Code : 9345-352081      Created Date : Wednesday, November 23, 2016   Visit : 1458

26th world congress of ultrasound in obstetrics & gynecology

The report of 26th world congress of ultrasound in obstetrics & gynecology by Dr. Zahra Laleh Eslamian
Application Code :
306-0216-0122
 
Created Date : Saturday, October 8, 2016-09:13 09:13:40Update Date : Tuesday, October 25, 2016-19:05 19:05:08
IP Address : 46.32.8.174Submit Date : Tuesday, October 25, 2016-19:06 19:06:40Email : leslamian@tums.ac.ir
Personal Information
Name : Zahra Laleh
Surname : Eslamian
School/Research center : School of Medicine
If you choose other, please name your Research center :  
Position : Professor
Tel : +98-21-84902415
Information of Congress
Title of the Congress : 26th world congress of ultrasound in obstetrics & gynecology
Title of your Abstract : The predictive value of RI and PI ratio of fetal descending aorta/ MCA in prediction of pregnancy outcome from 36th week in complicated and uncomplicated pregnancies
Destination Country : Italy
From : Saturday, September 24, 2016
To : Wednesday, September 28, 2016
Abstract(Please copy/paste the abstract send to the congress) : ISUOG abstract
Title:
The predictive value of RI and PI ratio of fetal descending aorta/MCA for fetal outcome in complicated and uncomplicated pregnancies from 36 weeks
Objectives:
Doppler ultrasound is used in high risk pregnancies particularly in FGR to determine the fetal prognosis and outcome. After the 34 weeks of gestation the cerebroplacental ratio of MCA to umbilical artery is not significantly related with the prognosis and outcome of the pregnancy. The PI and RI ratio of descending aorta to MCA may help us since the vascular resistance of descending aorta does not change with increasing gestational age .The aim of this study is to diagnose placental dysfunction and fetal hypoxia in complicated pregnancies and to determine the predictive value of Doppler ultrasound for fetal outcomes in low risk pregnancies.
Methods:
In a cohort study pregnant women with gestational age of 36 or more underwent Doppler study of umbilical artery, MCA and descending aorta every 2 weeks in 3 hospitals of Tehran University of Medical Sciences. Multiple pregnancies and pregnancies with major fetal anomalies were excluded. Doppler study results, pregnancy complications ( preeclampsia, placental abruption,…) and fetal outcome were recorded.
Results:
Two hundred and twelve pregnant women with a mean age of 28 years old and mean gestational age of 37w6d were studied. 142 had uncomplicated and 69 had complicated pregnancies. Mean birth weight was 3232g in the uncomplicated and 2773g in complicated pregnancies. 25 neonates were admitted to nICU, 21 in complicated and 4 in uncomplicated group. Ao/ MCA PI and RI ratio were significantly more in complicated group. (PI [1.09+/- 0.45 vs 0.9 +/- 0.39] and RI [0.9 +/- 0.91 vs 0.91 +/- 0.17]) Ao/ MCA PI ratio was the best predictor of neonatal acidosis. [OR: 4.7 CI 95% 3.6-6.3] Area under curve to predict neonatal acidosis was 0.8. A cut off value of 1.1 for Ao/MCA PI ratio best predicted neonatal acidosis with a sensitivity of 70% and specificity of 90%.The cut off was 1.01 for Ao/ MCA RI ratio with a sensitivity of 67% and specificity of 87%.
Conclusions: Ao/MCA RI ratio help us to predict fetal acidosis in complicated pregnancies.
Keywords of your Abstract : ascending aorta / MCA ratio, pregnancy outcome
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/33584/Forms/306/acceptance_letter_congress.pdf
The presentation : Poster
The Cover of Abstract book : http://gsia.tums.ac.ir/images/UserFiles/33584/Forms/306/journal.pdf
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/33584/Forms/306/published_abstract.pdf
Where has your abstract been indexed? : ISI
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : 3200. There are 137000 members around the world.
Delegates from which countries presented in the congress? : They were from 127 countries. From USA, Europe, Asia, Africa.
Were the delegates of any other organizations present in the congress? : No
If yes, please write the names of the organizations in the box :  
What were the responses to your talking points? Were specific questions or concerns raised? : There are a lot of papers published about Doppler. There was no concern about the article but ongoing studies continue and several points were discussed.
If you met staff members, please list their full names & positions. : Dr Vajiheh Marsousi, associated professor of TUMS, Shariati hospital, Obstetrics & Gynecology department
Please inform us if there are any follow up actions we need to talk with the members of the congress : We talked with Professor Deprest from Leuven university, Belgium, who is an expert in fetal surgery. He was willing to teach us but he needs an extra budget for teaching.Therefore the university should follow the process. We should try to become members of his team.We can depend on him when Dr Shamshirsaz is not available in Iran.
Your experiences about the travel processes(Providing ticket, accommodation,...) : I bought my flight ticket independently six months in advance. I had also booked the hotel which the congress was held in and resided there to fully enjoy the congress.
Please give a briefing of your own observations and outcomes of the congress: : There are a lot of ongoing studies on ultrasound in obstetrics and gynecology. There were a lot of presentations on first and second trimester screening. The NIPT was discussed and its progress was wonderful.There was a lot of presentations about the role of ultrasound in prediction of progress of labor.Fetal cardiac and CNS anomalies were discussed fully and several live presentations were performed.There were a lot of presentations on the role of ultrasound in ovarian tumors which Professor Derick Timmerman an expert had a work shop on it with a nice ultrasound scores to differentiate malignant masses from benign ones.Professor Dario Paladini from Italy had wonderful lectures on fetal heart and diagnostic challenges and professor Beryl Benacerraf from USA had interesting lectures on pelvic masses.There were a lot of progression in management of FGR.
We understood that we manage our patients very well and by standard guidelines.

 

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