Register online at www.SMFM.org

February 11 – 16, 2013

Hilton San Francisco Union Square

San Francisco, CA

Society for Maternal Fetal-Medicine

33rd Annual Meeting – The Pregnancy Meeting™

2013 Program CommitteeDonna Johnson, MD, Program Chair

William Grobman, MD, Poster Chair

Andrew Helfgott, MD, Postgraduate Course Chair

Sean Blackwell, MD, Scientific Forums ChairThomas Musci, MD, Local Arrangements Chair

Supported by an unrestricted educational grant from the March of Dimes

Postgraduate Courses

Scientific and Clinical Meeting

Industry Exhibits

Postgraduate Courses, Workshops, and SymposiaSome postgraduate courses, workshops and symposia run concurrently. Please check your schedule to make sure you do not choose conflicting options.Monday, February 11 1. Clinical Applications of Fetal EchocardiographyCourse Directors: Jude Crino, MD and James Huhta, MD LEarnIng ObjECtIvES • Review the indications for fetal echocardiography and criteria for proper

coding and billing• Demonstrate the proper technique for fetal cardiovascular imaging• Discuss the imaging features of and management strategies for various

forms of fetal congenital heart disease• Understand the effect of maternal and placental conditions on the fetal

cardiovascular systemCOurSE SChEDuLE:8:00–8:05am Welcome and Introduction

Jude Crino, MD and James Huhta, MD8:05–8:35am Indications, Coding, and Billing

Andrew Helfgott, MD, MHA8:35–9:05am Epidemiology, Genetics, and Counseling

Jude Crino, MD9:05–10:00am Imaging Technique and Live Demonstration

Julia Solomon, MD10:00–10:30am Break 10:30–11:00am Diagnosis, Management, and Outcome of

Conotruncal Anomalies Julia Solomon, MD

11:00–11:30am Diagnosis, Management, and Outcome of Complex Cardiac Anomalies James Huhta, MD

11:30–11:45am Fetal Echocardiography Guidelines and Accreditation: A National Perspective Alfred Abuhamad, MD

11:45am–12:00pm Q&A Faculty

12:00–1:00pm Lunch 1:00–1:30pm Fetal Arrhythmias

Bettina Cuneo, MD1:30–2:00pm Timing and Mode of Delivery in Fetal Congenital

Heart Disease Jude Crino, MD

2:00–2:30pm Considerations on the Management of the Preterm Fetus with Congenital Heart Disease James Huhta, MD

2:30–3:00pm Maternal, Placental, and Non-cardiac Fetal Conditions Affecting the Fetal Cardiovascular System Bettina Cuneo, MD

3:00–3:30pm Break 3:30–4:00pm Fetal Echocardiography: 15 Pearls in 30 Minutes

Alfred Abuhamad, MD4:00–4:30pm Point/Counterpoint: Intervention for Fetal Congenital Heart

Disease Jude Crino, MD and James Huhta, MD

4:30–5:00pm Interesting Cases and Q&A Faculty

2. Putting the “M” Back in Maternal-Fetal MedicineCourse Directors: Ed Yeomans, MD and Gerda Zeeman, MD LEarnIng ObjECtIvESAt the conclusion of this postgraduate course, participants will be better equipped to: • Manage severe hypertension and the most frequent causes of obstetrical

hemorrhage • Manage life-threatening post-cesarean infections and ARDS • Develop a plan of care for HIV-infected pregnant women• Describe the role of the MFM in complicated deliveries and persistent

occiput posterior in labor and deliveryCOurSE SChEDuLE:8:00–8:15am Framing the Problem

Mary D’Alton, MD

8:15–8:30am ABOG Response Larry Gilstrap, MD

8:30–9:10am Obstetric Hemorrhage and Transfusion Edward R. Yeomans, MD

9:10–9:50am Causes and Consequences of Cerebrovascular Complications Due to Preeclampsia Gerda Zeeman, MD

9:50–10:00am Q&A 10:00–10:30am Break 10:30–11:10am Life-Threatening Post-Cesarean Infections

William Barth, MD 11:10–11:50am ARDS and Pregnancy

Lauren Plante, MD 11:50am–12:00pm Q&A 12:00–1:00pm Lunch 1:00–1:50pm Management of Severe Hypertension

Gerda Zeeman, MD 1:50–2:40pm HIV in Pregnancy

Andrew Helfgott, MD 2:40–3:00pm Q&A 3:00–3:30pm Break 3:30–4:10pm Role of the MFM in Complicated Deliveries

Edward R. Yeomans, MD 4:10–4:50pm Management of Occiput Posterior

William Barth, MD 4:50–5:00pm Q&A

3. What’s a Woman to Do: Assessing the Pregnant Cervix in 2013

Course Directors: Vincenzo Berghella, MD and Helen Feltovich, MDLEarnIng ObjECtIvES • Review history and method of cervical length measurement for preterm

birth prediction• Understand emerging methods of quantitative cervical assessment• Evaluate indications for and against universal screening with transvaginal

cervical length• Evaluate the efficacy of vaginal progesterone, cerclage, and pessary as

interventions for short TVU CL in pregnancy• Assess the efficacy of cervical tests alternatives to TVU CL as screening

tests for preterm birthCOurSE SChEDuLE:8:00–8:10am Welcome/introduction

Vincenzo Berghella, MD8:10–8:30am Preterm birth is a heterogeneous phenotype

Sean Esplin, MD8:30–9:00am Cervical assessment: technique and prediction

Jay Iams, MD9:00–10:00am Current treatment options for the short cervix 9:00–9:15 Cerclage (Berghella) 9:15–9:30 Vaginal progesterone (Baxter) 9:30–9:45 Pessary (Carreras) 9:45–10:00 Questions and Discussion (Audience and Faculty) Vincenzo Berghella, MD; Jason Baxter, MD Elena Carreras, MD10:00–10:30am Break 10:30–11:00am Cervical assessment: Clinical use

Vincenzo Berghella, MD11:00–11:15am Basic concepts of cervical remodeling in pregnancy

Helen Feltovich, MD11:15–11:45am Emerging methods of cervical assessment:

quantitative methods Timothy Hall, MD

11:45am–12:00pm Questions and Discussion Vincenzo Berghella, MD; Helen Feltovich, MD Timothy Hall, MD

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12:00–1:00pm Lunch 1:00–1:30pm Emerging methods of cervical assessment:

semi-quantitative methods Helen Feltovich, MD

1:30–2:00pm Cervical engineering: model systems and treatment potential Michael House, MD

2:00–2:10pm Questions and Discussion Helen Feltovich, MD; Michael House, MD

2:10–3:00pm Debate: universal cervical length screening 2:10–2:20 Audience response 2:20–2:35 Pro (Esplin) 2:35–2:50 Con (Saade) 2:50–3:00 Questions and Discussion Helen Feltovich, MD; George Saade, MD Sean Esplin, MD3:00–3:30pm Break 3:30–4:45pm Controversies: using the evidence for your ‘unique’ patient 3:30–3:45 Prior PTB: Progesterone or CL monitoring or both (Baxter) 3:45–4:00 Twins with prior sPTB (House) 4:00–4:15 Short CL: when do I consider pessary? (Berghella) 4:15–4:30 Should you use CL in patients symptomatic with PTL? (Iams) 4:30–4:35 Audience response 4:35–4:45 Questions and Discussion Jason Baxter, MD; Michael House, MD; Vincenzo Berghella, MD; Jay Iams, MD4:45–5:00pm Closing comments: the future of cervical assessment Helen Feltovich, MD4. Debate on Research Funding for the Young

and the RestlessCourse Directors: Suneet Chauhan, MD and JoNell Potter, PhDLEarnIng ObjECtIvES • Debate the merits of obtaining external research funding• Provide simple steps to enhance success for extramural funding and how to

become a successful young investigator• Review trends in NIH support • Provide “tips”on how to build and maintain a clinical research programCOurSE SChEDuLE:8:00–8:15am Introductory Remarks

Suneet Chauhan, MD8:15–9:00am Grants: Oh the Joy!

Kjersti Aagaard, MD9:00–9:45am Grants: Oh the Horror!

Suneet Chauhan, MD9:45–10:00am Questions & Answers

JoNell Potter, PhD10:00–10:30am Break 10:30–10:50am 5 Best Funded Obstetrical Publications In Last 50 Years

George Macones, MD10:50–11:20am 5 Best Non-Funded Obstetrical Publications In Last 50 Years

Anthony Vintzileos, MD11:20–11:50am Grant Writing 101

Alison Cahill, MD12:00–1:00pm Lunch 1:00–1:45pm Review of Trends in NIH Support- How to be a

Successful Young Investigator Uma Reddy, MD

1:45–2:30pm Risk and Reward in the Era of Big Team Science Kjersti Aagaard, MD

2:30–3:00pm Questions & Answers Suneet Chauhan, MD

3:00–3:30pm Break 3:30–4:00pm The Nuts & Bolts of Building & Sustaining a Clinical

Research Program JoNell Potter, PhD

4:00–4:30pm Words of Wisdom for the Young and Restless George Macones, MD

4:30–5:00pm Panel Discussion – Questions & Answers All Faculty

Tuesday, February 125. NICHD/SMFM/ACOG/AAP Workshop – Periviable Birth Tuesday Session 12:00pm–6:00pm (cont. Wednesday 8:00am–2:45pm)A workshop co-sponsored by the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecology, the American Academy of Pediatrics and the Eunice Kennedy Shriver National Institute for Child Health and Human Development (Registration limited. Attendees are responsible for their meals.)

6. Ultrasound Controversies: Many Shades of Gray Course Directors: Isabelle Wilkins, MD and Karin Fuchs, MDLEarnIng ObjECtIvES• Review the technique and utility of arterial and venous Doppler for various

conditions• Describe modification of aneuploidy risk estimates using the Genetic

Sonogram • Summarize the outcomes of reduced twin gestations• Identify the elements of an adequate cervical ultrasound exam• List situations where 3D ultrasound adds useful information• Determine when to code for a basic versus targeted ultrasoundCOurSE SChEDuLE:8:00–8:15am Introduction

Isabelle Wilkins, MD and Karin Fuchs, MD8:15–8:55am Beyond the Basics of Fetal Doppler

Ahmet Baschat, MD8:55–9:35am Role of Doppler in Management of IUGR

Henry Galan, MD9:35–10:00am Q&A

Faculty10:00–10:30am Break 10:30–11:10am Role of US in Twin Gestations

Lauren Ferrara, MD11:10–11:40am Debate: Should everyone have first trimester uterine

artery Doppler? Ahmet Baschat, MD vs. Henry Galan, MD

11:40am–12:00pm Discussion / Q&A Faculty

12:00–1:00pm Lunch 1:00–1:45pm Cervical Length: Tips and Tricks

Isabelle Wilkins, MD1:45–2:30pm Role of the Genetic Sonogram after 1st Trimester Screening

Karin Fuchs, MD2:30–3:00pm Q&A

Faculty3:00–3:30pm Break 3:30–4:10pm Three Dimensional Ultrasound for the Maternal-Fetal

Medicine Practice Alfred Abuhamad, MD

4:10–4:40pm Debate: When is a Level I a Level II? Isabelle Wilkins, MD vs. Andrew Helfgott, MD

4:40–5:00pm Discussion / Q&A

7. Fetal Therapy: Debates and Details Course Directors: Nancy Chescheir, MD and Tony Johnson, DOLEarnIng ObjECtIvESAt the conclusion of this postgraduate course, participants will have an overview of: • Preoperative evaluation, intraoperative effort and maternal comorbidities

associated with fetal surgery• Controversies in the evaluation and management of selective fetal disorders

including a. Twin-twin transfusion syndrome b. Selective growth restriction in monochorionic multifetal pregnancies c. Diaphragm hernia d. Lower urinary tract obstruction• The expanding role of stem cell therapy and bioengineering as it pertains

to in utero treatment of selective metabolic disorders and fetal/neonatal malformations.

COurSE SChEDuLE:8:00–8:15am Introduction

Nancy Chescheir, MD

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8:15–8:45am History of Fetal Intervention: Setting the Stage Tony Johnson, DO

8:45–9:15am “It takes a village”—What are the components of a fetal therapy program? Robert Ball, MD

9:15–9:45am Maternal Health Issues: Risk factors, comorbidities, obesity, fibroids, diabetics, pulmonary problems, future pregnancy Mounira Habli, MD

9:45–10:30am Prenatal fetal assessment: Is MRI a necessary preoperative evaluation in all cases of structural malformations? Don’t need it if the ultrasound is complete vs. Won’t go without regardless of ultrasound findings Nancy Chescheir, MD & Robert Ball, MD

10:30–11:00am Break 11:00–11:20am Premature rupture of the membranes: Clinical issues including

preventive strategies, incidence. Jan Deprest, MD, PhD

11:20am–12:00pm Debate: Lower Urinary Tract Obstruction: Do we know who to treat and should we? Yes or No Mark Johnson vs. Mark Kilby

12:00–1:00pm Lunch and Webcast: TTTS Laser 1:00–1:40pm Debate: TTTS Staging should include cardiac assessment:

Yes or No Anita Moon-Grady, MD & David Stamilio, MD

1:40–2:30pm Debate: Selective IUGR in monochorionic multifetal pregnancies, Observation vs. In utero treatment Jena Miller, MD & Ramen Chmait, MD

2:30–2:50pm Discordant fetal malformation in monochorionic multifetal pregnancies Anthony Johnson, DO

2:50–3:15pm Break 3:15–3:55pm Debate: Diaphragmatic hernia in utero vs. Postnatal

treatment Jan Deprest, MD, PhD vs. Alan Flake, MD

3:55–4:15pm ONTD post MOMS Catherine Spong, MD

4:15–4:55pm Debate: Repair of meningomyelocele, post-MOMs Trail; Fetal surgery vs. Postnatal repair Mark Johnson, MD & R. Doug Wilson, MD

4:55–5:30pm End with Future: Stem cell, bioengineering Alan Flake, MD

5:30–5:40pm Closing comments Anthony Johnson, DO

8. Maternal Health: Shifting the Paradigm Course Directors: Manju Monga, MD and Carla Martinez, MDLEarnIng ObjECtIvES• Outline assessment and management of women with cardiac disease or

organ transplantation in pregnancy• Develop differential diagnosis for hepatic dysfunction in pregnancy• Recognize maternal and obstetric implications of thrombophilia in

pregnancy• Identify risks associated with very advanced maternal age in pregnancy• Describe maternal implications of cesarean delivery, fetal intervention and

delayed deliveryCOurSE SChEDuLE:8:00–8:15am Welcome/Overview/Objectives

Manju Monga, MD and Carla Martinez, MD8:15–9:00am Maternal Cardiac Disease in Pregnancy

Carla Martinez, MD9:00–9:30am Diagnostic Dilemma: Liver Dysfunction in Pregnancy

Manju Monga, MD9:30–9:45am Questions

Manju Monga, MD and Carla Martinez, MD9:45–10:00am Break 10:00–10:45am Thrombophilia in Pregnancy – Much Ado about

Nothing? Robert Silver, MD

10:45–11:15am Pregnancy after Organ Transplantion – Beyond the Kidney Joan Mastrobattista, MD

11:15–11:30am Questions Robert Silver, MD and Mastrobattista, MD

11:30am–1:00pm Lunch 1:00–1:30pm Very Advanced Maternal Age – Maternal and

Obstetric Risks Bryan Oshiro, MD

1:30–2:15pm Climbing Cesarean Delivery Rates and Maternal Morbidity Robert Silver, MD

2:15–2:30pm Questions Bryan Oshiro, MD and Robert Silver, MD

2:30–2:45pm Break 2:45–3:15pm Maternal Implications of Fetal Intervention –

At what cost, success? Joan Mastrobattista, MD

3:15–3:45pm Delaying Delivery until 39 weeks: Maternal Consequences Bryan Oshiro, MD

3:45–4:30pm Panel/Questions Faculty

9. Hands-On MFM Simulation Course Directors: Shad Deering, MD, Brian Brost, MD and Dena Goffman, MDLEarnIng ObjECtIvES• Describe techniques and review templates for how to implement simulation

as part of a comprehensive patient safety program in maternal-fetal medicine and obstetrics.

• Discuss and perform simulated obstetric emergencies including but not limited to maternal cardiopulmonary arrest, eclampsia, and MFM emergencies (thyroid storm, etc).

• Discuss the development of simulation programs including those for individuals, teams, obstetric emergencies, and maternal-fetal medicine specific procedures.

• Review proper technique for MFM-specific procedures including amniocentesis, PUBS, CVS, and intraamniotic shunt placement on high-fidelity simulators.

COurSE SChEDuLE:8:00–8:15am Welcome, Introduction of Faculty, Review Learning

Objective Shad Deering, MD

8:15–9:00am Simulation and MFM - Review and Update Dena Goffman, MD

9:00–9:45am OB Patient Safety and Simulation Shad Deering, MD

9:45–10:00am Break 10:00–11:00am MFM/OB Emergency Simulations

Faculty11:00am–12:00pm MFM/OB Emergency Simulations

Faculty12:00–1:00pm Lunch 1:00–2:45pm MFM Procedural Skills Simulators/Implementation of MFM

Simulation Curriculum Faculty

2:45–3:00pm Break 3:15–4:45pm MFM Procedural Skills Simulators/Implementation of MFM

Simulation Curriculum Faculty

4:45–5:00pm Course Wrap-Up and Review Faculty

10. Gray (American Journal of Obstetrics and Gynecology) and Green (Obstetrics and Gynecology) Journals Reviewer Course 5:00 – 7:00pm

Course Directors: Tom Garite, MD and Nancy Chescheir, MDThe leadership of the American Journal of Obstetrics and Gynecology and Obstetrics and Gynecology will give a brief course on reviewing manuscripts for the journals. This course in intended for new and mid-level reviewers and attendees need not already be reviewers.The course will include:• The essence of reviewing• What makes a good review• What makes a good reviewer• The value of reviewing to the individual and the specialty and ultimately the

patient• Online mechanics of performing the review

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Wednesday, February 1311. Nuchal Translucency Credentialing Learning ObjectivesFaculty: Richard Berkowitz, MD; Mary D’Alton, MD; James Goldberg, MD; Jean Lea Spitz, MPHLEarnIng ObjECtIvES• Interpret the evidence that supports first trimester risk assessment• Analyze criteria for acceptable nuchal translucency measurements • Discuss and compare protocols for first and second trimester combined risk

assessment• Implement recommendations of the ACOG Practice Bulletin #77, titled

Screening for Fetal Chromosomal Anomalies in a variety of practice settings• Analyze the role of nasal bone imaging and other techniques in first

trimester risk assessment COurSE SChEDuLE:8:00–8:20am Welcome to the NTQR

Jean Lea Spitz, MPH8:20–9:00am Screening for Down Syndrome

James Goldberg, MD9:00–9:45am Technical Aspects of Nuchal Translucency Measurement

Richard Berkowitz, MD9:45–10:00am Break 10:00–10:45am Combining 1st and 2nd Trimester Screening and Technical

Aspects of Nasal Bone Imaging Mary D’Alton, MD

10:45–11:15am Additional Benefits and Considerations Richard Berkowitz, MD

11:15–11:45am The Importance of Quality Monitoring Jean Lea Spitz, MPH

11:45am–12:00pm Questions & Answers Faculty

12. Debates: Substance Abuse: Every Clinician’s Problem Course Directors: Robert Andres, MD and Mona Prasad, DO, MPHLEarnIng ObjECtIvES• Review methamphetamine, opioid & prescription drug abuse among

pregnant women• Provide an overview of smoking cessation programs that improve perinatal

outcome • Discuss the risks and benefits of methadone versus buprenorphine as

treatment options during pregnancy• Review empirical research demonstrating efficacy of Contingency

Management and other effective treatment modalities in abuse treatment• Discuss recent advance in the field of fetal alcohol spectrumCOurSE SChEDuLE:8:00–8:05am Introductory Remarks

Robert Andres, MD8:05–8:45am Methamphetamine: More Questions than Answers

Alexandra Eller, MD8:45–9:15am National Trends in Prescription Drug Abuse

Robert Andres, MD9:15–10:00am Methadone versus buprenorphine during pregnancy: what are

the differences and does the obstetrician care? Marjorie Meyer, MD

10:00–10:30am Break 10:30–11:10am Controversies in Caring for Opioid Dependent

Pregnant Women Mona Prasad, DO, MPH

11:10–11:50am Common Questions in Caring for Opioid Dependent Pregnant Women Kristina Milan, MD, MSCI

11:50am–12:00pm Questions & Answers Faculty

12:00–1:00pm Lunch 1:00–1:40pm Smoking Cessation Programs: Evidence Based

Improvement in Perinatal Outcome Angela Stotts, PhD

1:40–2:00pm Strategies Used in Alcohol and Other Drug Abuse Treatment to Encourage Positive Behavior Change JoNell Potter, PhD

2:00–2:40pm Fetal Alcohol Spectrum Disorders - How Broad is the Spectrum and How Much Alcohol is Too Much? Cristina Chambers, PhD, MPH

2:40–2:50pm Panel Discussion – Questions & Answers Faculty

13. Ethics in Perinatology: A Day of Dilemmas, Discussion and Debate

Course Director: Jeffrey Ecker, MDLEarnIng ObjECtIvES• To consider and define ethical issues and principles surrounding the

process of delivery• To consider the moral status of the fetus and how such considerations

inform approaches to research and innovative care in pregnancy• To examine ethical principles and legal precedent involved in court-ordered

interventions during pregnancy• To explore ethical dilemmas in prenatal diagnosisCOurSE SChEDuLE:

8:00–8:05am Welcome and Introduction: Check Your Weapons but Not Your Arguments at the Door Jeffrey Ecker, MD

Topic I: What To Do About Delivery?: Moral Dilemmas and the Process of Birth

8:00–8:40am TOLAC and Home Birth: Two Peas in an Ethical Pod? Jeffrey Ecker, MD

8:40–9:15am Decisions at the Limits of Viability: Who Decides What? And When? Ruth Farrell, MD

9:15–9:30am Questions and Debate: Topic 1 Topic II: What Does an Ethicist Think of a

Fetus? 9:30–10:00am Moral Status of a Fetus: Models and Dilemmas

Howard Minkoff, MD10:00–10:30am Break 10:30–10:50am Innovation and Research in Pregnancy:

The Example of Maternal-Fetal Intervention Elena Gates, MD

10:50–11:10am Court Ordered Interventions in Pregnancy: Good? Bad? Ugly? Jennifer Dunn, JD

11:10–11:30am Questions and Debate: Topic II 11:30am–12:00pm Ask the Ethicists: Attendees are encouraged to bring cases

and ethical dilemmas for brief discussion by the faculty and audience Moderator: Jeffrey Ecker, MD

12:00pm–1:00pm Lunch Topic III: Prenatal Diagnosis: A Moral Morass? 1:00–1:35pm New Technologies, New challenges:  Disclosure, Counseling

and Collaborative Decision-Making Elena Gates, MD

1:35–2:10pm Picking Pink or Blue: A Debate on Sex Selection Howard Minkoff, MD; Ruth Farrell, MD

2:10–2:30pm Questions and Debate: Topic III

14. Prenatal Genetics: Out with the Old, In with the New Course Directors: Anthony Gregg, MD and Brian Shaffer, MDLEarnIng ObjECtIvES• Distinguish between disease specific and genome wide arrays and

understand the pros and cons of each• Understand the clinical value of array CGH compared with the standard

karyotyping in the prenatal setting• Develop and approach to counseling patients with array CGH results that

includes variants of uncertain significance• Recognize the pros and cons of expanded carrier screening in the prenatal

setting• Discuss the role of non-invasive prenatal diagnosis for aneuploiody

screening and how this technology changes the current paradigmCOurSE SChEDuLE:8:00–8:05am Introduction

Anthony Gregg, MD and Brian Shaffer, MD8:5–8:40am Microarray technology: a foundation

Ignatia Van den Veyver, MD8:40–9:20am NIH trial - time to abort STD karyotype?

Ron Wapner, MD9:20–9:40am Microarray cases and Bioinformatics

Anthony Gregg, MD

9:40–10:00am Expanded carrier screening – why bother? Brian Shaffer, MD

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10:00–10:30am Break 10:30–10:50am Expanded carrier screening – why not?

Anthony Gregg, MD10:50–11:30am NIPD technologies – Same horse different color?

Ignatia Van den Veyver, MD11:30am–12:00pm NIPD – Enterprise, Data and Reports

Mary Norton, MD12:00–1:00pm Lunch 1:00–1:20pm 1st trimester screening – gone but not forgotten

Ron Wapner, MD1:20–1:50pm Putting it all together – clinical scenarios

Brian Shaffer, MD1:50–2:30pm Questions and Answers

Panel

15. Obstetrical Debates: Do As We Say and As We DoCourse Director: Andrew W. Helfgott, MD, MHALEarnIng ObjECtIvES• Understand the changing maternal and neonatal risks by week of gestation

in term pregnancies.• Compare induction of labor to the appropriate comparison group of

expectant management in terms of maternal and neonatal outcomes• Understand Recommendations behind Thyroid Screening In pregnancy• Detail outcomes for routine thyroid screening versus sreening patients who

are symptomatic• Understand the Dilemas and Complications Associated with Delivery of

Twins• Delineate the risks for delivery of Twin Gestation• Understand the Economics associated with the the practice of MFM• Compare the Economies of Full Service MFM vs Consultative Practice• Compare the Different Nomenclatures for Electronic Fetal Heart Rate

Monitoring• Understand the Rationaled for NICHD Fetal Heart Rate ClassificationCOurSE SChEDuLE:8:00–8:10am Introduction of Ground Rules

Andy Helfgott, MD, MPH Optimal Time for Delivery: 39 Weeks Or Sooner 8:10–8:30am No Baby Before 39 Weeks

Brian Oshiro, MD8:30–8:50am Wait Till 39 Weeks and It May be Too Late

Aaron Caughey, MD8:50–9:05am Discussion Questions and Answers Audience Response

Helfgott, MD, MPH; Brian Oshiro, MD; Aaron Caughey, MD Thyroid Screening in Pregnancy 9:05–9:25am Routine Screening: Not Something you should do!

Brian Casey MD9:25– 9:45am Screen Them All: It Does Make a Difference

Margarita de Veciana, MD9:45–10am Discussion Questions and Answers  Audience Response

Andy Helfgott, MD, MPH; Brian Casey, MD; Margarita de Veciana, MD

10–10:30am Break Management of Twin Gestation:

This is How We Do It 10:30–11am Twins Gestation: Really  This is How We Do It

Ed Yeomans, MD11:00–11:30am Twin Gestation: No This Is How We Do It

Mary D’Alton, MD11:30–11:45am Discussion Questions and Answers  Audience Response

Andy Helfgott, MD, MPH; Ed Yeomans, MD; Mary D’Alton, MD

11:45am–12:00pm Wrap-up Andy Helfgott, MD, MPH and Faculty

12:00–1:00pm Lunch MFM Full Service or Consultative Only. What Should I do?1:00–1:20pm Full Service MFM-Everything to Everyone

Andy Helfgott, MD, MPH1:20–1:40pm Consultative MFM Only: Wiser Use of Resources

Brian Iriye, MD1:40–1:50pm Discussion Questions and Answers Audience Response

Dan O’Keeffe, MD; Andy Helfgott, MD, MPH; Brian Iriye, MD Electronic Fetal Heart Rate Interpretation 1:50–2:20pm Category II FHR Tracings: This is Good for Nomenclature but

is it Good for Management? Tom Garite, MD

2:20–2:40pm In Defense of the of the NICHD 3-Tier FHR Classification System Sean Blackwell, MD

2:40–3:00pm Discussion Questions and Answers Audience Response

Andy Helfgott, MD, MPH; Tom Garite, MD; Sean Blackwell, MD

Oral Presentations and Poster Sessions A total of 86 oral presentations will be given during the Plenary Sessions and the Concurrent Sessions. You will have the opportunity to view 750 poster presentations over the course of the five Poster Sessions.

Scientific ForumsScientific Forums focus on scientific subject areas within the specialty, academic areas immediately related to MFM, and the technologies that support MFM practice. Meeting agendas are detailed on the SMFM web site at www.SMFM.org.

WEDnESDay, FEbruary 13, 3:00PM–varIOuS

Critical Care Cornelia Graves, MD (2012-2013)

Diabetes Arnon Wiznitzer, MD (2012-2013)

DoD MFM Network Linda Chan, MD (2012-2013)

Fetal Cardiology Wesley Lee, MD (2013-2014)

Genetics Susan Tran, MD & Jeffrey Kuller, MD (2013-2014)

Global Health Tom Ivester, MD & Dotun Ogunyemi, MD (2012-2013)

Hypertension Douglas Woelkers, MD (2013-2014)

Infections and Inflammation in Pregnancy Kim Fortner, MD (2013-2014)

International SPO Federico Mariona, MD

Maternal-Fetal Surgery Ruben Quintero, MD (2012-2013)

Pregnancy as a Window to Future Health George Saade, MD (2011-2013)

Preterm Labor James Kurtzman (2013-2014)

Perinatal Epidemiology Alison Cahill, MD & Sindhu Srinivas, MD (2013-2014)

Research Support Michelle DiVito (2013-2014)

Simulation in Pregnancy Dena Goffman, MD (2013-2014)

Toxicology in Pregnancy Jorge Tolosa, MD (2012-2013)/David Stamillio (2014-2015)

Ultrasound Jodi Dashe, MD (2013-2014)

thurSDay, FEbruary 14, 5:30 – 7:30PM

Scientific Presentations of the International Society of Perinatal Obstetricians

Uwe Lang, MD - President

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Wednesday, February 13, continued

Special Focus GroupsthurSDay, FEbruary 14, 11:30aM–1:00PM

Research Support Personnel Box Lunch Meeting, Michelle DiVitotOPIC

TBDSpeaker: TBDDepartment of Defense (DoD) MFM Network, Linda Chan, MDtOPIC

Contemporary labor management- new insights and unanswered questionsSpeaker: George Macones, MD, St. Louis, MO

Meeting Location and AccomodationsHilton San Francisco Union SquareToll Free Reservations: 1 800-HILTONS333 O’Farrell StreetSan Francisco, CA, United States 94102Telephone: 415-771-1400 Fax: 415-771-6807www.HILTON.comLocated just off Union Square and the Cable Cars in the heart of the city’s restaurant, theater, and shopping districts, you can enjoy the world-famous sites of Union Square, Golden Gate Park and Chinatown. This San Francisco hotel offers a full-service spa, luxury and expert service and hospitality in the heart of the city! To receive the special group rate, reservations must be made by January 10, 2013. Reservations, room cancellations, and any special arrangements must be handled directly with the hotel. When making your reservations, please state you will be attending the SMFM 33rd Annual Meeting to insure you receive the special group rate. Reserve your room early – group rates are based upon availability.

New EventsMFM FELLOWShIP PrOgraM DIrECtOrS rEtrEat Tuesday, February 12, 7:30am – 6:00pmGoals: • To provide an overview of ABOG’s infrastructure, function, and requirements• To discuss approaches to improve academic and clinical training in MFM• To improve training in maternal medicine• To provide a forum to discuss administrative challenges and methods for

streamlining• To provide a forum to share ideas among program directors rESIDEntS FOruM Wednesday, February 13, 3:00 – 5:00pm Objectives • Increase understanding among residents about what MFM fellowships entail.• Encourage Ob/Gyn residents to apply for MFM fellowships.• Familiarize residents with the application process.COMbInED MFM/gEnEtICS FELLOWS brEakFaSt Friday, February 15, 7:00 – 8:00am

Social EventsAn Opening Reception combined with the opening of the Exhibits will be held on Wednesday, February 13, from 6:00 – 8:00pm, providing an opportunity for all attendees to meet and mingle informally over drinks and light hors d’ouevres. For the fourth year, there will be a silent auction to benefit the Pregnancy Foundation! The Opening Reception is the place to be for all meeting attendees and we encourage attendees and exhibitors alike to participate in the SMFM Foundation’s silent auction. The Foundation is looking for donations such as jewelry, gift certificates, wine, electronics, art, memorabilia, tickets, appliances, and other luxury items! Consider asking your suppliers or favorite local businesses to donate items. Last year generous donors contributed their time and effort to making the silent auction a rousing success, and we are looking forward to another wonderful year! To make a contribution to the silent auction, or if you have any questions, please contact Sarah Kyger at skyger@smfm.org.New! The Pregnancy Foundation is hosting a 40th Anniversary Dinner celebrating Dr. Edward Quilligan and the Founders of MFM. The dinner, with live entertainment, will be held on Thursday, February 14 in the Imperial Ballroom from 7:30pm – 10:30pm. Space is limited so buy your ticket now! Contact Sarah Kyger at 202-314-2307 or skyger@smfm.org for ticket information.On Thursday, February 14, from 6:30– 7:30pm, there will be a reception for MFM Fellows-in-training. This event is by invitation only and will immediately follow the Associate Member’s meeting which will be held from 6:00 – 6:30pm.

On Friday night, from 6:30 – 7:00pm, the President’s Award Ceremony is an opportunity to welcome the SMFM’s newest Honorary Member, Achievement Award recipient, Pregnancy Foundation/AAOGF Scholarship Award winner, and to cheer as the best oral and poster presentations (as judged through Friday) are announced. The President’s Award Ceremony will immediately follow the presentation by 2013 Honorary Member Dr. Michael Lu (5:45 – 6:30pm) and the second annual “Late-Breaking Research” presentations (5:15 – 5:45pm).

ExhibitsLocated in Grand Ballroom B adjacent to the poster presentations, and the West Lounge between the Yosemite registration area and the Continental ballrooms, the Industry Exhibits are designed to inform attendees about commercially available products and services that are related to maternal–fetal medicine. The SMFM values the educational contribution made by our Industry Exhibitors and encourages you to attend this important part of the meeting. ExhIbIt DayS, DatES anD tIMES

Wednesday, February 13, 2013 6:00pm–8:00pm (with Opening Reception)Thursday, February 14, 2013 10:00am–1:00pm 3:30pm–5:30pmFriday, February 15, 2013 10:00am–1:00pm 3:30pm–5:30pmExhIbItS OPEn On WEDnESDay EvEnIng!

In 2013, the opening of the exhibits will be combined with Wednesday evening’s Opening Reception in the Grand Ballroom. Once again for the 2013 exhibit portion of the meeting is the Exhibit Passport Program where attendees receive “passports” at registration and obtain an exhibitor stamp at each booth they visit. Once they obtain stamps from at least 20 different exhibitors, they can enter for prize drawings. Prize offerings include electronics, software, and meeting registrations. This is the only national meeting where you will have the opportunity to see new services, equipment, and technologies especially showcased for maternal-fetal medicine subspecialists.

Meeting Cancellation PolicyWritten cancellations postmarked by January 18, 2013 will be refunded less a $75.00 processing fee. REFUNDS WILL NOT BE MADE FOR CANCELLATIONS RECEIVED AFTER THAT TIME. All refunds will be issued after the meeting.

Additional InformationRegistration fees for the Scientific Sessions include Continental breakfast and breaks. The Wednesday Evening Reception and Friday’s President’s Award Ceremony are open to you and your spouse/guest. Back by popular demand are the Luncheon Roundtables, featuring presentations by authorities in the specialty. Topics will cover current controversies and concerns in Maternal-Fetal Medicine. Attendance at each session is limited, so pre-registration is essential. The registration fee for the Roundtable Luncheons includes a box-lunch, beverage, handout, and the opportunity to hear some of the most respected names in MFM discuss today’s “hot button” issues.

Electronic PostersElectronic posters will be available for viewing throughout the meeting in the Yosemite Foyer. Come by to see this addition to the SMFM Annual Meeting.

Register Online and Save! register Online and avoid late/onsite registration fees! register online at www.smfm.org. registering online is fast, easy, and secure. SMFM accepts visa, MasterCard and american Express for online registration.

rEMInDErIf you are registering with the enclosed registration form, you must send a separate form for each individual attending. To ensure your registration information is processed correctly please TYPE or PRINT LEGIBLY.You are encouraged to register in advance for all sessions. Space is limited in the postgraduate courses, workshops and symposia, special interest groups, and luncheon roundtables and registration is on a first come, first serve basis. In addition, those registering after January 18, 2013 pay an additional $150 for late/onsite registration.

The Society for Maternal-Fetal Medicine n www.smfm.org | 7

Society for Maternal-Fetal Medicine409 12th Street, SWWashington, DC 20024www.SMFM.org

SMFM 33rd Annual Meeting-at-a-GlanceMonday, February 11rEgIStratIOn 7:00am–10:00amNoon–5:00pmClinical Applications of Fetal Echocardiography 8:00am–5:00pmPutting the “M” Back in Maternal-Fetal Medicine 8:00am–5:00pmWhat’s a Woman to Do: Assessing the Pregnant Cervix in 2013 8:00am–5:00pmDebate on Research Funding for the Young and the Restless 8:00am–5:00pm

Tuesday, February 12rEgIStratIOn

7:00am–5:00pmMFM Fellowship Program Directors Retreat 7:30am–6:00pmUltrasound Controversies: Many Shades of Gray 8:00am–5:00pmFetal Therapy: Debates and Details 8:00am–5:00pmMaternal Health: Shifting the Paradigm 8:00am–5:00pmHands-On MFM Simulation 8:00am–5:00pm

Periviable Birth NICHD/SMFM/ ACOG/AAP Workshop 12:00pm–6:00pmGray and Green Journals Reviewer Course 5:00pm–7:00pm

Wednesday, February 13rEgIStratIOn

7:00am–5:00pmPeriviable Birth NICHD/SMFM/ ACOG/AAP Workshop 8:00am–2:45pmSubstance Abuse: Every Clinician’s Problem 8:00am–2:30pmEthics in Perinatology: A Day of Dilemmas, Discussion and Debate 8:00am–2:30pmPrenatal Genetics: Out with the Old, In with the New 8:00am–2:30pmObstetrical Debates: Do As We Say and As We Do 8:00am–2:30pmScientific Forums3:00pm–variousResident Forum 3:00pm–5:00pmProgram Directors Meeting 5:00pm–6:30pmOpening Reception and Opening of Exhibits 6:00pm–8:00pm

Thursday, February 14rEgIStratIOn

7:00am–5:00pmContinental Breakfast 7:00am–7:45amOral Plenary Session I 8:00am–10:00amPoster Session I 10:00am–Noon & Exhibits 10:00am–1:00pmResearch Support Personnel Box Lunch Meeting 11:30am–1:00pmDoD MFM Network Box Lunch Meeting 11:30am–1:00pmLuncheon Roundtables 12:00pm – 1:00pmOral Concurrent Sessions I, 2 and 3 1:15pm–3:30pmPoster Session II and Exhibits 3:30pm–5:30pmISPO Scientific Presentations 5:30pm–7:30pmFellows Forum 5:30pm–6:00pmAssociate Members Meeting 6:00pm–6:30pmMeet the Fellows Reception Invitation only 6:30pm–7:30pmThe Pregnancy Foundation’s 40th Anniversary MFM Quilligan Scholars Dinner Ticketed Event 7:30pm–10:30pm

Friday, February 15rEgIStratIOn

7:00am–5:00pmMembers Forum with SMFM Board and Committee Chairs with Continental Breakfast 7:15am–8:00amOral Plenary Session II Fellows 8:00am–10:00amPoster Session III 10:00am–Noon & Exhibits 10:00am–1:00pmLuncheon Roundtables 12:00pm – 1:00pmOral Concurrent Sessions 4, 5 and 6 1:15pm–3:30pmPoster Session IV and Exhibits 3:30pm–5:30pmLate Breaking Research Presentations 5:15pm–5:45pmHonorary Member Presentation 5:45pm–6:30pmPresident’s Awards Ceremony 6:30pm–7:00pm

Saturday, February 16rEgIStratIOn

7:00am–NoonOral Concurrent Sessions 7 and 8 8:00am–10:00amPoster Session V 10:00am–Noon

Future Meeting Dates34th Annual Meeting The Pregnancy Meeting™ February 1 – 8, 2014 Hilton New Orleans New Orleans, LA

35th Annual Meeting The Pregnancy Meeting™ February 2 – 7, 2015 Hilton San Diego Bayfront San Diego, CA

36th Annual Meeting The Pregnancy Meeting™ February 1 – 6, 2016 Hilton Atlanta Atlanta, GA