Fetomaternal Medicine

Friday, December 9, 2011


08:30-10:00
OPENING SESSION
Chairpersons J.H.Lang, China (Honorary Chairman)
C.Q. Zhou, China
G. Lu, China
Z.J. Chen, China
Z. Ben Rafael, Israel
08:30-08:35 Opening remarks
Experts views on where our field is heading
08:35-08:55 Stem Cells and Their Significance in Gynecology
C. De Geyter, Switzerland
08:55-09:15 Sperm fitness testing and experimental IVF on integrated Lab-on-a-Chip devices
J. Cheng, K. Mitchelson, China
09:15-10:00
WHEN WILL LAPAROSCOPY REPLACE ALMOST ALL LAPAROTOMIES?
Capsule Video-Laparoscopy is developing fast, covering an ever growing number of operations and disciplines. Prof. Nezhat, often referred to as a "Wizard" in Laparoscopy, will present his personal view, an odyssey of science technology and will explain where Video-Laparoscopy is heading and if this technology will ever put to rest all laparotomies, and in his words: "The objectives of the lecture are, to motivate the younger physicians, bring hope to their work and education and encouragement in their careers"
C.R. Nezhat, USA

10:00-10:20 Coffee break

10:20-11:50
INCREASING CAESAREAN SECTION RATE: HOW MUCH IS TOO MUCH?
Capsule One of the hottest controversies is the huge increase in CS rates worldwide. Viewed by some as a blessing and a modern response to obstetrics needs, others view it as a lack of discipline and understanding
Chairperson W.H. Tam , Hong Kong
H. Divakar, India
10:20-11:20
Hot Topic: Increasing rates of CS the right way to go?
Is there a midway Between the view that  “CS for all should be the target” and the view that  “Understanding overall Caesarean section rates will help limit the rising rates”
M. Robson, Ireland
Discussion
11:20-11:50 LMWH for pregnancy loss: To treat or not to treat?
I. Blickstein, Israel
Objectives: To acquire knowledge on the following:
  • The reasons, and pros and cons of the sharp increase in CS rates
  • Prevention of VTE

11:50-12:10 Poster viewing

12:10-13:40
CONTROVERSIES IN PRETERM LABOR AND DELIVERY
Capsule Despite the high fetal morbidity and mortality that is associated with premature delivery, there is currently neither a tool specific enough to diagnose premature labor, nor a good intervention available to effectively interrupt the vicious circle of labor
Chairpersons W.H. Tam, Hong Kong
W. Holzgreve, Switzerland
12:10-12:40 Diagnosis of preterm labor (PTL) and prediction of premature delivery (PMD): Who to treat, and who not to treat?
I. Blickstein, Israel
12:40-13:10 Why do we use tocolysis at all?
M. Robson, Ireland
13:10-13:40 Should we repeat atosiban tocolysis as frequently as required?
I. Blickstein, Israel
Objectives: Upon completion of this session, the audience will have learned:
  • The pitfalls of diagnosis and treatment of PTL
  • Selecting who to treat
  • The place of tocolysis in PTL

13:40-14:30 Lunch break

14:30-16:00
GESTATIONAL DIABETES MELLITUS (GDM)
Capsule The association of milder forms of GDM with perinatal morbidity and mortality remains unclear, primarily because the condition is often confounded with other risk factors, such as maternal obesity, age, and parity which increase the risks of adverse pregnancy outcomes. The implementation of the HAPO results into recommendations increases the number of patients labeled to have GDM from 4% to16%. While many would welcome the doubling of patients load the question is, will increased expenditure improve the outcome?
Chairperson I. Blickstein, Israel
W. Holzgreve, Switzerland
14:30-15:15 The Pros and Cons surrounding the Implementation of HAPO study recommendations: Will it increase the safety of pregnancy or just increase the number of patients labeled as GDM
W.H. Tam, Hong Kong (TBC)
Discussant
W.H. Tam, Hong Kong
15:15-15:30 Questions to the panel
  1. Should women with obesity and DM try to lose weight while pregnant?
  2. Long term effects of GDM on neonate, fetal origin of maternal diseases
15:30-16:00 Active Management of Labour: What is the evidence?
M. Robson, Ireland
Objectives: To acquire knowledge on the following:
  • The disadvantages of HAPO study implementation
  • Long term effects and complications of GDM
  • Risks of obesity in GDM
  • The role of active management of labor in current obstetrics

16:00-16:30 Coffee break

16:30-18:00
PRENATAL DIAGNOSIS
Capsule Prenatal diagnosis is evolving fast, and soon we'll be able to get a full noninvasive screening
Chairpersons T.Y. Leung, Hong Kong
W. Holzgreve, Switzerland
16:30-16:50 Non-invasive prenatal diagnosis from maternal blood: Finally available in clinical practice after 20 years of research
W. Holzgreve, Switzerland
16:50-17:15 Is there any role of NT and biochemical screening in the era of non-invasive prenatal diagnosis?
T.Y. Leung , Hong Kong
17:15-17:40 Evaluation of the cervix with new wireless device
W. Holzgreve, Switzerland
17:40-18:00 Comparative genomic hybridization-array analysis enhances the detection of aneuploidies and submicroscopic imbalances in spontaneous miscarriages
K.W.R. Choy, Hong Kong
Objectives: To acquire knowledge on the following:
  • Different prenatal noninvasive diagnostic methods and there limitation
  • The place of CGH
18:30-19:45 Special entertaining performance of “Snakes, Bugs and Us”
By “Skip” Granai, MD, USA



Saturday, December 10, 2011


08:30-09:00
COMPLICATIONS OR PREGNANCY AND DELIVERY
Capsule Life-threatening situations in obstetrics should be identified and treated early
Chairpersons W.H. Tam, Hong Kong (TBC)
I. Blickstein, Israel
08:30-09:00 New insights into the pathophysiology of preeclampsia: Consequences for prediction and prevention
W. Holzgreve, Switzerland
09:00-09:30 What is the best maneuver to relieve shoulder dystocia and safety limit for head-to-body delivery interval?
T.Y. Leung, Hong Kong
09:30-10:00 Stem cells from cord blood and other sources: What the obstetricians/ gynecologists should know?
W. Holzgreve, Switzerland
Objectives: Upon completion of this session, the audience will have learned:
  • Managing Shoulder dystocia
  • Prevention of complication by better prediction
  • What to do with cord blood?

10:00-10:20 Coffee break

10:20-11:50
CERCLAGE
Capsule Cerclage is being used in increasing frequency despite the lack of RCT
Chairpersons T.Y. Leung, Hong Kong
H. Divakar, India
10:20-11:20
Debate: Does Cervical Cerclage with Bulging Membranes Extend Pregnancy Beyond Conservative Treatment? What is the Evidence?
No Evidence: Conservative treatment will achieve similar results. The risk of infection is too high to keep experimenting
I. Blickstein, Israel
Selection of patients and meticulous technique is the key to success in emergency cerclage
W.H. Tam, Hong Kong
Discussion
11:20-11:50 The role of “repeated dose” steroids
T.Y. Leung, Hong Kong
Objectives Upon completion of this session, the audience will have learned:
  • The place of late cerclage in the management of bulging membranes
  • Technique, indication, and contraindication of late cerclage
  • Use of corticosteroids

11:50-12:10 Poster viewing

12:10-13:40
MULTIPLE PREGNANCIES
Capsule The modern epidemic of multiple pregnancies might have many reasons but has one profound effect on perinatal results. Recognizing the risk might be the first step for prevention
Chairpersons M. Robson, Ireland
W.H. Tam, Hong Kong
12:10-12:40 How do iatrogenic multiple pregnancies complicate perinatal care?
I. Blickstein, Israel
12:40-13:10 Fetoscopic Laser treatment of twin to twin transfusion syndrome: More than "see and burn"
T.Y. Leung, Hong Kong
13:10-13:40 Selective IUGR in twins
S. Luming, China
Objectives: Upon completion of this session, the audience will have learned:
  • Risks and complications of multiple pregnancies
  • Treating TTS

13:40-14:30 Lunch break

14:30-16:00
HIGH RISK PREGNANCIES IN ART: A PRICE TO PAY
(Bilateral encounter of Primatologists and Infertility Specialists)
Capsule It seems as if there are two monologues are going on simultaneously; ART- specialists are opting for the highest pregnancy rates defying the limitations on reproduction set by nature on male and female fertility. On the other hand, age, female chronic diseases, multiple pregnancies, and parental genetic deficiencies have opened a whole new field of "ART high risk pregnancies" opting to secure the safest delivery and perinatal outcome in these extreme situations. Conversely, an open dialogue, which will allow the perinatologists to influence the "point of entry" to ART treatments, might result in higher barriers on personal rights to peruse their plans. What kind of dialogue should we develop?
Chairpersons Z. Ben-Rafael, Israel
H. Divakar, India
14:30-15:00 Medical complications of pregnancy resulting from IVF: What do we know and what don’t we know?
I. Blickstein, Israel
15:00-16:00
Debate: Preconception counseling for ART: who should inform the women about the risks?
Proposition: Patients are ready to take the many risk in their journey to parenthoods, and ART specialists are fully trained, to weigh the risk/benefit in most situations, hence they should be the primary physicians to provide counseling
N. Gleicher, USA
Opposition: ART specialists might be in conflict when counseling women on the plethora of perinatal risks that they might face
I. Blickstein, Israel
Discussion: What kind of dialogue should we develop?
Objectives: Upon completion of this session, the audience will have learned:
  • The plethora of risks involved in ART pregnancies
  • The conflicts facing the preconception counselor
  • The mounting price of multiple pregnancies

16:30-18:00
COMPLICATIONS OF PREGNANCY (II)
Chairpersons H. Divakar, India
T.Y. Leung, Hong Kong
16:30-17:00 New drugs to reduce post-partum hemorrhage
I. Blickstein, Israel
17:00-17:30 Reducing maternal anemia in the 3rd world
H. Divakar, India
17:30-18:00 Myomectomy during CS
Z. Ben Rafael, Israel
Objectives: Upon completion of this session, the audience will have learned:
  • Controlling PPH
  • Controlling Anemia during pregnancy
  • Myomectomy: To whom by whom?