Advances in OB Pain Management

(This activity fulfills the Michigan CE requirements for pain and symptom management.)
Release Date: 10/23/23 and Expiration Date: 10/23/26

Enduring Material Author:

Michaela Kristina Farber, MD, MS
Chief, Division of Obstetric Anesthesia
Associate Professor, Harvard Medical School
Department of Anesthesiology,
Perioperative and Pain Medicine,
Brigham and Women’s Hospital,
Boston, MA

The speaker has relevant financial relationships with HemoSonics and OctaPharma as a Medical Advisory Board member. All of the relevant financial relationships listed have been mitigated. Dr. Farber had a relevant financial relationship with CRICO Risk Management Foundation in grant funding but the relationship ended; therefore, no mitigation was necessary. (Click here to view the Faculty Disclosure form.)


- Video (1 hour 30 minutes)

Educational Objectives

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

  • Identify benefits and limitations of alternate pain modalities to epidural analgesia for labor and delivery – nitrous oxide, IV or IM opioids, and non-pharmacologic practices
  • Apply up-to-date practices of peripartum pain management using enhanced recovery after surgery (ERAS) guidelines for obstetric anesthesia and analgesia
  • Recognize the current strategies for epidural analgesia – the dural puncture epidural (DPE), the programmed intermittent epidural bolus (PIEB)
  • Incorporate patient-centered care, including trauma-informed care, in the approach to analgesia for labor and delivery

Instructions for Participation

  1. Start Here to register and complete the CME activity.
  2. Note: Plan for one hour and 30 minutes of committed time. If you exit the activity before completion, you must begin again.
  3. Take the pre-test, view the material, and complete the post-test.
  4. Complete the evaluation and receive your CME certificate.

Hardware / Software Requirements

PDF: To view the material in a portable document file (PDF) format, you will need a PDF reader, which you can download for free at Nitro Reader or Adobe Reader (or from your App store if you are using a mobile device).

VIDEO: To view the material in video format, you will need Adobe Flash player, which you can download for free from Adobe Flash (or from your App store if you are using a mobile device). You may need speakers or headphones to hear the audio.


No charge

Accreditation Statement

Hurley Medical Center is accredited by the Michigan State Medical Society to provide continuing medical education for physicians.

Designation Statement

Hurley Medical Center designates this Internet Enduring Material activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Target Audience

Primary Care Physicians, Specialty Care Physicians, Allied Health Professionals, Resident Physicians, and Nurses who reside within the state of Michigan and its bordering states of Wisconsin, Indiana, and Ohio only.

Privacy and Confidentiality Policy

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2023 Hurley Medical Center. All rights reserved.

Provider Contact Information

Hurley Medical Center, Institute for Continuing Medical Education, One Hurley Plaza, Flint, MI

Phone 810-262-9142, Fax 810-760-9956, or Email

Provider Disclosure

Hurley Medical Center has implemented mechanisms to identify and mitigate conflicts of interest for all individuals in a position to control content of this Internet enduring material activity.

Planning Committee Members –

All planning committee members and CME staff have no relevant financial relationships with any ineligible companies to disclose.

Reviewers –

One reviewer has a financial relationship with Pfizer, Moderna, and Sorrento as a Stockholder but the relationships have ended; therefore, no mitigation was necessary. The remaining reviewers have no relevant financial relationships with any ineligible companies to disclose.


Click here to view.