Society for Maternal- Fetal Medicine · 10:30 – 11:10 am Pregnancies of unusual locations:...

Society for Maternal Fetal-Medicine • https://www.smfm.org/smfm18 • 1

Society for Maternal- Fetal MedicineThe Pregnancy Meeting™

38th Annual MeetingJanuary 29 – February 3, 2018Dallas, TX | Hilton Anatole

2018 Program CommitteeJoanne Stone, MD, MS – Program ChairLorraine Dugoff, MD – Poster ChairAlison Cahill, MD – Postgraduate Course ChairCynthia Gyamfi-Bannerman, MD, MS – Scientific Forums ChairBrian Casey, MD – Local Arrangements Chair

2 • Society for Maternal Fetal-Medicine • https://www.smfm.org/smfm18

REGISTER BY

FOR THE ANNUAL MEETING AND ENJOY A DISCOUNTED REGISTRATION FEE!

You are encouraged to register in advance for all sessions. Space is limited in the postgraduate courses, workshops, symposia, special interest groups, and luncheon roundtables. Registration is on a first come, first served basis.

DECEMBER 3, 2017


REGISTER ONLINE AT WWW.SMFM.ORG/SMFM18

MEETING LOCATION AND ACCOMMODATIONSHILTON ANATOLE DALLAS2201 N. Stemmons Freeway Dallas, Texas 75207 Reservations: 1.800.445.8667http://bit.ly/SMFM18

The Hilton Anatole is a prestigious, landmark hotel near downtown Dallas. Located in the Market Center and Design District, it is just five minutes from uptown and downtown Dallas, highlighted by the arts and entertainment districts of West End and Deep Ellum, as well as Victory Park and American Airlines Center arena for live music, concerts and ballgames. The Hilton Anatole also boasts the largest hotel art collection in the United States, with over 1,000 exotic pieces from around the world!

A block of rooms has been reserved at a special group rate. Reserve your room early – group rates are based upon availability!

Make your reservation no later than January 5, 2018 to enjoy the discounted rate. Reservations, room cancellations and any special arrangements must be handled directly with the hotel. If making your reservation by phone, please reference the following group code: “SMFM’s 38th Annual Pregnancy Meeting™”. This code will help to ensure you receive the special group rate.


POSTGRADUATE COURSES, WORKSHOPS, AND SYMPOSIASome postgraduate courses, workshops and symposia run concurrently.

MONDAY, JANUARY 29

1. Genetic Diseases: Antenatal Counseling and Diagnostic Strategies Course Directors: Jeffrey Kuller, MD and Britton Rink, MD, MS

Learning Objectives:

1. Understand the difference in recommendations for aneuploidy and carrier screening between SMFM, ACOG and ACMG. This information will allow providers to be better informed on the various testing and screening modalities that can be offered to pregnant women. Participants may engage in a round table discussion with content experts representing each of the academic societies.

2. Gain knowledge on evolving technologies and applications of preimplantation genetic diagnosis and preimplantation genetic screening, noninvasive prenatal testing, carrier screening and whole exome sequencing including indications, relevant aspects of pre-test and post-test counseling, limitations of testing and residual risk.

3. Identify current barriers and limitations to genetics education and acquire new strategies to engage trainees and providers in understanding modern genetic testing.

4. Learn critical concepts in ethics as applied to reproductive genetics.

5. Apply principles of genetic testing to the evaluation of a fetus with congenital heart disease.

8:00 – 8:10 am Introduction Jeffery Kuller, MD

8:10 – 8:55 am Prenatal application of whole exome sequencing Ronald Wapner, MD

8:55 – 9:25 am Genetics of congenital heart disease Neeta Vora, MD

9:25 – 10:00 am Genetics education for trainees and providers Lorraine Dugoff, MD

10:00 – 10:30 am Break

10:30 – 11:15 am Update on preimplantation genetic testing Thomas Price, MD

11:15 – 11:45 am Ethical issues in genetic testing Britton Rink, MD, MS

11:45 am – 12:00 pm Q and A Faculty

12:00 – 1:00 pm Lunch Break

1:00 – 1:05 pm Brief introduction to afternoon sessions Britton Rink, MD, MS

1:05 – 1:35 pm Update on recommendations from SMFM, ACOG and ACMG Annalisa Post, MD

1:35 – 2:15 pm Non-Invasive Prenatal Testing (NIPT) update Mary Norton, MD

2:15 – 3:00 pm Roundtable discussion on NIPT Jeffery Kuller, MD (moderating) with all faculty

3:00 – 3:30 pm Break

3:30 – 4:00 pm Update on carrier screening Anthony Gregg, MD

4:00 – 4:45 pm Roundtable discussion on carrier screening Jeffery Kuller, MD (moderating) with all faculty

4:45 – 5:00 pm Q and A Faculty


2. Obstetric Critical CareCourse Director: Luis Pacheco, MD


1. Understand the management of pulmonary hypertension, complicated sickle cell disease and amniotic fluid embolism.

2. Be familiar with the management of anticoagulation in the peri-delivery period.

3. Optimize the use of blood products during massive obstetrical hemorrhage.

4. Be familiar with updated guidelines in the management of sepsis and Autosomic Dysreflexia Syndrome (ARDS).

5. Review the pathophysiology and optimal management of acute kidney injury.

8:00 – 8:40 am ARDS Luis Pacheco, MD

8:40 – 9:10 am Update on new sepsis guidelines Antonio Saad, MD

9:10 – 9:50 am Anticoagulation in the peri-delivery period Andra James, MD

9:50 – 10:00 am Q and A Faculty

10:00 – 10:30 am Break

10:30 – 11:10 am Acute kidney injury Giuseppe Chiossi, MD

11:10 – 11:50 am Smart use of blood products Michaela Farber, MD



1:00 – 1:40 pm Amniotic fluid embolism Steve Clark, MD

1:40 – 2:20 pm Trauma during pregnancy Alfredo Gei, MD

2:20 – 2:50 pm Complicated sickle cell disease Luis Pacheco, MD


3:00 – 3:30 pm Break

3:30 – 4:30 pm Interactive critical care cases Faculty


3. Controversies in Maternal Medical ManagementCourse Directors: Anthony Sciscione, DO and Thaddeus Waters, MD


1. Identify management strategies of common medical complications of pregnancy.

2. Gain knowledge in the management of an acute abdomen during pregnancy.

3. Gain knowledge in the care of the obstetric patient with acute cardiopulmonary complications.

4. Gain knowledge in preventive measures for the pregnant patient with a history of preeclampsia.

5. Gain knowledge in the management of acute medical complications of pregnancy including hemolytic-uremic syndrome (HUS), acute fatty liver of pregnancy (AFLP), and disseminated intravascular coagulation (DIC).

8:00 – 8:35 am The best and worst of times: Having cancer during pregnancy Elyce Cardonick, MD

8:35 – 9:10 am Are we mixed up about mixed connective tissue disorders? Meredith Cruz, MD, MPH

9:10 – 9:45 am Hepatitis B and C: The story of missed opportunities Laura Riley, MD


10:00 – 10:30 am Break

10:30 – 11:10 am Controversies on the prevention, work-up and treatment of thromboembolism in the pregnant patient

Arthur Jason Vaught, MD

11:10 – 11:50 am Approach to the hypoxic pregnant patient Stephanie Martin, DO





1:00 – 1:35 pm The pregnant patient with non-obstetrical abdominal pain: Work-up and approach

Audrey Merriam, MD, MS

1:35 – 2:10 pm Pregnancy related myocardial infarction: How is it different? Afshan Hameed, MD

2:10 – 2:45 pm Managing the pregnant patient in the ICU: Hypertensive emergencies - an innovative approach to an old problem

Michael Foley, MD


3:00 – 3:30 pm Break

3:30 – 4:10 pm Uncommon but deadly: AFLP and HUS in pregnancy Judette Louis, MD, MPH

4:10 – 4:50 pm Prediction and prevention of preeclampsia Baha Sibai, MD


4. GYN Ultrasound for the MFMCourse Directors: Jeffrey Dicke, MD and Ilan Timor, MD


1. Identify the sonographic features of uterine and adnexal abnormalities.

2. Identify the appearance and classification of uterine duplication malformations.

3. Identify the sonographic detection of atypical early pregnancies.

4. Identify the ultrasound characteristics of neoplasms in pregnancy.

8:00 – 8:40 am Evaluation of adnexal masses Lisa Bernard, MD

8:40 – 9:20 am Evaluation of adbominopelvic pain in the gravid patient Jeffrey Dicke, MD

9:20 – 10:00 am Uterine anomalies Lisa Bernard, MD

10:00 – 10:30 am Break

10:30 – 11:10 am Pregnancies of unusual locations: Cesarean scar pregnancy Ilan Timor, MD

11:10 am – 12:00 pm Abnormal early pregnancies Lisa Bernard, MD


1:00 – 1:40 pm Evaluation of the uterus and the uterine cavity: Enhanced myometrial vascularity and saline infusion sono-hysterography

Faculty

1:40 – 2:20 pm Uterine conditions affecting pregnancy Jeffrey Dicke, MD

2:20 – 3:00 pm Cancer in pregnancy Ilan Timor, MD

3:00 – 3:30 pm Break

3:30 – 4:10 pm The strictly necessary features of 3D US for MFM specialist pertinent to gynecologic scanning

Faculty

4:10 – 5:00 pm Appropriate use of alternate imaging techniques in the obstetric patient

Jeffrey Dicke, MD and Ilan Timor, MD

Putting the “M” Back into Maternal-Fetal Medicine: A Focus on Postpartum Hemorrhage Course Directors: Michael Foley, MD and Dena Goffman, MD Note: no lunch served at this course.


1. Describe clinical and laboratory manifestations of life threatening postpartum hemorrhage (PPH).

2. Explain pharmacologic, non-pharmacologic and transfusion therapies for PPH.

3. Identify opportunities to use simulation to improve management of PPH.

4. Summarize strategies for establishing a multidisciplinary care team and protocol for PPH management.


8:00 – 8:30 am The global impact of postpartum hemorrhage: The problem Lisa Nathan, MD

8:30 – 9:00 am Clinical manifestations of life threatening hemorrhage: Effectively estimating blood loss

Mary D’Alton, MD

9:00 – 9:30 am Finally, understanding the clotting cascade and disseminated intravascular coagulopathy

Mike Foley, MD

9:30 – 10:00 am Massive transfusion therapy during postpartum hemorrhage Stephanie Martin, DO

10:00 – 10:30 am Break

10:30 – 11:00 am Pharmacologic and non-pharmacologic therapy for postpartum hemorrhage

Michael Belfort, MD

11:00 – 11:30 am Making a real educational impact at your institution: Team simulation training

Dena Goffman, MD

11:30 am – 12:00 pm Putting it all together: Establishing a “checklist” protocol and a multidisciplinary care team for PPH at your institution

Shad Deering, MD

2018 President’s Workshop: Substance Use Disorders in PregnancyCo-sponsored by SMFM, ACOG, ASAM Monday, January 29 – Tuesday, January 30, 2018


This two-day workshop will explore substance use disorders (SUD) in pregnancy with the following goals and objectives:

1. Review the current evidence on substance use and SUD in pregnancy

2. Review existing barriers to accessing treatment for SUD in pregnant women.

3. Review ethical issues regarding screening and treating SUD in pregnant women.

4. Review and discuss clinical guidance for obstetric care providers in treating pregnant women with SUD.

5. Discuss acute and chronic pain management during antepartum, intrapartum and postpartum care.

6. Review research needs and gaps on maternal and fetal effects of substance use during pregnancy and treatment outcomes.

MONDAY, JANUARY 29, 2018

1:00 – 1:05 pm Welcome Alfred Abuhamad, MD

1:05 – 1:10 pm Introductions, Goals, Objectives Faculty

1:10 – 1:55 pm Epidemiology and Impact Faculty

1:55 – 2:40 pm Prenatal Screening Faculty

2:40 – 3:50 pm Pain Management in Pregnancy & Postpartum Faculty

3:50 – 5:00 pm Treatment Modalities & Prevention Faculty


5:30 pm Charge to groups and adjourn Faculty

TUESDAY, JANUARY 30, 2018

8:00 – 8:30 am Review of charge to groups, logistics and deliverables Alfred Abuhamad, MD

8:30 am – 12:00 pm Break-out Sessions Group


1:00 – 4:15 pm Break out group summaries and discussion Group

4:15 – 4:45 pm Research gaps: What studies need to be undertaken? Uma Reddy, MD

4:45 – 5:00 pm Closing remarks and next steps Alfred Abuhamad, MD


TUESDAY, JANUARY 30

5. The Pregnant Cardiac Patient – At Risk of Indirect Maternal Death: How to Manage Before, During, and After PregnancyCourse Directors: Diana Wolfe, MD, MPH and Afshan Hameed, MD


1. Understand the burden of cardiovascular disease in pregnancy: Lessons learned from mortality reviews.

2. Common cardiac symptoms in pregnancy: How to differentiate normal from abnormal?

3. What cardiac diagnostic test to order? How does pregnancy affect them?

4. What are the top three cardiac diagnoses in pregnancy?

5. Introduction to the Cardiovascular Toolkit.

6. Propose a solution: Multidisciplinary counseling and checklists.

8:00 – 8:10 am Introductions Diana Wolfe, MD and Afshan Hameed, MD

8:10 – 8:30 am Cardiac disease: #1 killer in pregnancy Elliott Main, MD

8:30 – 8:50 am The cardiologist’s approach to risk assessment of heart disease in pregnancy

Samuel Siu, MD


9:00 – 9:20 am Valve disease: Native and prosthetic Afshan Hameed, MD

9:20 – 9:40 am Controversies in anticoagulation in pregnancy Uri Elkayam, MD

9:40 – 10:00 am Case presentation #1: Interactive discussion of complex issues

10:00 – 10:30 am Break

10:30 – 10:50 am Cardiomyopathy in pregnancy Joan Briller, MD

10:50 – 11:10 am Pulmonary hypertension in pregnancy Stephanie Martin, DO

11:10 – 11:30 am Congenital heart disease: Cyanotic versus non-cyanotic Jeannette Lin, MD



1:00 – 1:20 pm What is the best analgesia/anesthesia? Michael Foley, MD

1:20 – 1:40 pm Cardiac symptoms: How to differentiate pregnancy related from cardiac?

Dena Goffman, MD


1:50 – 2:10 pm What cardiac test to order? How does pregnancy effect diagnostic testing?

Cynthia Taub, MD

2:10 – 2:30 pm Introduction to the Cardiovascular Toolkit Afshan Hameed, MD

2:30 – 3:00 pm Case presentation #2: Interactive discussion of complex issues Faculty

3:00 – 3:30 pm Break

3:30 – 3:50 pm Postpartum cardiac care Kathryn Lindley, MD

3:50 – 4:10 pm Cardiac catastrophes Katherine Arendt, MD

4:10 – 4:30 pm MFM-cardiology joint program: A proposed solution Diana Wolfe, MD, MPH


4:50 – 5:00 pm Closing Diana Wolfe, MD, MPH and Afshan Hameed, MD


6. Fetal Echo with First Trimester Anatomic Survey (Co-sponsored with ISUOG) Course Directors: Joshua Copel, MD, Luis Goncalves, MD and Lynn Simpson, MD


1. Review in detail the components of a fetal echocardiogram.

2. Discuss an approach to the evaluation of the first trimester fetus.

3. Present potential benefits of first trimester imaging.

4. Test one’s diagnostic abilities through case presentations.

8:00 – 8:30 am Four-chamber view Joshua Copel, MD

8:30 – 9:00 am Outflow tracts and arches Luis Goncalves, MD

9:00 – 9:30 am Three-vessel-trachea view Tracy Anton, RDMS


10:00 – 10:30 am Break

10:30 – 11:00 am Venous system Tracy Anton, RDMS

11:00 – 11:30 am Early fetal echocardiography Alfred Abuhamad, MD



1:00 – 1:30 pm Fetal anatomic survey between 11 and 14 weeks Luis Goncalves, MD

1:30 – 2:00 pm Congenital anomalies that can be detected early and what to do when you find them

Alfred Abuhamad, MD

2:00 – 2:30 pm First trimester imaging: Beyond the fetal survey Bryann Bromley, MD


3:00 – 3:30 pm Break

3:30 – 4:00 pm What is the current role of first trimester ultrasound in genetic screening?

Mary Norton, MD

4:00 – 4:30 pm Test your diagnostic skills Lynn Simpson, MD


7. Obstetric Complications in Pregnancy, Labor and Delivery-DebatesCourse Directors: Sindhu Srinivas, MD, MSCE and Khalid Khan, MD


1. Compare the pros and cons of different delivery timing options in preterm premature rupture of membranes (PPROM).

2. Examine the evidence surrounding mode of delivery options in the obese nullipara.

3. Examine the evidence surrounding trauma evaluation in pregnancy.

4. Describe management options in the setting of selective intrauterine growth restriction (IUGR).

5. Discuss strategies for maternal and fetal management in the setting of preeclampsia with IUGR.

8:00 – 8:30 am Introduction Faculty

8:30 – 9:00 am PPROM: To deliver at 34 weeks or not? That is the question Dwight Rouse, MD and Cynthia Gyamfi-Bannerman, MD

9:00 – 9:30 am Delivery in nulliparous morbidly obese women: Induction of labor versus outright cesarean delivery

Judette Louis, MD andMolly Stout, MD


10:00 – 10:30 am Break



10:30 – 11:00 am The fetal anatomic survey: 16 weeks for all versus keep it 20 Mary Norton, MD andTony Sciscione, DO

11:00 – 11:30 am The obstetric trauma evaluation: We do too much or we don’t do enough

Khalid Khan, MD and Lisa Levine, MD, MSCE



1:00 – 1:30 pm Management of sIUGR: Selective cord occlusion versus expectant management

Michael Zaretsky, MD andNahla Kalek, MD

1:30 – 2:00 pm IUGR in setting of preeclampsia: Expectant management versus outright delivery

Sindhu Srinivas, MD, MSCE and Baha Sibai, MD


2:30 – 3:00 pm Late-breaking debate Audience

3:00 – 3:30 pm Break

3:30 – 4:00 pm Azithromycin for surgical site infection (SSI) prevention: Give it to all laboring women versus more harm than good

Alan Tita, MD and ChristianPettker, MD

4:00 – 4:30 pm Late-breaking debate Audience


8. Obstetric Critical Care: Hands-On Simulation CourseCourse Directors: Shad Deering, MD and Arthur Jason Vaught, MD Note: no lunch served at this course.


1. Be familiar with and practice management of hypertensive emergencies in pregnancy.

2. Understand common etiologies for sepsis during pregnancy and demonstrate the appropriate interventions including management of DIC.

3. Describe and practice the diagnostic and treatment algorithms used during cardiac arrest in pregnancy.

4. Review and understand risk factors and complications related to amniotic fluid embolism.

8:00 – 8:10 am Introduction Shad Deering, MD

8:10 – 8:30 am Cardiac arrest in pregnancy / amniotic fluid embolism Monica Lutgendorf, MD

8:30 – 8:50 am Hypertensive emergencies in pregnancy Dena Goffman, MD

8:50 – 9:10 am Sepsis in pregnancy Arthur Jason Vaught, MD

9:10 – 10:00 am Simulation stations: Rotation #1 Faculty

10:00 – 10:15 am Break



11:55 – 12:00 pm Concluding remarks and review Shad Deering, MD

9. Evidence-Based Fetal InterventionCourse Directors: Russell Miller, MD and Daniel Skupski, MD Note: no lunch served at this course.


1. Better understand ethical considerations that impact scientific research into fetal interventions.

2. Critically assess the medical literature as it relates to various forms of fetal intervention.

3. Consider evidence-based best practices in the field of fetal intervention.



1:00 – 1:30 pm Ethical dimensions of evidence-based fetal interventions Faculty

1:30 – 2:00 pm Fetoscopic endoluminal tracheal occlusion (FETO) for congenital diaphragmatic hernia: Occlusion or confusion?

Anthony Johnson, DO

2:00 – 2:30 pm To shunt or not to shunt: Fetal therapy for lower urinary outflow tract obstruction (LUTO)

Daniel Skupski, MD


3:00 – 3:30 pm Break

3:30 – 3:55 pm Gastroschisis: Does the available evidence support a best clinical practice?

Amy Wagner, MD

3:55 – 4:20 pm Evidence-based therapy for twin-twin transfusion syndrome: What we know and what we’d like to know

Russell Miller, MD

4:20 – 4:45 pm The evidence backing fetal myelomeningocele repair Julie Moldenhauer, MD


WEDNESDAY, JANUARY 31

African Coalition for Excellence in Obstetric and Neonatal CareCourse Directors: Jorge E. Tolosa, MD and Timothy R.B. Johnson, MD Note: no lunch served at this course.

Learning Objectives

1. Develop strategies to train physicians in use of obstetric ultrasound in low and middle income countries

2. Create a process by which to develop training programs in high-risk obstetrics in countries in Africa

3. Understand the research capabilities at teaching centers in Africa

8:00 – 8:15 am Introductions Jorge E. Tolosa MD, MSCE and Timothy R.B. Johnson, MD

8:15 – 8:45 am Description of the African Coalition for Excellence in Obstetric and Neonatal Care

Jorge E. Tolosa MD, MSCE

8:45 – 9:15 am Status of the multisociety task force on ultrasound training curriculum and competency assessment in residency programs

Alfred Abuhamad, MD

9:15 – 9:45 am The ISUOG basic ultrasound training program Reem S. Abu-Rustum, MD, FACOG, FACS, FAIUM

9:45 – 10:15 am Coffee Break

10:15 – 10:30 am Progress: Development of an obsteric ultrasound and MFM program at the Kwame Nkrumah University of Science and Technology, Kumasi and at Korle Bu Teaching Hospital of the University of Ghana Medical School in Accra, Ghana with the University of Michigan

Timothy R.B. Johnson, MD and Lucie V. Moravia, DO, MPH

10:30 – 10:45 am Progress: The high-risk obstetrics program at the department of obstetrics and gynecology at the University of Ibadan, Nigeria

Adetola Louis-Jacques, MD; Anthony Odibo, MD; Leonardo Pereira, MD, MCR; and Jorge E. Tolosa, MD, MSCE


10:45 – 11:00 am Progress: The maternal-fetal medicine fellowship program at the department of obstetrics and gynecology of St. Paul’s Hospital Millennium Medical College, Ethiopia

Abudulfetah Abdulkadir Abdosh, MD andTimothy R.B. Johnson, MD

11:00 – 11:15 am Progress: The Yale, Duke and Einstein collaboration in global women’s health with the University of Rwanda School of Medicine, Rwanda

Katherine Campbell, MD;Urania Magriples, MD;Rodney L. Wright, MD; Diana S. Wolfe, MD;Maria J. Small, MD; Washington Hill, MD; and Stephen Rulisey

11:15 – 11:30 am Progress: The high-risk obstetrics program at the department of obstetrics and gynecology at the University of Zambia, Zambia

Elizabeth Stringer, MD, MSc

11:30 – 11:45 am Progress: The high-risk obstetrics program at the department of obstetrics and gynecology at Tenwek Hospital, Kenya

Phillip Greig, MD

11:45 am – 12:00 pm Progress: University of Alabama at Birmingham and the Cameroon Baptist Convention Health Services and the University of Buea, Cameroon

Alan T.N. Tita MD, PhD

12:00 – 12:30 pm Development of a first joint research project across centers Jorge E. Tolosa MD, MSCEGroup

12:30 – 1:00 pm Closing remarks Jorge E. Tolosa MD, MSCE and Timothy R.B. Johnson, MD

10. Developing Champions to Fight the Opiate Epidemic: ASAM Buprenorphine Waiver Course and Vital Debates to Facilitate PrescribingCourse Directors: Mona Prasad, DO, MPH; Washington Hill, MD and Cornelia Graves, MD


1. Apply for a waiver to prescribe buprenorphine to patients with opioid use disorders.

2. Identify and assess patients who are appropriate for treatment with medications.

3. Gain specific knowledge concerning the use of medications to manage patients with addiction involving opioid use.

4. Review the evidence for the use of methadone or buprenorphine in treating pregnant patients with an opioid addiction.

5. Review the evidence for and against medically assisted withdrawal (detoxification) from opioids during pregnancy.

8:00 – 10:00 am Module I: Buprenorphine waiver qualifying requirements Edwin Salsitz, MD, DFASAM and Mona Prasad, DO, MPH

10:00 – 10:30 am Break

10:30 – 12:00 pm Module II: Buprenorphine waiver qualifying requirements Edwin Salsitz, MD, DFASAM and Mona Prasad, DO, MPH

12:00 – 1:00 pm Lunch Break – Q and A Faculty

1:00 – 1:45 pm DEBATE: Metha-do or Metha-don’t? Methadone versus Buprenorphine for medication assisted treatment in pregnancy

Neil Seligman, MD and Marjorie Meyer, MD

1:45 – 2:30 pm DEBATE: Medically assisted opiate withdrawal (detoxification): Risky business or not?

Robert Sokol, MD and CraigTowers, MD



11. Preterm Labor and Birth Management: United States versus Europe (SMFM-EAPM-PREIS Academy Course)Course Directors: Moshe Hod, MD and Gian Carlo Di Renzo, MD (Europe) Mary D’Alton, MD and Vincenzo Berghella, MD (United States)


1. Describe how differences in risk factors prevalence can explain differences in preterm delivery rates worldwide.

2. Review new SMFM and EAPM guidelines in the management of preterm birth (PTB).

3. Evaluate emerging concepts in the pathophysiology of premature cervical remodeling.

4. Evaluate the benefits of universal cervical length (CL) screening. The knowledge of technical requirements and pitfalls of CL measurements throughout gestation, and the clinical value of CL in high risk as well as in general population.

5. Evaluate treatment options to prevent spontaneous preterm birth.

6. How much a successful intervention to prevent preterm delivery can affect the overall preterm delivery rate.

7. The role of tocolytics and their clinical implementation will be reviewed.

8. To provide insight in the beneficial effects but also on the side-effects of corticosteroids.

8:00 – 8:20 am Introduction and audience response questions Course Directors

8:20 – 8:50 am PTB should be less than 5-7% (Risk factors difference; Geographic differences in Europe versus United States) l How: Europe l Why not in United States: United States

Bo Jacobsson, MD, PhD andTracy Manuck, MD

8:50 – 9:20 am Universal CL screeningl Yes: United States l No: Europe

Vincenzo Berghella, MD and Bo Jacobsson, MD, PhD

9:20 – 9:50 am Progesterone for prior PTBl No: Europe l Yes: United States

Yves Ville, MD and Bill Grobman, MD

9:50 – 10:00 am Discussion Faculty

10:00 – 10:30 am Break

10:30 – 11:00 am Pessary or cerclagel Cerclage: United States l Pessary: Europe

Vincenzo Berghella, MD andGian Carlo Di Renzo, MD

11:00 – 11:30 am Twins with short cervixl Vaginal progesterone: Europe l No therapy: United States

Gian Carlo Di Renzo, MD andCynthia Gyamfi-Bannerman, MD

11:30 am – 12:00 pm Discussion – Q and A Faculty


1:00 – 1:30 pm Diagnosis and management of women with preterm laborl With CL: United States l With biochemical markers: Europe

Tracy Manuck, MD andYves Ville, MD

1:30 – 2:00 pm Tocolytics: which agent?l Atosiban: Europe l Nifedipine or Indomethacin: United States

Gerry Visser, MD and Bill Grobman, MD

2:00 – 2:30 pm Steroids within 7 days and between 34-37 weeks l Absolutely key: United States l Not so much: Europe

Cynthia Gyamfi-Bannerman, MD and Gerry Visser, MD

2:30 – 3:00 pm Discussion – Q and A Faculty


12. Hands-On Simulation Workshop for Ultrasound Guided Invasive ProceduresCourse Directors: Joshua Nitsche, MD, PhD and Brian Brost, MD Note: no lunch served at this course.


1. Identify available options for simulating ultrasound guided invasive procedures.

2. Identify curricula specific for different ultrasound guided invasive procedures.

3. Provide instructions on the basics of ultrasound guided invasive procedures.

4. Train experienced providers on how to establish an ultrasound guided invasive procedure simulation program at their institution.

5. Demonstrate how simulation can be used by experienced providers to maintain skill with low-frequency procedures.

8:00 – 8:15 am Introduction to ultrasound guided needle procedure simulation Joshua Nitsche, MD, PhD andBrian Brost, MD

8:15 – 8:45 am Needle guidance basics Faculty

8:45 – 10:15 am Hands-on simulation l Amniocentesisl Chronic Villus Sampling l In-utero Stenting

Faculty

10:15 – 10:30 am Break

10:30 – 11:15 am Hands-on simulation l Amniocentesisl Chronic Villus Sampling l In-utero Stenting

Faculty

11:15 am – 12:15 pm Commercial simulator hands-on demonstration Faculty

12:15 – 12:30 pm Concluding remarks Joshua Nitsche, MD, PhD andBrian Brost, MD

13. Cervical Length and Education Review (CLEAR) Program Course Director: Helen Feltovich, MD Note: no lunch served at this course.


1. State the content of professional statements related to cervical length measurement, the rationale for cervical length measurement in the second trimester of pregnancy, and the application of cervical length measurements in clinical management.

2. Identify the nine sonographic image and measurement criteria for cervical length and cervical length measurement pitfalls to improve individual sonographic skills through the Perinatal Quality Foundation CLEAR program.

3. Discuss the use of cervical length in the nulliparous woman.

4. Explain the rationale behind image quality control.

8:00 – 8:20 am Preterm birth: one diagnosis, multiple phenotypes Helen Feltovich, MD

8:20 – 8:50 am Why measure the cervix? Rupsa Boelig, MD

8:50 – 9:30 am How to measure the cervix with image review (audience participation)

Lawrence Platt, MD

9:30 – 10:00 am What about nulliparous women: universal screening, serial cervical length, or neither?

Sean Esplin, MD

10:00 – 10:30 am Break

10:30 – 10:50 am Image quality control for the cervix: does it matter? Rupsa Boelig, MD

10:50 – 11:20 am Progesterone or cerclage for the short cervix? Sean Esplin, MD

11:20 – 11:40 am The future of cervical evaluation Helen Feltovich, MD

11:40 am – 12:00 pm Q and A and CLEAR program details Faculty and Jean Lea Spitz, MPH


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 website at: www.SMFM.org/smfm18

Wednesday, January 31: 3:00 – 5:30 pm

Topic Leader(s)

Critical Care Julie Scott, MD

Diabetes Chloe Zera, MD

Fetal Cardiology* Wesley Lee, MD

Genetics Barbara O’Brien, MD

Global Health Homa Ahmadzia, MD and Marcela Smid, MD

Hypertension Arun Jeyabalan, MD, MSCR

Infections and Inflammation in Pregnancy Jennifer Thompson, MD

Maternal-Fetal Surgery Steve Emery, MD

Obesity in Pregnancy Stephanie Mann, MD

Obstetric Quality and Safety Larry Shields, MD

Perinatal Epidemiology Katie Grantz, MD and David Hackney, MD

Perinatal Mental Health Emily Miller, MD, MPH and Camille Hoffman, MD, MSCS

Placenta Accreta Alizera Shamshirsaz, MD and Daniel Carusi, MD

Pregnancy as a Window to Future Health Nicole Marshall, MD and Elizabeth Langen MD

Preterm Labor Tracy Manuck, MD

Simulation in Pregnancy Arthur Jason Vaught, MD

Toxicology and Substance Abuse in Pregnancy Agatha Critchfield, MD

Ultrasound Anthony Odibo, MD

* Fetal Cardiology will include a simulation for the first 20 people that register.

ORAL PRESENTATIONS AND POSTER SESSIONSPoster Presentations Expanded in 2018!

New in 2018! Poster presentations are expanded from 875 to 900 during five poster sessions. You also will have the opportunity to attend oral presentations of the top 115 abstracts.

SPECIAL FOCUS GROUPSThursday, February 1: 11:30 am – 1:00 pm

Research Support Personnel and Investigators Box Lunch MeetingLeaders: Ashley Salazar, WHNP and Holly West, PA

Topic: What is e-Research? Research support staff are often encouraged to engage and embrace new electronic research methodologies emerging from increasing access to social networks, services and electronic tools. This informational session will focus on the use of advanced information and technology to support research. Ideas and ways to incorporate or implement e-Research into clinical studies will be explored.

Armed Forces MFM Network Leader: Monica Lutgendorf, MD

Topic: Antiphospholipid Antibody Syndrome Updates with special guest Ware Branch, Jr, MD


New Developments in Scientific Publishing in the Leading Journals in Obstetrics and GynecologyTuesday, January 30 5:00 – 7:30 pm

The publication, review, and dissemination of original research is essential for high-quality patient care, teaching, research, and mentoring. The Editors-in-Chief of major journals in obstetrics and gynecology will present new developments in their journals and the field of biomedical publishing relevant to the submission, peer review, and dissemination of clinical and translational research. Participating journals include: American Journal of Obstetrics and Gynecology (Roberto Romero, MD); Obstetrics and Gynecology (Nancy Chescheir, MD); British Journal of Obstetrics and Gynecology (Khalid Khan, MD); and American Journal of Perinatology (George Saade, MD).

llumina Presents – iTalk: Expanding NIPT with the Power of Whole-Genome SequencingIndustry Sponsored Dinner SymposiumThis dinner symposium is open to all on a first-come, first-served basis at no cost.Tuesday, January 30 6:00 – 8:00 pmMark D Pertile PhD, FHGSA (Cytogenetics), ARCPAHead of Reproductive Genetics and NIPTVictorian Clinical Genetics ServicesMurdoch Children’s Research InstituteMelbourne VIC Australia

Description: Whole-genome sequencing (WGS) of maternal plasma cell-free DNA (cfDNA) can evaluate all 24 chromosomes to identify rare autosomal trisomies

NEW AND CONTINUING EVENTS

NEW!

(RATs) associated with miscarriage, true fetal mosaicism, uniparental disomy (UPD) and compromised placental function. Dr. Pertile will describe his laboratory’s experience using a whole genome NIPT that routinely screens for RATs in addition to the standard trisomies. Their experience and that of others shows that screening for rare autosomal trisomies can provide valuable insights into feto-placental biology in a way that is only just becoming fully appreciated and understood.Dr. Mark Pertile is a clinical scientist who specialises in reproductive cytogenetics and genomics. He is currently Deputy Director of Laboratories at Victorian Clinical Genetics Services, Melbourne where he heads the Division of Reproductive Genetics and the NIPT Laboratory. Mark received his PhD in centromere biology and evolution from the University of Melbourne

for research undertaken in the Chromosome Research Laboratory at Murdoch Children’s Research Institute. He obtained his Fellowship in Cytogenetics from the Human Genetics Society of Australasia while Head of Cytogenetics at the Royal Women’s Hospital, Melbourne. He holds an Honorary Senior Fellow position with the University of Melbourne and is a former Chief Examiner in Cytogenetics for the HGSA. Mark has a long-standing interest in early human embryology and development. He works with a team that applies molecular cytogenetics and genomics technologies to help identify the causes and origins of genomic conditions early in pregnancy.

This independent presentation is not part of the official program as planned by the SMFM Program Committee.


and education as the Board of Directors Chair, Dr. Mary D’Alton, highlights Foundation activities in 2017, acknowledges scholarship and grant recipients, and thanks supporters.

Late-Breaking Research PresentationsFriday, February 2: 10:00 – 10:30 am

Immediately following the Fellows Plenary Session will be the sixth annual Late-Breaking Research presentations.

ABOG-SMFM Distinguished Lecture SeriesFriday, February 2: 12:00 – 1:00 pm

The Fifth Annual Lecture for the ABOG-SMFM Distinguished Lecture Series will be presented by Drs. Alfred Abuhamad, Joanne Stone, Manisha Gandhi, and Larry Platt on “First Trimester Ultrasound for Fetal Malformations: A Debate.”

2nd and 3rd Year Fellows Lecture Session and Retreat AlumniFriday, February 2: 5:30 – 7:30 pm

This is an opportunity for 2nd and 3rd year Fellows’ classes to get together to renew friendships made during their 1st year MFM Fellows Retreat. Content will focus on issues pertinent to senior fellows and post-fellowship jobs. This event is by invitation only to 2nd and 3rd year MFM Fellows.

YogaTaught by Shilpa Babbar, MD

Come see what yoga is all about! Conveniently scheduled to fit in your busy days. First timers and experts welcome! One-hour sessions are twice daily, morning and evening. Morning classes begin at 6:00 am and evening class times vary. Participants will receive a schedule

Residents ForumWednesday, January 31: 3:00 – 4:30 pm

In this forum, residents will learn about the benefits and availability of MFM fellowships, what an MFM fellowship entails, and how to apply for fellowship programs.

President’s State of the Society AddressThursday, February 1: 7:30 – 8:00 am

The 38th Pregnancy Meeting™ kicks off with a keynote address from SMFM’s President, Dr. Alfred Abuhamad. Learn about the latest happenings at the Society and new initiatives to come. The presentation of the Lifetime Achievement Award and induction of the 2018 Honorary Member will be featured during this time, as well.

Industry Sponsored Learning LunchThursday, February 1: 12:00 – 1:00 pm

Sage Therapeutics presents a learning lunch on the topic: “Postpartum Depression: Risk Factors, Screening and Approaches to Clinical Care”. There is no cost to attend this presentation and lunch will be provided however, seating is limited and attendees must register in advance for this learning lunch.

This independent presentation is not part of the official program as planned by the SMFM Program Committee.

Foundation for SMFM Chair Address Friday, February 2: 7:30 – 8:00 am

Learn about the Foundation’s mission to advance care in pregnancy through research

NEW!


of classes on-site. Sessions are in the Shelbourne Room, which is located in the Verandah Club on the second level of the Hilton Anatole. Attend as many yoga classes as you wish with the purchase of an official Pregnancy Meeting™ yoga mat. Please see the registration form for pricing details.

SMFM thanks The Fetal Center at Children’s Memorial Hermann Hospital for supporting the 2018 daily yoga classes.

Foundation for SMFM 5K Run/WalkSaturday, February 3: 6:30 am

Please join the Foundation for SMFM for the annual 5K Run/Walk sponsored by Sage Therapeutics. The race will start and end outside the West Wing Foyer at the Hilton Anatole, and the course will take place along the Trinity Strand Trail. Participants will receive a t-shirt on-site. Sign up at the time of meeting registration or online at www.FoundationForSMFM.org/supporters/2018-5k-runwalk-dallas.Contact Michele Prince at [email protected] or 202-517-7068 with questions.

EXHIBITSLocated in the Trinity Exhibit Hall of the Hilton Anatole, the industry exhibits are designed to inform attendees about commercially available products and services that are related to maternal–fetal medicine. The Society 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, January 31 6:00 – 8:00 pm with Opening Reception

Thursday, February 1 10:30am – 5:30 pm

Friday, February 2 10:30am – 5:30 pm

Exhibits Open on Wednesday Evening!In 2018, the opening of the exhibits will again be combined with Wednesday evening’s Opening Reception in the Trinity Exhibit Hall. The 2018 exhibit portion of the meeting will also include the popular Exhibit Passport-to-Prizes where attendees receive “passports” at registration and may obtain an exhibitor stamp at each booth they visit. Once the attendee obtains stamps from at least 20 different exhibitors, they can enter for prize drawings. Prize offerings may include electronics, software, and gift cards. This is the only national meeting where you will have the opportunity to see new services, equipment, and technologies that are especially showcased for maternal-fetal medicine specialists.

Photo Booth - Sponsored by Parsagen DiagnosticsCapture a memory at the Pregnancy Meeting™! Stop by the Photo Booth (booth 211) during exhibit hours, snap a photo and leave with a printed picture.

AWARDSAbstract AwardsSaturday, February 3: 8:00 – 8:30 am

Come cheer as the best oral and poster presentations (as judged through Friday) are announced. Saturday presentation winners will be announced immediately following Poster Session V (1:00 – 1:15 pm).


SPECIAL EVENT – TRIBUTE TO DR. DAN O’KEEFFEThe Society for Maternal-Fetal Medicine and the Foundation for SMFM will honor our friend and colleague, Dr. Dan O’Keeffe, and celebrate his retirement as Executive Vice President of SMFM at a tribute event from 6:00 – 8:00 pm on Thursday, February 1 in the Chantilly Ballroom at the Hilton Anatole. We hope you will join us as we thank Dan for his outstanding leadership and service to the Society and the Foundation. Individual tickets or tribute packages can be purchased with meeting registration or online at www.FoundationForSMFM.org/dan-tribute-event-2018/. Proceeds from the event will help fund scholarships for the SMFM Leadership Academy for up-and-coming MFM leaders who will play a role in the future of our subspecialty. Please contact Michele Prince at [email protected] or 202-517-7068 with questions.

LUNCHEON ROUNDTABLESBack by popular demand are the luncheon roundtables, featuring timely presentations by authorities in the specialty. Topics will cover current controversies and concerns in maternal-fetal medicine. Attendance at each session is limited and pre-registration is essential. The registration fee for the luncheon roundtables include a box-lunch, beverage, handout, and the opportunity to hear some of the most respected names in MFM, discuss today’s “hot button” issues.

Thursday, February 1: 12:00 – 1:00 pm A) Controversies in Gestational Diabetes - Vincenzo Berghella, MD B) Twins and the Short Cervix: What to Do? - Joseph Biggio, MD C) Controversies Over Late Preterm Steroids - Sean Blackwell, MD and Debra

Guinn, MD D) Implementing Patient Safety Bundles - Christian Pettker, MD; Peter

Bernstein, MD; and Douglas Montgomery, MD E) CDC-Zika Updates - Carey Eppes, MD F) Putting the “Me” Back In MFM - Lexi Hill, MD

Friday February 2: 12:00 – 1:00 pm G) ACOG and SMFM Perspectives: Challenges of Postpartum Contraception

for Medically Complex Cases - Helen Ryan, MD and Alicia Luchowski, MD H) The Future of PTB Research - Jane Norman, MD I) Whole Exome Sequencing and Other Hot Genetic Topics - Ronald

Wapner, MD J) Preventing the Post-Cesarean Infections - Methodius Tuuli, MD K) First Trimester Ultrasound for Fetal Malformation: A Debate (ABOG-SMFM

Sponsored Roundtable) - Alfred Abuhamad, MD; Joanne Stone, MD, MS; Manisha Gandhi, MD; and Larry Platt, MD

L) Top Coding Mistakes and Tips in MFM Practice - Joshua Copel, MD and Fadi Bsat, MD

SOCIAL EVENTSOpening ReceptionSponsored by Illumina, the Opening Reception combined with the opening of the exhibits will be held on Wednesday, January 31st, 2018 from 6:00 – 8:00 pm. The Opening Reception will provide an opportunity for all attendees (Plus 1, optional) to meet and mingle informally over drinks and light hors d’oeuvres.

Meet-the-Fellows ReceptionSMFM leadership and current maternal-fetal medicine Fellows are encouraged to attend this invitation-only reception from 5:30 – 6:30 pm on Thursday, February 1. This event is sponsored by Obstetrix Medical Group and is invitation only. The Meet-The-Fellows reception will immediately follow the Associate Member’s Meeting which will be held from 4:30 – 5:30 pm.


MEETING CANCELLATION POLICYWritten cancellations postmarked by January 8, 2018 will be refunded less a $75.00 processing fee. REFUNDS WILL NOT BE MADE FOR CANCELLATIONS POSTMARKED AFTER THAT TIME. All refunds will be issued after the meeting.

ADDITIONAL INFORMATIONSupplemental Information: Registration, Fees, Courses, Tips and Pre-registrationRegistration fees for the scientific sessions include continental breakfast and coffee breaks. The Wednesday evening reception, Thursday morning’s President’s Address, Friday morning’s Foundation for SMFM Chair’s address, and Saturday’s award ceremony are open to you and your guest. Please note that the half-day postgraduate courses do not include lunch.

Attendee Warning!Attendees and exhibitors may be subjected to inappropriate/unauthorized solicitation from hotels or third-party housing agencies not affiliated with SMFM or the Hilton Anatole. SMFM does not use a third-party housing company for attendees. Poachers may offer lower hotel rates than rates offered in our official block. We have found that the reserved rooms are often not actually available at the hotel. The deposit you are asked to give is being taken from the wholesaler, NOT the hotel. Their cancellation polices are often intolerant, and these companies do not have the support of SMFM or the Hilton Anatole.

Mother’s LoungeSMFM will have a dedicated room at the Hilton Anatole for nursing mothers, located conveniently in the Milan Room on the mezzanine level. This room will be available throughout the meeting, free of charge to Pregnancy Meeting™ attendees. Breast milk storage is not permitted.

FUTURE PREGNANCY MEETING™ SITES

39th Annual MeetingThe Pregnancy Meeting™February 11 – February 16, 2019Caesars PalaceLas Vegas, NV

40th Annual MeetingThe Pregnancy Meeting™February 3 – February 8, 2020Gaylord Texan ResortGrapevine (Dallas), TX

41st Annual Meeting The Pregnancy Meeting™January 23 – January 31, 2021Caesars PalaceLas Vegas, NV

42nd Annual MeetingThe Pregnancy Meeting™January 29 – February 6, 2022Gaylord Palms ResortKissimmee (Orlando), FL

43rd Annual MeetingThe Pregnancy Meeting™January 28 – February 5, 2023Gaylord Texan ResortGrapevine (Dallas), TX

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SMFM 38th ANNUAL MEETING

INFORMATION ENCLOSED

REGISTER EARLY AND AVOID LATE/ ON-SITE REGISTRATION FEES

www.smfm.org

409 12th Street, SW, Suite 601Washington, DC 20024

SMFM.org

Society for Maternal- Fetal Medicine · 10:30 – 11:10 am Pregnancies of unusual locations:...

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