Topics & Abstracts

2019 Main Presentations:

GOLD OB/GYN 2019 offers 10+ hours of education for the main conference, with the option to extend your conference experience with 2 highly informative Add-on Lecture Packages .

We invite you to learn more about the 2019 topics and abstracts below.

Speakers & topics will be added shortly.
  • Advances in Managing Pre-eclampsia: A Global Imperative
    by Andrew Shennan, OBE, MBBS, FROCG, MD 60 mins

    The management of pre-eclampsia is based around accurate detection of risk, targetting of prophylactic therapies and then prompt intervention. Most deaths occur in low and middle income countries, but when well mananged maternal deaths are very rare. The judicous use of prophylactic aspirin, and the subsequent detection of those at risk are key to success. This allows timely delivery while managing women in a safe environment with prompt access to anti hypertensive medication and anticonvulsants such as Magnesium Sulphate. This talk will discuss the evidence base around new angiogenic markers to identify risk, the use of aspirin and the need for effective monitoring in a global setting. The role of early delivery will also be elucidated.

    Objectives:

    Objective 1: Appreciate the global impact of pre-eclampsia on maternal and perinatal morbidity and mortality;

    Objective 2: Learn the role of aspirin as a prophylactic intervention to those at risk of pre-eclampsia;

    Objectives 3: Understand the use of angiogenic markers in identifying and managing women at risk.

    Pre-Recorded Presentation
  • Angiogenic Factors and Preeclampsia
    by Sarosh Rana, MD 60 mins

    Hypertensive disorders of pregnancy—chronic hypertension, gestational hypertension, and preeclampsia—are uniquely challenging as the pathology and its therapeutic management simultaneously affect mother and fetus, sometimes putting their well-being at odds with each other. Preeclampsia, in particular, is one of the most feared complications of pregnancy. Often presenting as new-onset hypertension and proteinuria during the third trimester, preeclampsia can progress rapidly to serious complications, including death of both mother and fetus. While the cause of preeclampsia is still debated, clinical and pathological studies suggest that the placenta is central to the pathogenesis of this syndrome. In this talk, we will discuss the current evidence for the role of abnormal placentation and the role of placental factors such as the antiangiogenic factor, sFLT1 (soluble fms-like tyrosine kinase 1) in the pathogenesis of the maternal syndrome of preeclampsia. We will discuss angiogenic biomarker assays for disease-risk stratification and for the development of therapeutic strategies targeting the angiogenic pathway.

    Objectives:

    Objective 1: Understand the role of angiogenic factors in preeclampsia;

    Objective 2: Potential clinical use of angiogenic factors -diagnostic and prediction studies;

    Objective 3: Angiogenic factors as potential targets for preeclampsia therapy.

    Pre-Recorded Presentation
  • Breastfeeding and Medication. Are They Compatible?
    by Wendy Jones, PhD MRPharmS 75 mins

    Many women now enter pregnancy with chronic medical or mental illness and are taking a variety of medications. The obstetrician and gynaecologist are expected to know whether these drugs are compatible with breastfeeding. We know that readily available sources almost invariably suggest that safety data is limited or non-existent whilst specialist texts have information which supports pharmacokinetic understanding of the passage of drugs through breastmilk to the baby. In this presentation we will refresh understanding of pharmacokinetics and examine some chronic conditions which may be encountered in practice.

    Objectives:

    1. Demonstrate an understanding of pharmacokinetics of drug transfer into breastmilk
    2. take into consideration chronic medication which may be taken during pregnancy and breastfeeding
    3. understand the risks of suggesting that a mother discard her milk during medication therapy

  • Building a Baby Bite by Bite
    by Theresa Nesbitt, RN, MD 60 mins

    What does it take to build a baby brain from scratch? This presentation focuses on fertility, pregnancy, placentation and lactation - and the role nutrients and toxins play in optimizing fetal brain growth and development. Facts and Fictions including prenatal vitamins, omega 3 fatty acids and "avoidance foods" will be discussed.

    Objectives:

    Objective 1: Why nutrients are more important than nutrition;

    Objective 2: Why human prenatal development differs dramatically from other mammals;

    Objective 3: How dietary deficiencies can alter perinatal morbidity in mothers and infants.

    Pre-Recorded Presentation
  • Exercise During Pregnancy: What Do I Tell My Pregnant Client?
    by Michelle Mottola, PhD, FACSM 60 mins

    The importance of physical activity among women of childbearing age will be discussed as physical inactivity during pregnancy and postpartum may be one potential pathway for disease development by excessive pregnancy weight gain and postpartum weight retention. The robust link between the fetal environment and the long-term influence on health and future chronic disease in the offspring will be characterized by discussion of the Developmental Origins of Health and Disease (DOHaD). With this background, participants will be able to promote a healthy lifestyle for their clients by understanding the benefits of physical activity for pregnant women and to help women exercise safely and be more active by using the new 2019 Canadian Guideline for Physical Activity throughout Pregnancy (https://csepguidelines.ca/guidelines-for-pregnancy/) and the PARmed-X for Pregnancy; (http://www.csep.ca/CMFiles/publications/parq/parmed-xpreg.pdf). The PARmed-X for pregnancy is a tool for medical screening before beginning or continuing an exercise program. Educating pregnant women and providing them with healthy lifestyle information and health promotion may help reduce the risk of chronic disease for both mom and baby. Healthy moms = healthy babies!

    Objectives:

    Objective 1: Define factors during pregnancy that influence future disease risk in mother and infant;

    Objective 2: Describe benefits of being physically active throughout pregnancy;

    Objective 3: Describe medical screening and physical activity prescription for exercise during pregnancy;

    Objective 4: Apply this knowledge to promote a healthy lifestyle to reduce disease risk for mother, family and community.

    Pre-Recorded Presentation
  • Growing A Family With Dignity
    by Neel Shah, MD, MPP, FACOG 75 mins

    For the last five years, Harvard professor and ob/gyn Dr. Neel Shah has led an effort to research and define the causes of a startling set of trends that have made having a baby increasingly risky, isolating, and disempowering for so many American mothers. As a physician, scientist, and activist, he has gained deep insight into the current state of maternal health from a broad cross-section of actors: mothers and their partners, midwives and doulas, anesthetists and fellow surgeons, policymakers and activists. The solutions, he realized, require not only change from within the system, but also a reshaping of the public understanding of what women and their families should expect. Historically, survival has been the goal of childbirth. But in 2019, we believe mothers and their families should and can expect more. He will describe what it would mean for every person to be able to start or grow a family with dignity, the existing gaps and the solutions to achieving this vision.

    Objectives:

    Objective 1: Describe the role of design in developing reliable and accurate systems of care
    Objective 2: Evaluate opportunities to address failures of communication and teamwork in providing care
    Objective 3: Analyze the role cesarean rates as an indicator of the quality of labor management

  • Making Cesarean Delivery Family Focused
    by Pamela Berens, MD, FACOG, FABM, IBCLC 60 mins

    Cesarean Birth may not be the anticipated birth that the family is initially planning for. When cesarean birth becomes the chosen way for delivery (due to prior cesarean birth or medical indications), how can we better prepare to make that birth meet the expectant family’s needs. This lecture will focus on strategies to better meet the needs of the expectant mother who is undergoing a cesarean birth. Available evidence will be reviewed when applicable. Topics discussed with include preparations from the staff and facility perspective, planning pain relief strategies, operative techniques, delayed cord clamping, skin to skin contact, early breastfeeding initiation and other practical considerations. Potential obstacles will also be discussed in addition to suggestions for overcoming them.

    Objectives:

    Objective 1: Participants will be able to educate their families regarding pain management options for cesarean birth to facilitate early mother-infant contact and breastfeeding;

    Objective 2: Participants will be able to discuss techniques to safely plan for skin to skin contact during cesarean delivery and early breastfeeding;

    Objective 3: Participants will be able to discuss strategies to plan for implementing a change at their institution related to family centered cesarean birth.

    Pre-Recorded Presentation
  • Maternal Cardiac Disease During Pregnancy Made Simple
    by David E. Abel, MD 60 mins

    Cardiovascular disease is the leading cause of maternal mortality in the United States. For clinicians caring for women of reproductive age, it is important to become familiar with the physiologic changes during pregnancy and how they can potentially worsen certain cardiac conditions. In many cases, providers are not aware of a patient’s condition, or incorrectly assume there are no residual deficits. For those that do not care for pregnant women, having a working knowledge of this topic is necessary to optimize pregnancy outcomes, as there are opportunities for assessment and management prior to conception. This discussion will focus on the physiologic changes during pregnancy and the potential impact on those with cardiac disease, and highlight important points with respect to specific cardiac lesions as it pertains to management prior to and during pregnancy.

    Objectives:

    Objective 1: List the physiologic changes during pregnancy that may have an impact on the care of the pregnant patient with cardiac disease;

    Objective 2: Demonstrate a basic understanding of the most serious cardiac lesions during pregnancy;

    Objective 3: Recognize the contribution of maternal cardiac disease to overall maternal mortality in the United States.

    Pre-Recorded Presentation
  • Medical Malpractice for the Obstetrician-Gynecologist
    by Shania Seibles, DO, JD 60 mins

    Part 1: Review the basics of medical malpractice, including the four components of medical liability (duty, breach of duty, causation, and damages). Part 2: Discuss informed consent, as an ethical concept containing both comprehension and free consent. Part 3: Discuss the importance of adequate documentation, including the nuances of the electronic medical record. Part 4: Review the most common clinical situations that result in medical liability for the obstetrician-gynecologist.

    Objectives:

    Objective 1: The basics of medical malpractice including the four components of medical liability;

    Objective 2: Review informed consent, including recognizing it as an ethical concept containing both comprehension and free consent;

    Objective 3: Discuss the importance of documentation, including nuance of the electronic medical record.

    Pre-Recorded Presentation
  • The Importance of Addressing Mental Health & Wellbeing During Pregnancy
    by Raja Gangopadhyay, MBBS MD DFFP MRCOG Cert Medical Education 60 mins

    The presentation will start with the global statistics of mental health conditions during pregnancy and the economic cost to health and social care. Then the impact of stress and mental health problems during pregnancy will be discussed with an outline of 'Foetal Programming'. Subsequently, the practical aspects of care of Perinatal Mental Health conditions will be elaborated with a focus on screening, Care Planning, use of medication during pregnancy and breastfeeding. An outline of the concept of wellbeing will be discussed with lifestyle modification and stress management strategies (NURTURE Approach). Links to further reading and Resources will be provided.

    Objectives:

    Objective 1: Impact of stress and mental health conditions (during pregnancy) on the fetus: 'Foetal programming';

    Objective 2: Approach to the care of mental health conditions during pregnancy.;

    Objective 3: Use of psychotropic drugs during pregnancy & breastfeeding.

    Pre-Recorded Presentation
  • Update on Postpartum Contraception: How Evidence Informs Practice
    by Anita Nelson, MD 60 mins

    The postpartum period has now been recognized as the fourth stage of labor with immediate and longer-term issues. Major changes have been made in both the timing and content of postpartum care. One of the most notable changes is the growing practice of initiating contraception (especially IUDs, implants and injections) prior to discharging the new mother home. These practices have recognized evidence supporting their safety, even in women who plan to exclusively breastfeed (US MEC, SPR, etc.) and in many states, funding is available through Medicaid programs. This presentation will summarize these new best practices and discuss the impacts they may have on the content of prenatal care too.

    Objectives:

    Objective 1: Estimate the magnitude the current problem of rapid repeat pregnancy and its impact;

    Objective 2: List resources to consult for evidence-based guidance about contraceptive method choice, initiation and managing potential side effects;

    Objective 3: Outline clinical practices to streamline postpartum access to contraceptive methods and to enhance patient success with those methods.

    Pre-Recorded Presentation