BIRTH CONGRESS

CHALLENGES ON LABOUR AND DELIVERY

PRELIMINARY SCIENTIFIC PROGRAMME

November 14th

PRECONGRESS COURSES

COURSE 1

ULTRASOUND IN LABOUR AND DELIVERY

Course Directors: Tornbjorn M. Eggebo (Norway)

Karim Kalache (Qatar)

COURSE 2

TECHNIQUES OF CESAREAN DELIVERY AND SURGICAL MANAGEMENT OF PPH

Course Directors: Vincenzo Berghella ( USA)

Jose Palacio De Jaraquemada ( Argentina)

COURSE 3

ACUTE EMERGENCIES (DIC, AF EMBOLISM, HEART FAILURE, ANESTHESIA ETC)

Course Directors: Kzryzstof Kuzckowsky (USA)

Luis Pacheco (USA)

COURSE 4

COMMON PROBLEMS IN LABOUR

Course Directors: Angela Lupattelli (Norway)

Chloé Barasinski (France)

COURSE 5

INTRAPARTUM FETAL MONITORING

Course Directors: Diogo Ayres De Campos (Portugal)

Gerry H. Visser (The Netherlands)

COURSE 6

SIMULATION: TWIN VAGINAL DELIVERY

Course Directors: Jon Barrett (Canada)

Susan Rae Easter (USA)

November 15th

PHYSIOLOGY OF LABOR, MONITORING MOTHER AND FETUS, AND COMPLEX ISSUES

ABOUT ABNORMAL LABOR PROGRESS AND INDUCTION OF LABOR AT TERM

SESSION 1

DEFINITION, DIAGNOSIS AND MONITORING OF NORMAL TERM LABOR - PART 1

08.00 am Assessment of Labor Progress and Nomenclature of Labor Disorders in

the 1st and 2nd Stages

08.30 am The partogram

08.50 am Prolonged Latent Phase of Labor

09.10 am Protracted and Arrest of Dilatation: Definition, Prognosi,

and Management

09.30 am A critical appraisal of the Friedman vs. Zhang labor curves:

are they really different?

09.50 am Discussion

10.00 am BREAK, POSTER VIEW, EXHIBITS

SESSION 2

THE SECOND STAGE OF LABOR

10.30 am Assessment of Progress in the Second Stage of Labor:

Digital, Ultrasound, Magnetic Monitoring and Others

10.55 am Second Stage of Labor: Protracted Descent and Arrest – Diagnosis

and Management

11.20 am What is the Real Effect of Epidural Analgesia in the Second Stage

of Labor?

11.45 am When Should Women Push and For How Long in the Second Stage

of Labor

12.05 pm Is there a Role for Episiotomy in Modern Obstetrics?

12.25 pm Discussion

12.45 pm BREAK, POSTER VIEW, EXHIBITS

SESSION 3

MONITORING OF TERM LABOR

01.30 pm Fetal heart rate assessment during labor

01.55 pm How to monitor uterine contractions?

02.15 pm Clinical value of the ST segment: randomized clinical trials

02.35 pm Umbilical cord pH gases and lactate: normal values, diagnosis

of metabolic and respiratory acidemia, and clinical implications

03.00 pm Discussion

03.15 pm BREAK, POSTER VIEW, EXHIBITS

SESSION 4

INDUCTION AND ACCELERATION OF LABOUR

03.40 pm What is new about Oxytocin: Physiology, Method of Administration

and Adverse Events

04.00 pm Prostaglandins for the Induction of Labor

04.20 pm Mechanical Methods for Induction of Labor

04.40 pm Definition of a Failed Induction of Labor

05.00 pm Should all women be induced at 39 weeks?

05.15 pm Discussion

05.30 pm KEYNOTE LECTURE

Evolutionary Meaning of the Obstetrical Dilemma

OPENINGS

06.30 pm Opening Lecture: Labor and delivery through the centuries:

the holistic view of a stakeholder

07.40 pm Welcome Reception

November 16th

CHALLENGES IN EVERYDAY PRACTICE IN LABOR AND DELIVERY

BREAKFAST SESSION (07.00 am – 08.00am)

SESSION 5

OPERATIVE DELIVERY

08.00 am Why and when to intervene in the 2nd stage of labor

08.25 am When and how to use a vacuum

08.50 am When and how to use a forceps

09.15 am When and how to perform a Cesarean delivery in the 2nd stage

09.40 am Breech: did we forget how to assist this presentation?

10.00 am Discussion

10.15 am BREAK, POSTER VIEW, EXHIBITS

10.45 am SPECIAL LECTURE: New developments: group B streptococci

vaccination

SESSION 6

THE PELVIC FLOOR

11.10 am How to protect the pelvic floor

11.35 am The pelvic floor after spontaneous and operative delivery

12.05 pm How to repair 3rd or 4th degree lacerations

12.25 pm Pelvic floor childbirth injury: mechanisms, consequences, and long-

term prognosis

12.50 pm Discussion

13.00 pm LUNCH TIME, POSTER VIEW, EXHIBITS

SESSION 7

CESAREAN DELIVERY : THE MOST COMMON OPERATION IN THE WORLD

02:00 pm How to perform a Cesarean delivery: a critical appraisal of

surgical technique

02.30 pm Perioperative care of patients with Cesarean delivery (skin, antibiotics,

catheterization, heparin, oxytocin vs prostaglandins)

02.55 pm The management of hysterotomy incision (single vs double layer,

follow-up, and post-operative complications I.e. Cesarean scar

pregnancy)

03.20 pm Pain management of the patient with Cesarean delivery

03.40 pm Classification of Cesarean delivery and monitoring of utilization of the

procedure around the world

04.00 pm Discussion

04.15 pm BREAK, POSTER VIEW, EXHIBITS

SESSION 8

POSTPARTUM HEMORRHAGE, PLACENTAL IMPLANTATION DISORDERS AND

SPECIAL CHALLENGES

04.40 pm The prevention of postpartum hemorrhage - an evidence-based

approach

05.05 pm Management of postpartum hemorrhage in a normally-implanted

placenta

05.30 pm Management of postpartum hemorrhage in cases of invasive

implantation

05.55 pm The special challenge of Cesarean delivery in obese patients or those

with leiomyomas

06.20 pm Discussion

06.30 pm KEYNOTE ADDRESS

The Odon Device: a revolution in the vaginal assisted delivery

07.00 pm ADJOURN

November 17th

SPECIAL SESSIONS CELEBRATING THE “WORLD PREMATURITY DAY”

BREAKFAST SESSION (07.00 am – 08.00am)

SESSION 9

UNDERSTANDING THE MECHANISMS OF DISEASE : PART 1

08.00 am Reframing the problem of premature labor: what it is and its

evolutionary significance

08.25 am Infection and Inflammation and Microbioma as a Mechanism of

Disease of premature labor

08.45 am Vascular Disorders and Spontaneous and Indicated Preterm Birth

09.05 am Uterine overdistension (multiple gestations, polyhydramnios, and

Mullerian Duct abnormalities) as a cause of preterm labor

09.25 am Maternal anti-fetal rejection

09.45 am Discussion

09.55 am BREAK, POSTER VIEW, EXHIBITS

SESSION 10

UNDERSTANDING THE MECHANISMS OF DISEASE : PART 2

10.20 am Cell-free DNA as a signal for term and preterm labor

10.40 am Genetic predisposition to preterm birth

11.00 am Insight from epigenetics

11.20 am Discussion

SESSION 11

PRETERM PREMATURE RUPTURE OF MEMBRANES

11.30 am Mechanisms of membrane rupture

11.50 am New developments in the diagnosis and management of patients

with preterm PROM (induction of labor, new antibiotic regimens,

magnesium sulfate)

12.10 pm Discussion

SESSION 12

PREDICTION OF PRETERM LABOR AND BIRTH

12.20 pm Historical and clinical risk factors (history of preterm birth, body mass

index, lifestyle, inter pregnancy interval)

12.40 pm Cervical sonography (length, elastography, sludge) in the prediction

of preterm birth

01.00 pm Biochemical markers in vaginal fluid and maternal blood (PaMG1,

Fibronectin, phosphorylated IGFBP-1 and proteomic markers)

01.20 pm Multidimensional models: big data for the prediction of preterm birth

01.40 pm Discussion

01:50 pm LUNCH TIME, POSTER VIEW, EXHIBITS

SESSION 13

PREVENTION

02.30 pm Vaginal Progesterone for the prevention of preterm birth: 17OHP-C

and vaginal progesterone in patients with a prior history

02.50 pm Vaginal Progesterone for patients with a sonographic short cervix:

singletons and twins

03.10 pm The role of cerclage in the prevention of preterm birth

03.30 pm The role of cervical pessary in singletons and twins

03.50 pm Prebiotics, probiotics, synbiotics: Recent evidence

04.00 pm Prediction and prevention of preterm preeclampsia

04.20 pm Discussion

04.30 pm BREAK, POSTER VIEW, EXHIBITS

SESSION 14

MANAGEMENT OF ACUTE PRETERM LABOR

04.50 pm Tocolysis - is it worth it?

05.10 pm Steroids - beneficial or poisons?

05.30 pm Magnesium sulfate for neuroprotection: a critical appraisal of the

evidence

05.50 pm Antimicrobial agents in patients with preterm labor

06.10 pm Delayed clamping of the umbilical cord: life saving in preterm

neonates - evidence from RCTs and meta-analyses

06.30 pm The "golden hour" - importance of resuscitation in the early preterm

neonate

06.50 pm Critical and controversial issues about the periviable newborn

07.10 pm Involving the family in decision-making

07.30 pm Discussion

07.40 pm CLOSING LECTURE

Reflections on World Prematurity Day (Why to have it)

08.10 pm CONCLUDING REMARKS

08.30 pm END OF THE CONGRESS