Perinatal Resources, Inc. requires that faculty participating in the Columbus Comprehensive Review course discloses all financial relationships that they, or their partner/spouse, have had in the past 12 months with any commercial interest. Dr. McKenna has stated in writing that he or his spouse has no financial relationship with any commercial interest. His signed attestation is kept on file at the PRI office.

The material presented at this course is being made available by Perinatal Resources, Inc. for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. Every effort has been made to assure the accuracy of the data presented at this course. Physicians may care to check specific details such as drug doses and contraindications, etc., in standard sources prior to clinical application.

Perinatal Resources, Inc. disclaims any and all liability for injury or other damages resulting to any individual attending this course and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person.

David Mckenna, MD

Dr. McKenna practices at Miami Valley Hospital in Dayton, Ohio. He is the Medical Director of the Perinatal Intensive Care Unit and a Clinical Associate Professor of Obstetrics and Gynecology at Wright State University, Boonshoft School of Medicine in Dayton, Ohio. Dr. McKenna received his M.D. in 1992 at Case Western Reserve, University School of Medicine in Cleveland, Ohio. In 1996 he completed his residency at Wright Patterson Air Force Base and Wright State University in Dayton, Ohio. He completed his Fellowship in Maternal Fetal Medicine in 1998 at The Ohio State University and in 2003 he completed the Associate of Professors of Obstetrics and Gynecology Solvay Educational Scholars Development Program. His major research and clinical interests include prematurity, preeclampsia, antenatal steroids, cervical ripening, isoimmunization and obstetrical ultrasound. He has published 46 articles and 5 book chapters

1. Know the rationale for and methods to prevent the 1st cesarean delivery.
2. Know the indications for IOL
3. Be able to preform a pre-assessment for IOL
4. Choose and appropriate ripening technique.
5. Be able to widely argument labor.
5. Know the indications and contraindication for attempting VBAC.
6. Know the signs of uterine rupture.
7. Know the long-term consequences of choosing repeat section versus VBAC.
8. Be able to appropriate counsel patients regarding material request for primary cesarean delivery.
9. Understand the rational for recommending routine cesarean section in the term breech.
10. Know how to reduce the frequency of breech presentations by external version.
11. Understand the complications of external version.
12. Discuss the ways of handling a premature breech delivery or second twin breech.

Obstetricians and Gynecologists

Perinatal Resources, Inc.

Perinatal Resources, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.