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25th world congress of ultrasound in Obstetrics & Gynecology

The report of 25th world congress of ultrasound in Obstetrics & Gynecology by Dr. Ashraf Jamal
Application Code :
306-0215-0129
 
Created Date : Saturday, September 26, 2015 11:44:10Update Date : Saturday, January 30, 2016 07:06:58
IP Address : 194.225.213.60Submit Date : Saturday, January 30, 2016 07:07:05Email : jamalsh@tums.ac.ir
Personal Information
Name : Ashraf
Surname : Jamal
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 : 25th world congress of ultrasound in Obstetrics & Gynecology (11-15 October 2015), Montreal
Title of your Abstract : Role of Doppler velocimetry in prediction of adverse pregnancy outcome in fetal growth restriction
Destination Country : Canada
From : Sunday, October 11, 2015
To : Thursday, October 15, 2015
Abstract(Please copy/paste the abstract send to the congress) : ABSTRACT BODY: 
Objectives: To determine the relationship between abnormal Doppler findings and adverse pregnancy outcomes (APO) in fetuses with intrauterine growth restriction (IUGR).

Methods: To Predict adverse pregnancy outcomes (APO), Doppler velocimetry of the umbilical artery (UA), middle cerebral artery (MCA), ductus venosus (DV) and umbilical vein was performed in 93 IUGR fetuses. Based on the last Doppler measurement, 3 groups were categorized. group 1 IUGR with normal Doppler (n=42), group 2 abnormal UA-PI (n=22), group 3 brain sparing and abnormal UA-PI (n=29). Perinatal outcomes were recorded and compared between groups.

Results: The mean (± SD) of gestational week at delivery was 34.9 (±2.5) with the range of 28 – 39 weeks and for birth weight were 1724.5 (±511.2) with the range of 640 – 2400 grams. Absent or reverse end diastolic velocity was observed in 8 cases, overall 22 cases had at least 1 adverse perinatal outcome. Gestational age and birth weight was lower in groups 2 and 3. Lowest AFI was seen in group 3, and the difference was statistically significant in comparison with group 2 (P = 0.042). Fetal distress was more frequent in group 2 and 3. Group 2 had highest rate of low Apgar score and cord blood pH was significantly lower in group 3. RDS was observed more often in group 2 and 3. NICU admission was more and NICU stay was longer in groups 2 and 3. Overall the incidence of APO was significantly higher in group 3.

Conclusions: IUGR fetuses with abnormal Doppler have worse perinatal outcomes.
 
Keywords of your Abstract : Doppler velocimetry , adverse pregnancy
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/26610/Forms/306/acceptance.pdf
The presentation : Oral
The Cover of Abstract book : http://gsia.tums.ac.ir/images/UserFiles/26610/Forms/306/2.pdf
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/26610/Forms/306/4.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? : 1500
Delegates from which countries presented in the congress? : 127 Countries
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : Maternal Fetal Medicine, Fetal Medicine American Institute of Ultrasound in Medicine
What were the responses to your talking points? Were specific questions or concerns raised? : Responses to my talks were positive. They asked about my work iugr fetuses in our study with abnormal Doppler had more adverse outcomes such as low a low Apgar score Admission to nicu. 
Fetal distress and low birth rate. The question was gestational age at termination of pregnancy. As a matter of fact we had 3 groups which each group was terminated according to umbilical artery Doppler abnormality for example group 3 were terminated much sooner that group of 2 because they were at risk of fetal death intrauterine. Group 1 reached to term 39 weeks .In conclusion this study was informative for them but there was many studies in this field of intra uterine fetal grows restriction.
If you met staff members, please list their full names & positions. : Professor Paladini director of Fetal Surgery unit from Genova, Italy.
Professor Roberto Romero.
Director of Maternal Fetal Medicine from University of Michigan United States.
Professor Dirk Timmerman from University of Leuven Belgium.
Professor Abuhamed director of Maternal Fetal Medicine from University of West Virginia USA.
Professor Tuchek from Switzerland .
Professor Platt from Ucla USA.
Please inform us if there are any follow up actions we need to talk with the members of the congress : ISUOG is a society of ultrasound in obstetrics and gynecology that is the best organization for training of sonography especially with modern technology. This society has many branches for example education committee .I invited professor Paladini who was director of educational committee in 2009 in Tehran. He director of perinatology in Naple university Italy .he held a 2days course of fetal ultrasound in Tehran the first day fetal congenital anomalies and the second day was fetal echocardiography ..we had participants from perinatology. Fetal cardiologists and radiologists. The course was informative for all participants. I invited him for a 2 days course in 2014 in international congress of obstetrics and gynecology by Tehran University of medical science the first dsy fetal neurosonogram and second day fetal echocardiography. We need more training course of ultrasonography that this problem can be solved by the members of this society. In addition this organization has program of outreach program for undeveloped countries ie. The educators go to African countries gor training sonography for reducing maternal and fetal mortality. Ultrasonography reduces maternal mortality by diagnosis of medical problems and abnormally adherent placenta including placenta accrete. Increate and retained product of pregnancy. Solography detected fetal abnormalities that are vital for neonates. Screenings for trisomies are done by measuring thickness of the neck that is called nt. all of these skill are very sensitive and all people should benefit the detection of disorders in fetuses. One important topics is Doppler assessment test can be performed by sonography. In conclusion we can invite the members of teaching committee for training.
 
Your experiences about the travel processes(Providing ticket, accommodation,...) : ISOG is a ocity of ultrasound in abststrics and gynecology that is the best organization for training of sonography especially with modern technology. This socity has many branches for example education committee. I invited professor paladini who was director of educational comitteein 2009 in Tehran. He director of perinatology in naple university Italy. He held a 2 days course of fetal ultrasound in Tehran the first day fetal congenital anomalies and the second day was fetal echocardiography . we had participants from perinatology. Fetal cardiologists and radiologists. The course was informative for all participants.
Please give a briefing of your own observations and outcomes of the congress: : I attended every morning session. a new thing was simulation events that sonography during labor was interesting for me litigation events were held as live demo. Of important topic was counseling the patients that was done as simulation. They showed how important was counseling the parents regarding choosing and have the right of decision with informing them. One of these topics was counseling of partner for doing invasive test of prenatal diagnosis after screening of trisomies. They explained advantages and disadvantages of each test then a patient decide which test choose. We usually counsel the patients in deciding which operation is adequate informative but the pts ha the patients give up and allow physicians choose for them. The best point of this congress is all abstracts are available online to all members of ISUOG and we can have all lectures online. This video is called vsuog that let us to watch videos Key lectures and video journals. A notable subject is online evaluation of congress then they sent certificatin. The outcome of this annual congress is very informative and instructive because we transmit all data to our colleagues resident and perinatology fellow .They were informed about hot topics in the field and get topics for researches.

 

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