“I am always pleased with the education provided by Symposia Medicus. Well-organized and great speakers.”
– R. Nett, MD

“I have been going to your conferences since 2001 and have always been pleased. Great conference titles for my practice as a midwife. I will continue to come!”
– G. McKenney, CNM

“Once again, Symposia Medicus has delivered a winning formula. An appropriately-placed set of educational sessions addressing clinically relevant topics.”
– E. J. Dovre, MD


Our 32nd Annual Fall 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, 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 32nd Annual Fall Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the exciting setting of San Francisco.


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

Compare the efficacy of currently recommended preterm birth prevention strategies

Recognize which tests are and are not indicated in the assessment of trauma in pregnancy

Appreciate how fluid management is central in managing pregnant women with heart disease in labor

Implement management strategies for the patient with fetal growth restriction

Identify vaccines which are indicated in pregnancy for high risk conditions

Critically review the literature pertaining to obesity in pregnancy and its associated complications


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 study test, evaluations, 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 19 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 19 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 19 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 19.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 22.8 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 3 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.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

Pain Management and Care
The approved credits shown above include 1 credit toward meeting the requirement under California Assembly Bill 487, Pain Management and Care.


Each registrant will have online access to session materials. The session materials 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 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 or digital copy) will be available one week after the conference. The cost is $60 for a hard copy 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 Hunter, CNM, EdD, FACNM
Assistant Professor of OB/GYN (Clinical) 
Alpert Medical School of Brown University
Nurse-Midwifery Section
Women & Infants Hospital
Providence, Rhode Island

Marc Incerpi, MD
Professor of Clinical Obstetrics & Gynecology
Division of Maternal-Fetal Medicine
Clerkship Director, OB/GYN
Keck School of Medicine of USC
University of Southern California
Los Angeles, California

Laura Riley, MD
Conference Co-Chair

Associate Professor, Obstetrics & Gynecology
Harvard Medical School
Medical Director of Labor & Delivery
Massachusetts General Hospital
Vice Chair, Obstetrics
Massachusetts General Hospital
Boston, Massachusetts

George Saade, MD, FACOG
University of Texas Medical Branch
Department of OB/GYN
Division of Maternal-Fetal Medicine & Reproductive Sciences
Chief of Obstetrics & Maternal-Fetal Medicine
Director, Perinatal Research Division
Galveston, Texas

Shailen Shah, MD
Conference Co-Chair

Medical Director
Virtua Maternal Fetal Medicine
Voorhees, New Jersey

Melissa Wong, MD
Assistant Clinical Professor
Obstetrics & Gynecology
Fellow, 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.


Thursday, September 20

7:00am Conference Registration/Check-in
During Continental Breakfast
8:00 Welcome & Introduction
Shailen Shah, MD
8:15 Shoulder Dystocia: What You Can Do to Avoid Liability
George Saade, MD
9:00 Viral Infections in Pregnancy: When to Stress Out About Exposure (Rx = 30 minutes)
Laura Riley, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Management of Hypertension in Pregnancy
(Rx = 15 minutes)
Marc Incerpi, MD

Trauma in Pregnancy
Melissa Wong, MD

Noon Questions & Answers
Group Discussion

Faculty Panel & Audience
12:30pm Lunch Break (on your own)
1:45 Obesity in Pregnancy
George Saade, MD
2:30 Pregnancy Complications: Challenging Cases in OB Triage
Linda Hunter, CNM, EdD
3:15 Break
3:30 Cholestasis of Pregnancy: The New Loch Ness Monster (Rx = 15 minutes)
Shailen Shah, MD
4:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
5:00 Adjourn for the Day

Friday, September 21

7:30am Continental Breakfast
8:00 Premature Rupture of the Membranes: What to Do & When
Laura Riley, MD
8:45 Preterm Labor: Is Anything Really Working?
(Rx = 20 minutes)
Linda Hunter, CNM, EdD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Workup & Management of Stillbirth
(Rx = 15 minutes)
Marc Incerpi, MD
11:00 Tranexamic Acid, Tamponade, and Thromboprophylaxis: New Considerations for Postpartum Hemorrhage in 2018
Melissa Wong, MD
11:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
12:15pm Lunch Break (on your own)
1:30 Thyroid Disease in Pregnancy
(Rx = 20 minutes)
George Saade, MD
2:15 Case Studies in Cardiac Disease During Pregnancy
Shailen Shah, MD
3:00 Break
3:15 Diagnosis & Management of Fetal Growth Restriction (Rx = 15 minutes)
Marc Incerpi, MD
4:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
4:45 Adjourn for the Day

Saturday, September 22

7:30am Continental Breakfast
8:00 Respiratory Failure & Pulmonary Edema: How to Keep Your Head Above Water (Rx = 20 minutes)
Shailen Shah, MD
8:45 Operative Vaginal Delivery: Quo Vadis
Melissa Wong, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:30 Vaccine Preventable Diseases Shouldn’t Happen in Pregnancy Either: Immunizations for Pregnant Women (Rx = 30 minutes)
Laura Riley, MD
11:15 Pregnancy as a Window to Future Health
George Saade, MD
Noon Breech Vaginal Delivery: Can We Move Beyond the Term Breech Trial?
Linda Hunter, CNM, EdD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Conference Adjourns

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


San Francisco is a unique and breathtaking city. From the iconic Golden Gate Bridge, to the exquisite art galleries at the Legion of Honor or San Francisco Museum of Modern Art (SFMOMA), the city takes pride in its unrivaled attractions, renowned museums, and unique neighborhoods. Discover the variety of sites, shops, and restaurants that reflect the city’s great ethnic and cultural diversity. Surrounded by the tranquil waters of the bay, the enchanting city of San Francisco sits amid the peaks and valleys of dozens of landmarks, including Fisherman’s Wharf, Alcatraz, Golden Gate Park, Coit Tower, Lombard Street, Ghirardelli Square, and its historic cable cars.

World-renowned, The Fairmont San Francisco presents an awe-inspiring picture of historic San Francisco. The grandeur of the luxury hotel atop Nob Hill, coupled with its reputation for impeccable service, promises a truly memorable experience during your stay. Each of the hotel’s spacious guestrooms and suites have been elegantly updated, including flat screen TVs, Frette linen ensembles, pillow top beds, and MP3 docking stations.

Centrally located, the luxurious Fairmont San Francisco is a short cable car ride from the bustling downtown, Financial District, Union Square, Chinatown, and Fisherman’s Wharf. In fact, this hotel is the only spot in San Francisco where each of the city’s cable car lines meet! A visit to The Fairmont San Francisco is not complete without experiencing the Tonga Room & Hurricane Bar. Consistently awarded for serving ‘San Francisco’s Best Happy Hour’, the Tonga Room offers exceptional Pacific Rim Asian Cuisine in a tropical setting that includes thunder and rain storms. It is the perfect escape after a busy day of shopping along Union Square.

Whatever your pleasure, you’ll be sure to find it in San Francisco, at our 32nd Annual Fall 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 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
July 12, 2018
If postmarked after
July 12, 2018
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, continental breakfast on Thursday, Friday, and Saturday mornings, and break refreshments for conference registrants

Conference registration will be confirmed via email

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


Symposia Medicus has conference group rates at The Fairmont San Francisco. These special rates will only be available until Friday, August 24, 2018 and will only be available after that date on a space and rate available basis. We recommend you reserve your lodging as soon as possible, as rooms at the conference group rates are limited and on a first come, first served basis. Rooms may sell out and/or room rates may increase prior to the release date.

The conference group rates will also be available three days before the conference (based on availability) if you wish to extend your stay in San Francisco.

The Fairmont San Francisco
950 Mason Street
San Francisco, California 94108

To make your hotel reservations, please call (800) 441-1414 and refer to
group code Symposia Medicus or the 32nd Annual Fall Conference

To make your reservations online, please visit https://aws.passkey.com/go/32annualfallconf

By reserving your room under the Symposia Medicus conference group rates, internet access in your guestroom is complimentary.

Room Type/View Group Rates
Fairmont Queen $345/night Rooms are approximately 325 sq. ft., with an interior courtyard view, and feature one queen bed, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
(King or Two Queens)
$365/night Rooms are approximately 425 sq. ft., with city views, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Deluxe Tower
(King or Two Queens)
$399/night Rooms are approximately 370 sq. ft., with views of the San Francisco skyline, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Signature Tower
(King or Two Queens)
$419/night Rooms are approximately 370 sq. ft., with views of the San Francisco Bay, from Alcatraz to Coit Tower, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.


Hotel Policies

A deposit equal to one night’s room and tax is due to the hotel with major credit card upon making your reservation

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14% Occupancy Tax
- 2.25% Tourism Improvement District Assessment (T.I.D)
- 0.195% California Tourism Assessment

Maximum guestroom occupancy is four, regardless of age. Please note: Two bed accommodations are limited.

Mandatory additional third and fourth adult charge (19 years and over) is $35 per person, per night

Children 18 years and under are complimentary - not to exceed stated maximum occupancy

Rollaway beds are available at an additional cost of $35 per night (subject to availability and change)

Cribs are available on a complimentary basis (subject to availability and change)

Check-in time is 3:00pm and check-out time is noon. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: An early departure fee of $50 will be assessed to guests who depart before their confirmed departure date. Departure dates will be reconfirmed at check-in, and changes can be made at that time, without penalty.

A 30-minute break has been allotted in our conference schedule on the last day, for those who need to check-out

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; 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: Valet parking for hotel guests is $71 (tax included) per night, including unlimited access. Parking for visitors is $6 for every 20 minutes or $15 per hour with a daily maximum of $62 (tax excluded). Parking fees are subject to a 14% city tax and a 1.5% Tourism Improvement District Assessment. All rates are subject to change. There are other parking garages within walking distance of the hotel (prices vary).

Hotel Cancellations must be made directly with the hotel at least 48 hours prior to your confirmed arrival date or you will be charged a cancellation fee equal to one night’s deposit and tax.

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 August 16, 2018; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

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 fly into San Francisco International Airport (SFO), which is approximately 30 minutes from The Fairmont San Francisco. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, 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.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Airlines 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 ECMZ200 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 and click on the link “Advanced Search,” 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 NMQC4 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, please visit www.united.com and click on All Search Options, 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 ZE2C279455 in the “Promotions and Certificates” box. 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 by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD # B766625
Budget 800-772-3773 BCD # U076767