Masters Training in Reproductive & IVF

IVF 17-7-2017 (2)Polycystic Ovarian Syndrome – diagnosis and what’s new
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Masters Training in Reproductive & IVF
By Dr.Anil Gudi & Dr.Amit Shah
Part 1(13CME) & Part 2 (13.5CME)
on 25-28 October 2017| Dubai,UAE

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RCOG AND BMFMS MATERNAL MEDICINE CONFERENCE 2017 Le Meridien Hotel, Dubai, UAE

RCOG & BMFMS Conference will be held in Dubai – United Arab Emirates, well known for its warm hospitality and rich Emirati culture heritage. Many distinguished doctors have joined the faculty and will take part in this conference. The conference has been designed to provide an innovative and comprehensive overview of the latest research development in the field of maternal medicine. The conference will also be of value to clinicians with a maternal medicine and high-risk obstetric practice. The conference is structured to address current maternal medicine issues across all medical sub-specialities with specific relevance to obstetrics. The conference has a format of lectures and breakout group work to address topical maternal medicine issues.

The conference will also be of value to clinicians with maternal medicine and high-risk obstetric practice. The conference is structured to address current maternal medicine issues across all medical subspecialities with specific relevance to obstetrics. The conference has a format of lectures and breakout group work to address topical maternal medicine issues.

Conference Organisers Professor Fionnuala McAuliffe FRCOG, Dublin Mr Jason Waugh MRCOG, Newcastle upon Tyne Honorary Director of Conferences Mr Nick Panay MRCOG, London Honorary Deputy Director of Conferences Mr Philip Toozs-Hobson FROCG, Birmingham UK Faculty Professor Fionnuala FRCOG Professor of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital Mr Jason Waugh MRCOG Consultant Obstetrician, Maternal Medicine Specialist, Newcastle upon Tyne.Dr David Williams Consultant Obstetric Physician, University College London Hospital Dr Roger McMorrow Consultant Anaesthetist, National Maternity Hospital, Dublin Dr Leanne Bricker Dr Bashir Taha Salih MD Germany, FRCOG UK

Programme

Friday 12 May

7.45am REGISTRATION

8.50am Welcome and introduction Mr Jason Waugh Professor Fionnuala McAuliffe 9.00am Maternal mortality and morbidity Professor Fionnuala McAuliffe

9.30am Pregnancy, a stress test for life Dr David Williams

10.10am Gastroenterology in pregnancy Mr Jason Waugh

10.45am COFFEE BREAK

11.15am Venous thromboembolism in pregnancy Dr Leanne Bricker

11.45am HIV, hepatitis B and hepatitis C Professor Fionnuala McAuliffe

12.20pm Auto immune disease: systemic lupus erythematosus (SLE) systemic sclerosis and catastrophic antiphospholipid syndrome in pregnancy with a discussion of clinical cases Dr David Williams

1.00pm LUNCH

2.00pm Sepsis in pregnancy Mr Jason Waugh

2.45pm Respiratory disease in pregnancy – aspects of acute care Dr Roger McMorrow

Maternal Medicine 25-04-20173.30pm REFRESHMENTS 4.00pm Workshops Delegates will be split into 5 groups and attend the workshops on a rotational basis. All workshops will run simultaneously and be for 30 minutes.

You will attend three workshops on day 1, and two workshops on day 2.

1. Maternal Collapse Professor Fionnuala McAuliffe

2. Blood gases, ECG & Chest X-ray Dr Roger McMorrow

3. Medical emergencies in pregnancy Dr David Williams

5.30pm CLOSE Saturday

13 May

8.00am BREAKFAST

8.30am Informal Q&A with a panel of experts – interesting cases Professor Fionnuala McAuliffe Mr Jason Waugh Dr David Williams Dr Roger McMorrow

9.30am Epilepsy in pregnancy Professor Fionnuala McAuliffe

10.10am Diabetes in Pregnancy Dr Bashir

10.50am REFRESHMENTS 11.20am Cardiology (acquired – to include peripartum cardiomyopathy) Dr David Williams

12.20pm Cardiology (congenital) Mr Jason Waugh

1.00pm LUNCH

2.00pm Workshops Delegates will be split into 5 groups and attend the workshops on a rotational basis. All workshops will run simultaneously and be for 30 minutes.

You will attend three workshops on day 1, and two workshops on day 2.

4. PPH – hypovolemic shock Dr Leanne Bricker

5. Hypertension and pre-eclampsia Mr Jason Waugh

3.00pm Renal disease in pregnancy Dr David Williams

3.30pm Liver in pregnancy Professor Fionnuala McAuliffe 4.00pm REFRESHMENTS 4.30pm Maternal critical care – what is it and where best? Dr Roger McMorrow

5.00pm Anaesthetic aspects of maternal critical care Dr Roger McMorrow

5.30pm Final remarks and close

 

Is simply having an increased maternal age the only reason behind older women having higher risk pregnancies?

A recent article published in the British Journal of Obstetrics and Gynaecology strives to answer this question. Thanks to the development of assisted reproductive techniques (ART) and a change in culture, women are now having children later and later. In fact, the average maternal age at delivery has increased from 26.4yrs in 1975 to 30yrs in 2013 and is still on the rise.

Masters Training in Reproductive Medicine & IVF

The national population based study in question looked at ladies that were at least 20 weeks pregnant who were all categorised as being of advanced maternal age; that is, having an age at delivery of 48 years or more. The study found 233 women willing to participate with ages ranging from 48 – 61 years, with a median age of 49. A control group of women with a mean age of 31 years was also used so that results could be compared against younger women to see which variables were contributing to put these older women into the high risk category.

The article suggests that it is not actually the age of the women in question that forces them into the high risk category, but the increase in complications that is associated with conceiving later in life. For example, 44% of women in the increased maternal age group had pre-existing medical conditions, compared with just 28% in the comparison group. However, the biggest influencing factor when talking about pregnancy risk has to be the use of assisted reproductive techniques. 78% of the women in the older age group had used some form of assisted reproduction, which is astonishingly high compared to the 4% of women in the younger age group that needed help conceiving. The impact of this meant that in the older age group, 18% of the women were carrying a multiples pregnancy, compared to only 2% in the control group, a factor that instantly increases the risk of any pregnancy.

Therefore, perhaps it is not maternal age itself that is to blame for the increased pregnancy risk but the fact that infertility correlates with increasing maternal age, leading to increased use of ART which causes more multiple pregnancies. Consequently, being able to give women confident and comprehensive advice about assisted reproduction techniques is paramount and although ART are an amazing and exciting development in fertility medicine, they have to be used both carefully and knowledgeably. What do you think?

Link to article; http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14269/epdf

Want more info on ART? Have a look at our IVF course; http://ibcme.com/med/conference/IVF/

Reference;

Pregnancy at a very advanced maternal stage: a UK population-based cohort study. Fitzpatrick KE, Tuffnell D, Kurinczuk JJ, Knight M. BJOG Sept. 2016.

DOI: 10.1111/1471-0528