WEDNESDAY, 14 NOVEMBER 2018 

09.00 – 17.30 – SOLD OUT

COURSE1 - ULTRASOUND IN LABOUR AND DELIVERY

Course Directors: TORNBJORN M. EGGEBO (NORWAY); KARIM KALACHE (QATAR)

09.00 – 09.10

Welcome and Introduction
Karim Kalache, Qatar

09.10 – 10.20

FIRST STAGE OF LABOR
Chairperson: Tullio Ghi, Italy

09.10 – 09.40

Measurements during the first stage of labor as predictor of the progress and outcome of labor
Tornbjorn Eggebo, Norway

09.40 – 10.10

Repeated measurements and the sonopartogram
Christopher Lees, UK

10.10 – 10.20

DISCUSSION

10.20 – 10.45

BREAK

10.45 – 12.30

FETAL MALPOSITION AND CEPHALIC MALPRESENTATIONS
Chairperson: Tornbjorn Eggebo, Norway

10.45 – 11.15

The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations
Tullio Ghi, Italy

11.15 – 12.05

Fetal head asynclitism
Antonio Malvasi, Italy

12.05 – 12.20

Practical approach, tips, tricks and things to avoid
Antonio Malvasi, Italy

12.20 – 12.30

DISCUSSION

12.30 – 13.30

LUNCH

13.30 – 15.15

SECOND STAGE OF LABOR
Chairperson: Karim Kalache, Qatar

13.30 – 13.50

Sonographic parameters for diagnosing fetal head station
Tullio Ghi, Italy

13.50 – 14.20

Transperineal ultrasound to predict complicated operative deliveries
Karim Kalache, Qatar

14.20 – 14.40

Practical approach, tips, tricks and things to avoid
Karim Kalache, Qatar

14.40 – 15.00

Routine use in prolonged second stage of labor: What does the research say?
Christopher Lees, UK

15.00 – 15.15

DISCUSSION

15.15 – 15.40

BREAK

15.40 – 16.40

IMPACT AND OUTLOOK
Chairperson: Christopher Lees, UK

15.40 – 16.00

Clinical guidelines
Tullio Ghi, Italy

16.00 – 16.20

Intrapartum ultrasound in low resource settings
Tornbjorn Eggebo, Norway

16.20 – 16.40

10 Key messages and take away points
Tornbjorn Eggebo, Norway

16.40 – 17.10

Closing lecture: US in the delivery room: need or luxury?
Reuven Achiron, Israel

17.10 – 17.30

PANEL DISCUSSION
• Who should examine?
• Teaching examiners?
• Future perspective

09.00 – 17.30 – SOLD OUT

COURSE2 - TECHNIQUES OF CESAREAN DELIVERY AND SURGICAL MANAGEMENT OF PPH

Course Directors: Vincenzo Berghella, USA; Jose Palacios-Jaraquemada, Argentina

An update of classical obstetric procedures is proposed in a compact format. Certain aspects of cesarean section are up to date according to recent data and investigation, which also include hazardous scenarios analyzed from skilled specialists. The postpartum hemorrhage is reviewed from the classic procedures until new approaches for treatment. Use of simple examples will be useful to explain why is necessary to apply some change of paradigms. We will do a particular effort to provide a simple, clear, and useful information for the clinical practice, which include information from prospective randomized trials. Use of learning objectives allows us to put a focus in controversial points.

09.00 – 09.15

Introduction

09.15 – 09.30

Interventions before cesarean delivery
Vincenzo Berghella, USA

• To review evidence for prophylactic antibiotics before cesarean
• To review evidence for antithrombotic prophylaxis before cesarean delivery
• To assess evidence for room temperature at cesarean delivery
• To review evidence for type of drapes at cesarean delivery

09.30 – 09.50

From skin to uterus
Jose Palacios-Jaraquemada, Argentina

• To assess recommendation for hand washing to infection reduction
• To manage the timing and routes to the use prophylactic antibiotics
• To determine the effectivity of different skin antisepsis to prevent infections
• To evaluate the requirements to skin to skin contact at cesarean

09.50 – 10.10

Where should the uterine incision be performed; From uterine incision to closure
Michael Stark, Germany

• To prove the importance of evidence-based approach compared to tradition
• To define the most optimal abdominal opening and closure
• To explain the reasons for adhesions and how to avoid them
• To show how rational suturing of the uterus can prevent ruptures in the next pregnancies.

10.10 – 10.30

DISCUSSION

10.30 – 11.00

BREAK

11.00 – 11.20

Closing the abdomen
Aris Antsaklis, Greece

• To review the different techniques of closing the uterus and abdomen.
• To assess the difference between closure vs non-closure of the peritoneum.
• To review evidence for the use of different type of drains.
• To access the different techniques of facial closure.

11.20 – 11.40

Immediate postoperative care
Vincenzo Berghella, USA

• To review evidence for timing of food intake after cesarean delivery
• To review evidence for chewing gum after cesarean delivery
• To assess evidence for timing of wound dressing removal after cesarean delivery
• To review evidence for timing of ambulation and discharge after cesarean delivery

11.40 – 12.00

Cesarean in the obese patient
Mohamed Momtaz, Egypt

• To review the prevalence and impact of obesity on pregnancy outcome and mode of delivery.
• To assess evidence for management of obese women during pregnancy and labor.
• To review the surgical, anesthetic, and logistical challenges in Cesarean section in obese women.
• To assess evidence of pre-operative preparation, surgical techniques, and post-operative care for Cesarean section in obese women.

12.00 – 12.30

DISCUSSION

12.30 – 13.30

LUNCH

13.30 – 13.50

Cesarean in a patient in the 2nd stage of labor: difficulties and prognosis for future pregnancies
Alexis Gimovsky, USA

• To explain predictors for cesarean delivery in the 2nd stage of labor
• To recognize the difficulties of performing cesarean delivery in the 2nd stage of labor
• To analyze delivery techniques in 2nd stage cesarean delivery
• To recognize the risks in future pregnancy related to prior 2nd stage cesarean delivery

13.50 – 14.10

Cesarean scar niche. Possibilities of prevention and treatment
Roman Shmakov, Russia

• To assess indications for laparoscopic and hysteroscopic correction of the niche.
• To review complications and risks for pregnancy management in women with niches
• To review possibility of vaginal delivery after scar plastics

14.10 – 14.40

Unexpected bleeding at cesarean: concept of primary and secondary hemostasis. When to transfuse and how
Jose Palacios-Jaraquemada, Argentina 

• To understand why on PPH always needs to solve two problems
• To introduce a concept of primary hemostasis
• To manage simple techniques to stop bleeding without hysterectomy
• To recognize main causes of hemostasis failure

14.40 – 15.00

DISCUSSION AND BREAK

15.00 – 15.20

Intrauterine balloon tamponade in PPH during cesarean: an update
Sergey Barinov, Russia

• To know indication and managing of the Zhukovsky balloon catheter
• To recognize techniques for improving efficacy of uterine-vaginal balloon tamponade
• To recognize the advantage of long action balloon compression (≥10 h)
• To manage a simultaneous use of double balloon, and additional hemostatic sutures

15.20 – 15.50

Abnormal placental implantation disorders: management
Pierluigi Benedetti Panici, Italy

• To review evidence for the diagnostic algorithm for placental implantation disorders
• To review evidence for timing of scheduled delivery and intrapartum care
• To review evidence for balloon catheterization and arterial embolization in pelvic vessels and abdominal aorta
• To review evidence for active vs conservative management

15.50 -16.10

Management of abnormal bleeding in twin pregnancies
Anton Mikhailov, Russia

• To review the prevalence and impact of multiple pregnancy on PPH.
• To review the methods of prophylactic and management of PPH after multiple vaginal delivery
• To introduce a team work strategy to stop PPH during multiple Cesarean delivery
• To introduce external elastic uterine compression as effective step of organ saving strategy in PPH

16.10 – 16.30

DISCUSSION / CONCLUSIONS

09.00 – 17.30 – SOLD OUT

COURSE3 - ACUTE EMERGENCIES (DIC, AF EMBOLISM, HEART FAILURE, ANESTHESIA ETC)

Course Directors: Krzysztof M. Kuczkowski, USA; Wolfgang Henrich, Germany; Offer Erez, Israel

Acute life threatening obstetric and non-obstetric related emergencies in pregnancy are rare. Common obstetric complications such as postpartum hemorrhage due to atony, deeply invasive placenta implantation disorders, placental abruption, obstetric trauma, severe preeclampsia, eclampsia and peripartum infections can indeed occasionally be fatal. However, even experienced obstetricians have to be aware of the other major acute diseases that are relatively rare in obstetrics such as cardiac arrest, amniotic fluid embolism, idiopathic pulmonary hypertension, aortic dissection, peripartum cardiomyopathy, severe acute respiratory diseases and anesthetic complications. Most of these relatively rare life threatening complications may present with unspecific or atypical symptoms and will require interdisciplinary investigations including for example a detailed physical examination,  echocardiography, abdominal ultrasound and specific blood tests. The interdisciplinary teamwork of anesthetists, surgeons, cardiologists, internal medicine specialists, hematologists and obstetrician is essential for the early diagnosis and appropriate therapy in these situations. The course of Acute Emergencies is brought by experienced and specialized obstetricians from all over the world will hold lectures during the course, and present not only the typical obstetrical emergencies but also the most relevant thoracic, abdominal and systemic illnesses with case presentations highlighting the pathophysiology and current management strategies of such life threatening complications.

09.00 – 09.05

Opening remarks: welcome & introduction

09.05 – 09.35

Aortic dissection in pregnancy: interdisciplinary management
Wolfgang Henrich, Germany

09.35 – 10.05

Acute respiratory distress syndrome in pregnancy
Krzysztof M. Kuczkowski, USA

10.05 – 10.35

Amniotic fluid embolism: current concepts and management
Wolfgang Henrich, Germany

10.35 – 11.00

BREAK

11.00 – 11.30

Anesthesia in the critically ill mother
Krzysztof M. Kuczkowski, USA

11.30 – 12.00

Thromboembolic diseases during pregnancy diagnosis, management and prevention
Offer Erez, Israel

12.00 – 12.30

New concepts in sepsis and septic shock
Maria Fernanda Escobar, Colombia

12.30 – 13.30

LUNCH

13.30 – 14.00

Disseminated intravascular coagulation: pathophysiology, diagnosis and management
Offer Erez, Israel

14.00 – 14.30

Placental Abruption: risk factors for the mother and neonate
Wolfgang Henrich, Germany

14.30 – 15.00

Serious hepatic complications: acute fatty liver of pregnancy, liver rupture, and liver failure during pregnancy
Offer Erez, Israel

15.00 – 15.30

BREAK

15.30 – 16.00

Trauma during pregnancy
Maria Fernanda Escobar, Colombia

16.00 – 16.30

An acute hypertensive emergency
Wolfgang Henrich, Germany

16.30 – 17.00

PANEL DISCUSSION: Critical care in obstetrics: the role for an intensive obstetrical care unit

09.00 – 17.00

COURSE4 - COMMON PROBLEMS IN LABOUR (in cooperation with FNOPO)

Where and how to manage low risk labor in the era new obstetrics risks: obesity, art, older maternal age, and socially deprived immigrants

Course Director: Enrico Ferrazzi, Italy

The aim of the course is to present key issues and local experiences on the safe place of birth for low risk pregnant women.

09.00 – 12.30

SESSION 1

09.00 – 09.10

Opening remarks
Enrico Ferrazzi, Italy

09.10 – 09.40

Which screenings to assess a low risk pregnant woman?
Sophie Renwick, Tim Draycott, UK

09.40 – 10.10

Which screenings to assess a low risk pregnant woman. Does fetal growth matters?
Abdallah Adra, Lebanon

10.10 – 10.40

Maternal obesity before pregnancy, and morbid obesity at term, demographic indices or a disease?
Dan Farine, Canada

10.40 – 11.10

When and how to deliver in previous and gestational diabetes pregnancies
Liliana Voto, Argentina

11.10 – 11.20

BREAK

11.20 – 11.50

Term, Late Term does it make a difference on perinatal outcome?
Gerard Visser, The Netherlands

11.50 – 12.20

Planned home births: the need for additional contraindications?
Jan Nijhuis, The Netherlands

12.20 – 12.30

OPEN PANEL DISCUSSION

12.30 – 14.00

LUNCH

14.00 – 17.00

SESSION 2

14.00 – 14.30

Walking epidural, is it changing the set for low risk women in labor?
Giuseppe Sofi, Italy

14.30 – 15.00

Midwives-only-led labor in low-risk women in a Referral Obstetric Unit? The Milan Experience
Valentina Marcon, Silvia Colombo, Italy

15.00 – 15.30

Alongside Midwife Units–which setting? The Florence Experience
Laura Iannuzzi, Italy

15.30 – 16.00

Acupressure- acupuncture for pain in labour
Isabella Neri, Italy

16.00 – 16.30

Prevention and management of OASIS (obstetric anal sphincter injuries)
Abdallah Adra, Lebanon

16.30 – 17.00

Open panel discussion and closing remarks

13.30 -17.30

COURSE5 - INTRAPARTUM FETAL MONITORING

Course Directors: Diogo Ayres De Campos, Portugal; Gerard H. Visser, The Netherlands

Current expectations on a favourable neonatal outcome leave little room for error in intrapartum fetal monitoring, but at the same time it is necessary to maintain low obstetric intervention rates. This course focuses on the pathophisiologic changes behind fetal heart rate patterns, their interpretation and management. It is based on the 2015 FIGO guidelines for intrapartum fetal monitoring.

13.30 – 13.35

Introduction
Diogo Ayres De Campos, Portugal

13.35 – 14.10

Physiology of fetal oxygenation
Gerard H. Visser, the Netherlands

14.10 – 14.45

Interpretation of the cardiotocogram
Diogo Ayres de Campos, Portugal

14.45 – 15.10

Adjunctive technologies
Edwin Chandraharan, UK

15.10 – 15.30

Monitoring uterine contractions
Steven Koenen, The Netherlands

15.30 – 17.30

CASE DISCUSSION

13.30 – 17.30 – SOLD OUT

COURSE6 - SIMULATION: TWIN VAGINAL DELIVERY; BREECH VAGINAL DELIVERY

Course Directors: Jon Barrett, Canada; Sarah Rae Easter, USA
Discussants: Frank Louwen, Germany, Ian Nijhuis, The Netherlands

OBJECTIVES

At the end of the simulation the learner will be able to:
Outline the safety, benefits, and relative contraindications to twin vaginal birth.
• Counsel and consent a patient for an attempted twin vaginal birth.
• Demonstrate the requisite skills for a breech extraction of the second twin.
• Describe maneuvers and strategy for the challenging breech extraction.
• Exhibit proficiency in managing a twin vaginal birth with emphasis on delivery of the second twin.

OUTLINE

Introduction to Session and Survey Completion
Review of Evidence-Based Guidelines and Approach to Counseling
Standardized Patient Counseling
• Session 1: Vertex/Vertex Twins
Session 2: Vertex/Nonvertex Twins

Hands on Practice with Breech Extraction Skills
Stations Rotating
Station 1: Grasping the Feet
• Station 2: Delivery of Body, Arms, and Head
• Station 3: Break and Volunteer Selection

Description and Completion of Twin Delivery Simulation
• Scenario 1 and Debriefing: Intrapartum Presentation Change
• Scenario 2 and Debriefing: Fetal Bradycardia

CONCLUSION AND EVALUATIONS

09.00 – 16.30 – SOLD OUT

COURSE7 - SIMULATION SKILL COURSE: ULTRASOUND IN THE MANAGEMENT OF OBSTETRICAL EMERGENCIES

Organized by EGEO group (Ecografia Gestione Emergenze Ostetriche) and SIEOG

09.00 – 11.00

THEORETICAL PART
Chairpersons: Giuseppe Rizzo, Italy, Antonio Barbera, USA
Faculty: Giuseppe Rizzo, Tullio Ghi, Bianca Masturzo, Alice Suprani, Arianne Kiener, Federica Bellussi, Filomena Aloisio

  • The role of ultrasound in obstetrical simulation
  • Ultrasound before performing an operative vaginal delivery
  • Ultrasound in predicting and managing suspected shoulder dystocia
  • Ultrasound in the management of obstetrical hemorrhage
  • Ultrasound in the diagnosis of anal sphincter injuries

11.00 – 11.30

BREAK

11.30 – 12.30

Simulation skill on mannequins

12.30 – 13.30

LUNCH BREAK

13.30 – 16.30

Simulation skills on mannequins
• Operative vaginal delivery with either vacuum or forceps
• Shoulder dystocia: a systematic approach
• Post partum haemorrhage
• Diagnosis and repair of anal sphincter injuries