Day 2 :
Keynote Forum
Mohammad Othman
University of Liverpool, UK
Keynote: Cervix study: Cervical immune-biology in women at risk of preterm labor
Time : 9:30-9:55
Biography:
Mohammad Othman has completed his PhD from University of Liverpool. He is an Assistant Professor of Obstetrics and Gynecology in University of Al-Baha Medical College. He has published three books and more than 25 papers in reputed journals and has been serving as an Editor and referee of more than 32 medical publications and databases.
Abstract:
Preterm birth is the single largest cause of mortality and morbidity for newborns. The incidence of preterm deliveries in developed countries is 6% to 9%. In the last 20 years it has become clear that infection is an important cause of preterm labor and delivery leading to more than 50% of the all preterm deliveries world-wide. The objective of this study is to investigate to what extent a defective cervical barrier is a contributory factor to recurrent preterm labor. The cervical barriers for leucocytes sub-population were characterized as assessed by flow cytometry. Cervical volume, length and power Doppler indices were assessed by 3D ultrasound. This is 24 months hospital prospective observational study. We recruited 22 cases and 50 parous controls. This study confirmed that flow cytometry can be used for cervical leukocytes characterization. The most prevalent cervical leukocyte was the macrophages. Cervical volume may not be associated with preterm labor. There may be no correlation found between cervical macrophages and any of the cervical 3D ultrasound parameters measured.
Keynote Forum
Teng Xiao Ming
Shanghai Medical Association, China
Keynote: The oocyte-to-baby rate of day 2, day 3 versus day 5 embryo transfer: A retrospective study
Time : 9:55-10:20
Biography:
Teng Xiao Ming is a Senior Consultant, Supervisor of Master’s degree program, Director of Department of Reproductive Medicine, Shanghai First Maternity and Infant Health Hospital, Tong Ji University. He is member of Reproductive Medicine Committee of Chinese Medical Association, and standing committee of Sexology Association, Head of Reproductive Medicine Group, Vise Chairman of Reproductive Medicine Committee of China Society of Integrated Traditional Chinese and Western Medicine, and Vise Chairman of Reproductive Medicine Committee of Shanghai Medical Association. He is engaged in clinical work of Assisted Reproductive Medicine for more than 20 years, and studied at Department of Reproductive Medicine, the University of Hong Kong in 2000. He is skillful in the field of Assisted Reproductive Technology (ART). He hosted or took part in many (10 items) funds of National Nature Sciences and China’s National Health and Family Planning Commission (NHFPC). He published more than 40 papers, and participated in writing 5 professional books. He organized workshops of “Safety Concern of ART” in national continuous medical education for 4 years.
Abstract:
The aim of the study was to investigate whether the time of embryo transfer (ET) affect the oocyte-to-baby rate. We analyzed the database retrospectively including total number of oocytes collected and corresponding oocyte to live baby born (LBB) rate and then compared the relationship between different time of embryo transfer and oocyte-to-baby rate. In a year period, all patients undergoing infertility treatment were included in the study. The outcome parameters were total number of oocytes collected and corresponding oocyte to live baby born (LBB). For patients under the age of 35, there was no increase in oocyte to LBB regardless of the time of ET. For patients older than 35, the oocyte use rate increased significantly when embryo transferred on day 2. Oocyte-to-baby rates were also analyzed after grouping patients on the number of oocytes retrieved per cycle. For patients <35, the oocyte to LBB rate increased significantly on day 3 if <10 oocytes were obtained. Whereas for patients >35, the oocyte-to-baby rate was best on day 2 when about 15 oocytes were retrieved. This retrospective analysis demonstrated the relationship between the time of embryo transfer and ooctye-to-baby rate that is indicative of a more biologically efficient reproductive system.
- Genitourinary Medicine, Sexual Medicine Novel approaches in genitourinary malignancies, Reproductive Medicine, Prenatal Diagnosis
Location: Texas C
Chair
Michael Kleerekoper
University of Toledo, USA
Co-Chair
Suzan E. Mansour
Mansoura University, Egypt
Session Introduction
Katie Moriarty
Wayne County Health Authority, USA
Title: Pregnancy and How we Birth: Why these matter
Time : 11:00-11:25
Biography:
Dr. Katie Moriarty, PhD, CNM, CAFCI, FACNM, RN is on faculty at Frontier Nursing University and a Certified Nurse-Midwife with the Wayne State University Physician Group CNM Service at Hutzel Women’s Hospital in Detroit, Michigan. Katie serves on the Board of Directors for the American College of Nurse-Midwives as the Region IV Representative. Dr. Moriarty was previously the Associate Director of the Nurse-Midwifery Education Program at the University of Michigan and launched the first Integrative Healthcare and Complementary Therapies Clinic in Pregnancy and Reproductive Women’s Health at the UofM Nurse Managed Center Clinic. Dr. Moriarty earned her BScN at the University of Windsor, Ontario CANADA; MS (Perinatal Nursing and Nurse-Midwifery) and PhD from the University of Illinois at Chicago.
Abstract:
The total amount spent on health care in the USA is greater than any other country in the world yet we rank poorly in international standings with regard to infant mortality. Despite the existence of high quality, nationally recognized health systems in metropolitan Detroit, the appalling rates of death and racial health disparities among the most vulnerable members of our community, infants, and the maternal mortality rate for African American women rival that of third-world countries. The reasons behind these disparate maternal and infant health outcomes in Detroit are complex. Social and economic conditions are intrinsically linked with health and research examining the life-course conceptual model of racial disparity has demonstrated adverse birth outcomes from these effects of stress. As well, there is a lack of support of physiologic childbirth which is the innate, hormonally driven processes that have developed through human evolution to facilitate the period from the onset of labor through birth of the baby along with skin to skin contact and the establishment of breastfeeding. The lack of these critical elements may have long term population health consequences. For the nation we need to address how we give care during pregnancy and how we actually are born. Exemplars of models of care and the mounting research on how we are born with its impact on outcomes will be presented. Strategies on how to support the normal physiologic processes of labor and birth, even in the presence of complications, to enhance both maternal and infant outcomes will be presented.
Elliot M. Levine
Illinois Masonic Medical Center, USA
Title: Risk Stratification and Prophylaxis of Venous Thromboembolic Events in Obstetrics
Time : 11:25-11:45
Biography:
Dr. Elliot M. Levine received his Bachelor of Science from the University of Wisconsin at Madison in 1974 and his MD from the Chicago Medical School in 1978 and completed his Residency in Obstetrics and Gynecology at Illinois Masonic Medical Center in 1982. He has been Board Certified in Obstetrics & Gynecology continuously since 1984. He is a member of a number of medical societies including the American College of Obstetricians and Gynecologists, the Chicago Gynecological Society, the Central Association of Obstetricians and Gynecologists, and the American Medical Informatics Association, to name a few. His involvement in research, education and Quality Assurance has allowed him to author numerous articles in medical journals, leading him to often lecture to physician audiences. He has served as Director of Informatics and Research in a Department of Obstetrics & Gynecology for well over a decade and as a Physician Director for the implementation of an Electronic Medical Record System in a large healthcare system. He continues to have a general gynecology practice, and has been listed in America’s Top Doctors for over a decade.
Abstract:
Objective: To identify the risk factors for perioperative venous thromboembolism, and the possible consequences of chemical thromboprophylaxis used with cesarean delivery. Study Design: An Enterprise Data Warehouse (EDW) of a multi-hospital system was queried to obtain the incidence of and risk factors for perioperative venous thromboembolism (VTE) and the use of chemical thromboprophylaxis (CTP). Results: Of 337,174 surgical patients over the course of 2010-2013, Cesarean Delivery (CD) occurred 24,608 times, with chemical VTE prophylaxis being provided 931 times and 23,677 times without such prophylaxis. CTP was provided a total of less than 4% of the time. Hemorrhagic complications were recorded 0.08% of the time (0.2% when CTP was provided, and 0.07% without it). Though this was not found to be a statistically significant difference (p = .13), it may still warrant our concern, regarding the appropriateness of using CTP for all cesarean deliveries. Conclusion: Chemical thromboprophylaxis may have the risk of associated hemorrhage with its use, and it may be worthwhile to use risk stratification to decide whether or not to use it for surgical prophylaxis in particular cesarean cases.
Nahed F. Khedr
Mansoura University, Egypt
Title: Minimize Peripheral Edema for Healthy Pregnant Women in Third Trimester by Water Immersion
Time : 14:45-15:05
Biography:
Nahid Fikry Khedr has completed her Doctoral education from Ain Shams University, Egypt. She is Assistant Professor of Woman's Health Nursing and Midwifery. She is the Head of Woman’s Health Nursing and Midwifery Department, Faculty of Nursing, Mansoura University, Egypt. She has several papers in reputed journals and is a member in several faculty committees. She is interested in scientific research, all reproductive health issues, education, community and health services.
Abstract:
Aim: This study aims to minimize peripheral edema for healthy pregnant women in third trimester of pregnancy by water immersion. Background: Peripheral edema is a common discomfort during late pregnancy. It usually involves the lower extremities but occasionally appears as swelling or puffiness in the face or hands. Immersion in water is potential intervention to reduce peripheral edema during pregnancy. Setting: This study was conducted in antenatal clinics of the Obstetrics and Gynecology Department in Mansoura University Hospital. Study Design: This is a quasi-experimental design. Sample Type: Purposive sample is taken. The study comprised of 50 healthy pregnant women with peripheral edema in third trimester. Women were asked to immerse their body up to the xiphoid process in warm water for 30 minutes in a swimming pool. Women will assess the grade of edema by pitting on their hands and feet but using tape measurement to measure legs circumferences to assess degree of edema immediately pre- and post-intervention. Result: Highly significant variations were found between pre- and post-water immersion on peripheral edema. Conclusion: Water immersion for 30 minutes is an effective natural method for reducing peripheral edema during pregnancy.
Jehan hazmi
Madinah Maternity Hospital, Saudi Arabia
Title: Significant reduction in the post cesarean delivery surgical site infection rate after use of prophylactic antibiotics in Madinah Maternity Hospital, saudi Arabia
Time : 15:05-15:25
Biography:
Jehan Al Hazmi is a Consultant Obstetrician and Gynecologist. She is a Medical Director for Medina Maternity Hospital, Kingdom of Saudi Arabia. She completed her MBBS from King Abdul-Aziz University Jeddah, Saudi Arabia. She published a lot of papers in international journals and is a Speaker for many local symposiums. She organized all Obs. & Gyn. symposiums at Medina Maternity Hospital. She is a member of task force to publish 1st Saudi Guidelines of Thrombosis during pregnancy and puerperium. She has special interest in Obestetric cases.
Abstract:
Surgical site infection is the second most common health care-associated infection among woman undergoing cesarean section. In the study we aimed to determine the role of prophylactic antibiotic treatment given cohort study at Madinah Maternity and Children Hospital, obstetrics and Gynecology department, Madinah, Saudi Arabia. It was conducted from December 2011 to December 2013; where 8544 medical records of women delivered by cesarean section were reviewed and the rate of surgical site infection during the year 2012 was compared with its rate during the year 2013. Total number of cesarean section cases complicated by surgical site infection in 2012 was 167 cases. During 2013 (after administration of prophylactic antibiotic to all women delivered by cesarean section), 109 cases were complicated by surgical site infection among 4470 delivered by cesarean section statistical analysis shows clearly that infection rates were significantly different (p<0.001) between year 2012 and year 2013; with higher rate of infection in the year 2012 which was 4% compared to 2.4% during the year 2013. Enterococcus spp. where the highest isolated organisms while, Streptococcus spp., was the least isolated organisms among isolates 16% of isolates showed resistance to ampicillin, while, all isolates were 100% sensitive to both gentamicin and vancomycin drugs. Surgical site infection incidence was significantly reduced after the administration of prophylactic antibiotics for cesarean section, beside; infection control procedures are working and also improving from month to month.
Fariba Rahimi
Islamic Azad University, Tehran, Iran
Title: The effect of clomiphene citrate with and without zinc oxide nanoparticles on the reproductive parameters and gonadotropin hormones of adult female rats
Time : 15:45-16:05
Biography:
Fariba rahimi is a resident student at Department of Animal Science, Science and Research Branch, Islamic Azad University, Tehran, Iran
Abstract:
This research was carried out to determine the effects of clomiphene citrate (CC) with and without zinc oxide nanoparticles (ZnO-NPs) on the reproductive parameters, gonadotropin hormones, T3 and T4 concentration in adult female rats. A total of 32 female rats (weighing between 195-205g and 80-90 days age) divided into a completely randomized design consisted of four groups of 4 rats with four replicates and 2 rats in each. Experimental groups were as follow: G1) Control (received normal pellet diet and water as ad libitum), G2) 5mg ZnO-NPs, G3) 0.5 mg CC, and G4) 5mg ZnO-NPs+0.5 mg CC per kg of body weight. ZnO-NPs and CC was gavaged to the rats two sexual periods of female rats. At the final trial, all experimental one rat (per replicate) anesthetized by ether solution, and then the blood samples and ovaries rats were collected. Serum removed by centrifuging (3000 g, 20 min at 4° C) and stored in -20°C until analysis. The follicles number and type were recorded with physical dissector technique. The results revealed that the secondary follicles number had significantly (P=0491) increased in rats were gavaged with CC (G1) and the blend of CC and ZnO-NPs (G4) compared with the control and other treatment. The number of follicles graffian in rats that gavaged with the CC plus ZnO-NPs (G4) was more than other groups (P=0138). The level of LH had significantly increased in the group that treated with CC compared to the control while the level of FSH had significantly increased in the treated rats with the combination of CC and ZnO-NPs in comparison with the control. According to the results, it could be concluded that the blend of CC and ZnO-NPs related to using those alone, improved reproductive parameters and increased gonadotropin hormones. Hence, this condition may be improving fertility rate in the rats. Keywords: Hormones, Nanoparticles, clomiphene citrate, Ovary, Rat
Muhammad Sultan Islam
Pakistan
Title: How neonatal and mother are generally treated in Pakistani society and the over all perspective
Time : 15:25-15:45
Biography:
Muhammad Sultan Islam is a CEO of Ms. Sitara Enterprises co. at Pakistan , he is perusing his Ph.D. from Aga khan University in Women health care at Pakistan
Abstract:
POLYCYSTIC OVARY SYNDROME (PCOS) An Ovarian dysfunction associated with endocrinopathy in females,is of clinical and public health importance as its very common 0ne out of five women of reproductive age.It has significant and diverse clinical implications including reproductive(infertility,hyperandrogenism,hirsutism),metabolic(insulin resistance,impaired glucose tolerance type 2 diabetes mellitus,adverse cadiovascula risk profiles)and Psychological features(increased anxiety,depression and worsened quality of life).It is a heterogenous condition and involves many things Depending upon on life stage,life style,environmental factors and body weight.it has a unique interactions with ever increasing obesity prevalence worldwide as obesity induced insulin resistance significantly exacerbates all the features of pcos,and risk for metabolic condition reported in first degree relatives.By improving lifestyle aimed at normalizing insulin resistance,improving androgen status and weight management is recognized as a crucial initial treatment strategy but in Pakistan females with lean thin stature also suffered from pcos so the management should focus on support,education,addressing psychological factors and strongly emphasising healthy life style with targeted medical therapy as required with proper care and monitoring.Metabolic complications is also an important part of routine clinical care.comprehensive evidence base guidelines are needed to aid early diagnosis,specific investigations,regular screening and prompt treatment.reproductive features of pcos are well recognized . Treatment.metformin (overweight and obese women),letrozole(only limited data) CC if fails then LOD or Gonadotropins Laproscopic ovarian diathermy(LOD)(To avoid complications such as ovarian hyperstimulation syndrome and multiple pregnancies. Inofolic also plays an important role in reducing weight in obese women but only a limited data .