Selected Topics in Early Pregnancy Care
Hidden morbidity of Caesarean sections:
uterine scars and their impact on women’s health
London, 18th June 2011
Venue
Academy of Medical Sciences
41 Portland Place
London W1B 1QH
Faculty
Dr. Jara Ben-Nagi (London, UK)
Ms. Cecilia Bottomley (London, UK)
Prof. Wolfgang Henrich (Berlin, Germany)
Prof. José M Palacios Jaraquemada (Buenos Aires, Argentina)
Mr. Davor Jurkovic (London, UK)
Dr. George Raju (London, UK)
Ms. Jackie Ross (London, UK)
Prof. Lil Valentin (Malmö, Sweden)
Dr. Olga Vikhareva Osser (Malmö, Sweden)
Dr. Joost Zwart (Leiden, The Netherlands)
Topics
Ultrasound assessment of uterine scars.
Why do some scars heal badly?
How to diagnose scar implantation?
Natural history of Caesarean scar pregnancy.
Management of scar pregnancies – Surgery vs Conservative.
Management of abnormally adherent placenta praevia.
Role of interventional radiology in the management of abnormally adherent placenta.
Surgical repair of deficient scars – Technique and possible benefits.
Reproductive outcomes following Caesarean scar ectopic.
Programme
09.30 - 10.00 REGISTRATION AND COFFEE
10.00 - 10.10 Welcome and Introduction
Mr Davor Jurkovic
Session I
Deficient Caesarean section scars – causes, epidemiology and diagnosis
10.10 – 10.30 Why do lower segment uterine scars heal badly?
Prof Lil Valentin
10.30 - 10.50 Ultrasound assessment of uterine scars
Dr Olga Vikhareva Osser
10.50 -11.10 Uterine scars and risk of rupture
Dr Joost Zwart
11.10 – 11.20 Discussion
11.20 – 11.50 COFFEE
Session II
Complications of deficient scars
11.50 – 12.10 Menstrual disorders in women with deficient uterine scars
To be confirmed
12.10 – 12.30 How common are scar implantations and why do they occur?
Ms Jara Ben-Nagi
12.30 – 12.50 Ultrasound diagnosis of pregnancy in the uterine scar
Mr Davor Jurkovic
12.50 – 13.00 Discussion
13.00 – 13.40 LUNCH
Session III
Management of first trimester scar pregnancies
13.40 – 14.00 Conservative management
Ms Cecilia Bottomley
14.00 – 14.20 Surgical management
Ms Jackie Ross
14.20 – 14.30 Discussion
Session IV
Advanced scar pregnancies
14.30 – 14.50 Management of abnormally adherent placenta
Prof Wolfgang Henrich
14.50 – 15.10 The role of interventional radiology in placenta praevia/accreta
Dr George Raja
15.10 – 15.20 Discussion
15.20 – 15.50 TEA
Session V
Fertility following scar implantation
15.50 – 16.10 Surgical repair of deficient scars – Technique and possible benefits
Prof José M Palacios Jaraquemada
16.10 – 16.30 Reproductive outcomes following Caesarean scar ectopic
Mr Davor Jurkovic
16.30 – 16.50 Discussion and Close
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