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Dr. Jonathan H. Waters and Dr. Mary Angela O’Neal present during the UPMC 2018 Obstetrical Neuro Conference. Dr. Waters discusses the complications of obstetrical analgesia and anesthesia, and reviews treatment options and proper management of spinal anesthetics. Dr. O’Neal identifies chiari malformation in pregnancy and reviews how it effects different modes of delivery.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Identify risk factors which make a patient more prone to develop a dural puncture headache
  • Explain the most common complications of epidural or spinal anesthesia
  • Recognize possible complications of epidural catheter placement
  • Explain the diagnostic criteria for Chiari I Malformation
  • Recall if Chiari Malformation affects mode of delivery 
  • Identify which groups of women with Chiari Malformation are considered high risk


Dr. Mary Angela O’Neal, MD has reported no relevant relationships with entities producing health care goods or services.

Dr. Jonathan H. Waters, MD has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Grant/Research Support: Haemonetics, LivaNova
  • Consultant: Haemonetics, LiveNova, Trevena

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to .75 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 1/29/2019 | Last Modified On: 1/29/2019 | Expires: 1/29/2020


This course has been expired.