Barber Medical Legal Nurse Consulting, LLC

09/02/2026

The countdown is on! 🗓️
Registration for our September 25 AWHONN - The Association of Women's Health, Obstetric and Neonatal Nurses Intermediate Fetal Monitoring course closes on September 18.

Register now while seats are still available ‼️

ARE YOU READY FOR:
👉 multidisciplinary experiential hands on learning
👉 real world application
👉 immediate takeaways you can take back to practice

Secure your spot now! Register here 👉 https://barbermedicallegalnurseconsulting.learnworlds.com/

Registration is open for our September Intermediate Fetal Monitoring class!

To register:

👉 scan the QR code on the attached flyer, or

👉 click the link here: https://lnkd.in/eV_iT4k7

Northeast New York Professional Nurses Organization, Inc.New York State Perinatal AssociationAALNC - American Association of Legal Nurse ConsultantsAmerican Society for Health Care Risk Management - ASHRM Florida Society for Healthcare Risk Management and Patient SafetyAmerican Nurses Association - NYACOG District IINPWH Florida Nurses AssociationThe National Nurses in Business Association American Hospital Association

08/05/2026

Limited seats are still available for our September AWHONN - The Association of Women's Health, Obstetric and Neonatal Nurses Intermediate Fetal Monitoring course! Secure your spot today!
👉 register here: https://barbermedicallegalnurseconsulting.learnworlds.com/home

🗓 September 25
🕗 8:00 am - 4:00 pm (ET)
📜 Registration deadline: Friday, September 18th

Registration is open for our September Intermediate Fetal Monitoring class!

To register:

👉 scan the QR code on the attached flyer, or

👉 click the link here: https://lnkd.in/eV_iT4k7

Northeast New York Professional Nurses Organization, Inc.New York State Perinatal AssociationAALNC - American Association of Legal Nurse ConsultantsAmerican Society for Health Care Risk Management - ASHRM Florida Society for Healthcare Risk Management and Patient SafetyAmerican Nurses Association - NYACOG District IINPWH Florida Nurses AssociationThe National Nurses in Business Association American Hospital Association

07/28/2026

In July of 2025, the American College of Obstetricians & Gynecologists - ACOG published a Clinical Practice Guideline (number 9) titled, Cervical Ripening in Pregnancy.

The objective was to review methods of cervical ripening and to summarize the efficacy and safety of the current available methods.

💡 A few key takeaways that I wanted to point out:

➡️ Due to the risk of uterine rupture, misoprostol (Cytotec) and other prostaglandin preparations are contraindicated in patients with a history of uterine surgery, including cesarean delivery

➡️ Pharmacologic (i.e. Cytotec Cervidil), mechanical (single foley balloon catheter), or combination methods are appropriate
↪️ Combination methods are recommended to shorten the time from admission to delivery in appropriate candidates

➡️ Vaginal compared with oral misoprostol (Cytotec) reduced the need for oxytocin use before delivery

➡️ The use of either oral or vaginal misoprostol (Cytotec) is recommended
↪️ Vaginal: more effective
↪️ Oral results in:
↪️ fewer vaginal births within 24 hours
↪️ longer time from induction to vaginal birth
↪️ less tachysystole with fetal heart rate changes

➡️ no difference in overall cesarean delivery rates
↪️ cesarean delivery rate for fetal distress is lower with oral misoprostol (Cytotec)

➡️ Neonatal outcomes overall do not differ between oral and vaginal administration, including 5-minute Apgar score lower than 4, umbilical cord blood pH less than 7.0, meconium aspiration syndrome, birth asphyxia, neonatal encephalopathy or seizures, sepsis, and perinatal death

➡️ Sublingual or buccal administration is associated with an increased risk of uterine tachysystole. IS NOT RECOMMENDED FOR ROUTINE USE IN CERVICAL RIPENING 🚫

COMMENT AND SHARE ‼️
Have you observed a clinical practice change since this publication? In your reviews and/or experiences, what route of Cytotec administration do you identify to be the most common?



Cervical Ripening in Pregnancy: ACOG Clinical Practice Guideline No. 9: (2025). Obstetrics & Gynecology, 146(1), 148–160.

PURPOSE:The purpose of this document is to review current methods for cervical ripening and to summarize the effectiveness of these approaches based...

07/20/2026

There's a new article published in the highlighting a study performed that evaluated the risk of cesarean delivery related to fetal compromise and/or failure to progress in pregnancies with large for gestational age fetuses identified during 36 week ultrasound growth scans and optimal delivery timing.

The study concluded:

👉 in an effort to reduce risks, induction of labor is recommended at 38 weeks gestational age if the estimated fetal weight is greater than the 95th percentile.

👉 induction of labor is recommended at 39 weeks gestational age if the estimated fetal weight is within the 90th-95th percentile.

COMMENT AHD SHARE: have you observed this management in clinical practice to date? Alternatively, are you observing more clinicians opting for conservative management until 41 weeks regardless of the estimated fetal weight?

See link to article's abstract below: ⤵️

https://lnkd.in/duyFhDvy

07/07/2026

Registration is open for our September Intermediate Fetal Monitoring class!

To register:

👉 scan the QR code on the attached flyer, or

👉 click the link here: https://lnkd.in/eV_iT4k7

Northeast New York Professional Nurses Organization, Inc.New York State Perinatal AssociationAALNC - American Association of Legal Nurse ConsultantsAmerican Society for Health Care Risk Management - ASHRM Florida Society for Healthcare Risk Management and Patient SafetyAmerican Nurses Association - NYACOG District IINPWH Florida Nurses AssociationThe National Nurses in Business Association American Hospital Association

06/26/2026

I had the great privilege of hosting another Intermediate Fetal Monitoring class today! Absolutely beautiful & hospitable venue at the hotel in Lake George, NY.

06/24/2026

Fetal tachycardia...is it a high risk finding, or is it not? That is the question.

06/11/2026

I'm looking forward to being a guest speaker at the upcoming American Nurses Association - NY Annual Conference!

American Nurses Association - NY

https://www.facebook.com/share/p/1DcjyCNLZM/

Hear from speaker Dr. Carrie Barber, DNP, APRN, CNM, Ob/Gyn NP at t...

06/01/2026

We still have seats available for our upcoming AWHONN Intermediate Fetal Monitoring class! Register now before registration closes 6/19.

There's still time to register for our next (AWHONN - The Association of Women's Health, Obstetric and Neonatal Nurses Intermediate Fetal Monitoring course❗️

☑️instructor led, in-person
☑️multidisciplinary
☑️didactic content
☑️interactive skills stations
☑️11.25 CNE/CME hours

👉Our next course is June 26
👉8a-4p (ET)
👉Registration closes June 19

Limited seats are still available - 🫵 click on the link below to reserve your seat❗️

https://barbermedicallegalnurseconsulting.learnworlds.com/home

AALNC - American Association of Legal Nurse Consultants American Society for Health Care Risk Management - ASHRM American Hospital Association Florida Society for Healthcare Risk Management and Patient Safety American Nurses Association - NY American Nurses Association American College of Obstetricians & Gynecologists - ACOG American Medical Association The National Nurses in Business AssociationNortheast New York Professional Nurses Organization, Inc.

05/18/2026

Time for Delivery?

Optimizing Birth Outcomes in the Presence of Persistent Category II FHR Tracings.

To learn more, visit our blog post

In this blog I’ll highlight a case scenario specific to intrapartum management of a persistent Category II fetal heart rate (FHR) tracing.  The longitudinal evolution of the tracing will be highlighted as well as the perinatal care delivery responses.  In closing, I’ll offer current recommenda...