
Avignon, France 11:59pm


Viviers, France 8:30am 9:30am
Le Pouzin, France 1:30pm 2:00pm
2:30pm Placenta Percreta: Diagnosis & Management
(Rx = 10 minutes)
Michael Belfort, MBBCH, DA(SA), MD, PhD
3:15 Have We Reached a Consensus?: An Interactive Self-Assessment in EFM
Lisa A. Miller, CNM, JD
4:00 Standardized Interpretation & Management of Intrapartum EFM
Lisa A. Miller, CNM, JD
5:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
5:30 Adjourn for Day
Tournon, France 6:00pm


Tournon, France 12:30pm
1:00pm Post-Partum Hemorrhage: Practical Management of Massive Blood Loss (Rx = 10 minutes)
Michael Belfort, MBBCH, DA(SA), MD, PhD
2:00 Drug & Food Allergies in Pregnancy
(Rx = 20 minutes)
John M. Kelso, MD
2:45 Update on Fetal Surgery: What Everyone Should Know About What Is Possible Today
Michael Belfort, MBBCH, DA(SA), MD, PhD
3:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
4:00 Adjourn for Day
Vienne, France 6:30pm


Vienne, France 11:30am
12:30pm Leadership & Communication as a Healthcare Provider
Michael Belfort, MBBCH, DA(SA), MD, PhD
1:15 Medical Malpractice: Surviving a Deposition
Lisa A. Miller, CNM, JD
2:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
2:30 Adjourn for Day
Lyon, Quai Claude Bernard, France 2:30pm


8:00am Postoperative Pain Management in OB/GYN
(Rx = 10 minutes)
Angela C. Anderson, MD
8:45 Medical-Legal Case Review in EFM
Lisa A. Miller, CNM, JD
9:30 Management of Complicated Monochorionic Twins
Michael Belfort, MBBCH, DA(SA), MD, PhD
10:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
11:00 Conference Adjourns
Lyon, Quai Claude Bernard, France 2:00pm
Villefranche, France 3:30pm 6:30pm
Lyon, Quai Claude Bernard, France 9:00pm


Lyon, Quai Claude Bernard, France DISEMBARK at 9:00am

Rx = Pharmacotherapeutic CEUs for Nurses will be granted for these sessions



The luxurious AmaKristina Prima that will take you on this enchanted river cruise along the Rhone River. You’ll enjoy gourmet dining with free-flowing fine wines at multiple onboard dining venues, a heated sun deck swimming pool, fitness center and spa, included ship-wide Wi-Fi, in-room internet, and on-demand entertainment. Also, look for a fleet of bicycles onboard for passengers to enjoy on their own or on guided bike tours when in port.

From romantic cities to foodie havens and artistic epicenters, this itinerary enlivens all your senses. You will embark in Avignon to trace the steps of famous artists in Arles and Carriéres de Lumiéres. You can even become an expert in all things culinary: go in search of the highly prized “Black Diamond” truffles, learn how to pair chocolate with wine, and discover how olives turn into the Mediterranean’s nectar, olive oil. Savor the beauty of legendary vineyards and imbibe in local vintages like Beaujolais and Côtes du Rhône. You will end your adventure in Lyon, France’s culinary capital, and enjoy an evening illumination cruise.

On this cruise, you will enjoy a choice of included excursions. A large variety of activities are at your disposal for you to choose how you want to explore. No matter your preference, your days will be full of discovery and wonder. AMA Cruises Wellness Program has professionally trained Wellness Hosts that will lead a variety of fitness classes, including core strengthening and circuit training, as well as occasional health and wellness-related lectures and discussions through AmaWaterways™ Wellness Program.

We cordially invite you to come aboard the AmaWaterways™ AmaKristina for this conference on Challenges in High Risk Obstetrics and the exceptional cruise of a lifetime.


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 group rates in the following ways:

Online via our website, OR

Call (925) 969-1789 Monday-Friday, 8:30am-5:00pm (Pacific Time), with Visa, MasterCard, American Express, or Discover OR

By mail; make check payable to Symposia Medicus and send along with registration form to
399 Taylor Blvd., Suite 102, Pleasant Hill, CA 94523-2287

Please visit or call (925) 969-1789 for additional questions or information.


If postmarked by
August 25, 2022
If postmarked after
August 25, 2022
Physicians $795 $895
Residents, Nurses, PAs, & All Others $695 $795

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 educational session materials, and break refreshments

Conference registration and cruise reservations (if applicable) will be confirmed via email


We have arranged conference group rates through AmaWaterways™. We have a limited number of staterooms in the categories and at the rates listed below. Staterooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as staterooms may sell out and/or rates may increase.

Rates are (U.S. dollars, cruise only) PER PERSON, based on double occupancy, and DO NOT include conference tuition, cruise fees (port charges) of $196.00 per person, gratuities of $157.00 per person, air transportation, or ground transfers.

The stateroom categories below differ by location on each deck, size, and balconies.

*Stateroom categories E and Suites are very limited, please reserve early.

*Category E
Piano Deck - Fixed Windows
Category E $2,948 160
Category D
Piano Deck - Fixed Windows
category D $3,948 160
Category CB
Violin Deck - French Balcony
cb $4,348 155
Category CA
Violin & Cello Deck - French Balcony
CA $4,648 170
Category BB
Cello Deck - French Balcony & Outside Balcony
BB $5,448 210
Category BA
Violin Deck - French Balcony & Outside Balcony
BA $5,648 210
Category AB
Cello Deck - French Balcony & Outside Balcony
AB $5,848 235

Category AA
Violin Deck - French Balcony & Outside Balcony

AA $6,048 235
*Category Suite
Violin Deck - French Balcony & Outside Balcony
Suite $7,248 350

The ship doesn’t have accommodations for 3rd/4th adults.

Single occupancy staterooms can be requested; however, the rate for single occupancy is double the cruise fare and port charges for the selected stateroom category.

Please call us at (925) 969-1789 or email for rates and availability.

Detailed staterooms descriptions and amenities are available at:

For more information on health, safety, and COVID-19 protocols, please visit:


Cruise Policies

Deposit due at time of booking is $1,000 per person

Final payment is due to Symposia Medicus by Friday, July 15, 2022

If booking after Friday, July 15, 2022 full cabin payment is due

You will receive electronic documents via email within the four weeks prior to the cruise. Please provide your best email address on the registration form.

Cruise cancellations must be made in writing (via email) to Symposia Medicus for a full refund on or before July 15, 2022. After July 15, 2022, no refunds will be made.

Vaccination/Face Mask Policies

You must be fully vaccinated (boosters are recommended) in order to attend a Symposia Medicus conference in person. Proof of vaccination can be provided in the form of a vaccination record card, photo of your vaccination card, or vaccination QR code (via paper, your smartphone or other portable electronic device). You can submit this prior to the conference via email (to or in person at the conference registration desk. Face masks are required in the conference room. Symposia Medicus will have disposable masks available at the registration desk. These policies are subject to change

Conference Cancellation Policies

Conference cancellations must be made in writing (via email) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after Friday, July 15, 2022; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

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