Birth 2015 Brazil – Scientific Program -- -March 5th, 2015

SCIENTIFIC PROGRAM

March 5th, 2015

SESSION 1: THE DIAGNOSIS OF LABOR AND LABOR DISORDERS Chairpersons: Gian Carlo Di Renzo (Italy), Roberto Romero (USA) 7.30 am EVALUATION OF PROGRESS IN LABOUR: THE PARTOGRAM AND ITS EVOLUTION

Roberto Romero (Detroit, MI, USA)

7.55 am THE SONO PARTOGRAM Christoph Lees (Cambridge, UK)

8.15 am MAGNETIC RESONANCE IMAGING OF THE MATERNAL PELVIS AND FETUS: CAN IT BE HELPFUL TO UNDERSTAND LABOUR? Tamara Feygin (Philadelphia, PA, USA)

8.35 am DIAGNOSIS, CLINICAL SIGNIFICANCE AND MANAGEMENT OF A PROLONGED LATENT PHASE OF LABOR Guilherme Cecatti (Campinas, Brazil)

8.55 am WHEN DOES THE ACTIVE PHASE OF LABOUR BEGIN – AND DO WE REALLY KNOW WHEN IT ENDS? Dan Farine (Toronto, Canada) 9.20 am DIAGNOSIS AND CLINICAL SIGNIFICANCE OF DISORDERS OF THE ACTIVE PHASE OF LABOR

Emily Hamilton (Quebec, Canada) 9.40 am Discussion 10.00 am Coffee break and poster viewing

SESSION 2: TREATMENT/PREVENTION OF LABOR DISORDERS IN THE ACTIVE PHASE Chairpersons: Roberto Romero (USA), William Fraser (Montreal, Canada) 10.30 am THE “ACTIVE MANAGEMENT OF LABOR”

Michael Robson (Dublin, Ireland)

Birth 2015 Brazil – Scientific Program -- -March 5th, 2015

10.55 am PROTOCOLS FOR THE ADMINISTRATION OF OXYTOCIN DURING LABOR

Yariv Yogev (Tel Aviv, Israel)

11.20 am DOES AMNIOTOMY AND EARLY ADMINISTRATION OF OXYTOCIN IMPROVE THE OUTCOME OF LABOR? William Fraser (Montreal, Canada)

11.45 am AMNIOTIC FLUID LACTATE, A SIMPLE AND RAPID METHOD FOR THE PREDICTION OF THE OUTCOME OF

LABOUR Eva Itzel (Stockholm, Sweden) 11.55 pm Discussion 12.30 pm Lunch break and poster viewing

SESSION 3: THE SECOND STAGE OF LABOR Chairpersons: Dan Farine (Canada), Renato Sa (Brazil) 1.30 pm HOW LONG SHOULD THE SECOND STAGE OF LABOR LAST?

Melânia Amorin – (Joao Pessoa, Brazil) 1.55 pm MODERN TECHNOLOGY TO MONITOR LABOR PROGRESS

Yoav Paltieli (Nesher, Israel) 2.15 pm ULTRASOUND IN LABOUR: PARAMETERS TO DIAGNOSE AND PREDICT DYSTOCIA AND FETAL MALPOSITIONS

Gian Carlo Di Renzo (Perugia, Italy), Antonio Malvasi (Bari, Italy) 2.35 pm ULTRASOUND TO MONITOR LABOR PROGRESS IN THE SECOND STAGE AND TO PREDICT THE SUCCESS

OF AN OPERATIVE VAGINAL DELIVERY Karim Kalache (Doha, Qatar)

2.55 pm WHEN SHOULD WOMEN START PUSHING AND DOES THIS MAKE A DIFFERENCE?

Aaron Caughey (Portland, OR, USA) 3.20 pm Discussion 3.45 pm Coffee break and poster viewing

Birth 2015 Brazil – Scientific Program -- -March 5th, 2015

SESSION 4: MANAGEMENT OF THE SECOND AND THIRD STAGE OF LABOR Chairpersons: Per Oloffson (Sweden), Renato Sa (Brazil) 4.15 pm VACUUM, FORCEPS VS. CESAREAN DELIVERY FOR THE MANAGEMENT OF LABOR DISORDERS IN THE

SECOND STAGE OF LABOR Karim Kalache (Doha, Qatar)

4.40 pm THE ODON DEVICE TO ASSIST VAGINAL DELIVERY

Gian Carlo Di Renzo (Perugia, Italy), Jorge Odon (Buenos Aires, Argentina) 5.00 pm SHOULDER DYSTOCIA: MECHANISMS OF INJURY AND MANAGEMENT

Edith Gurewitsch (Baltimore, MD, USA) 5.30 pm THE REPAIR OF THIRD AND FOURTH DEGREE LACERATIONS AND ITS PITFALLS

Michael Stark (Berlin, Germany)

5.50 pm UPPER EXTENSION VAGINAL TEARS: PELVIC SUBPERITONEAL HEMATOMAS Jose Palacios de Jaraquemada, (Buenos Aires Argentina) 6.15 pm Discussion 6.30 pm KEY NOTE ADDRESS

MODERN HUMAN CHILDBIRTH: AN EVOLUTIONARY AND CROSS-CULTURAL PERSPECTIVE Karen Rosenberg (Newark, DE, USA)

7.00 pm CONCLUSIONS 7.30 pm - 9.30 pm

OPENING & WELCOME RECEPTION

Birth 2015 Brazil – Scientific Program -- -March 6th, 2015

March 6th, 2015

SESSION 5: ASSESSMENT OF INTRAPARTUM FETAL WELL-BEING Chairpersons: Gerard H.A. Visser (The Netherlands), Rossana Pulcinelli (Brasil) 8.00 am SHOULD AN ADMISSION NST/CTG BE PERFORMED ON ALL PATIENTS? Dan Farine (Toronto, Canada) 8.20 am NOMENCLATURE OF FETAL HEART RATE MONITORING ABNORMALITIES

Justo Alonso (Montevideo, Uruguay) 8.40 am FETAL HEART RATE ABNORMALITIES: THE FIGO RECOMMENDATIONS

Diogo Ayres De Campos (Porto, Portugal) 9.00 am A CRITICAL APPRAISAL OF THE EVIDENCE OF USING THE ST SEGMENT ANALYSIS

Per Oloffson (Lund, Sweden) 9.30 am UMBILICAL CORD pH AND GASES, LACTATE IN UMBILICAL CORD AND AMNIOTIC FLUID: NORMAL

VALUES AND INTERPRETATION OF RESULTS Edwin Chandraharan (London, UK)

9.55 am Discussion 10.10 am KEYNOTE ADDRESS DOES ELECTRONIC FETAL MONITORING REDUCE PERINATAL OR INFANT MORTALITY?

Gerard H.A. Visser (Utrecht, The Netherlands) 10.40 am Coffee break and poster viewing

Birth 2015 Brazil – Scientific Program -- -March 6th, 2015

SESSION 6: INDUCTION OF LABOR Chairpersons: Aris Antsaklis (Athens, Greece), Juliana Esteve ( Sao Paulo, Brasil) 11.00 am THE ROLE OF INDUCTION OF LABOR IN MODERN OBSTETRICS: AN INTRODUCTION TO A COMPLEX AND

CONTROVERSIAL SUBJECT Aris Antsaklis (Athens, Greece)

11.20 am METHODS FOR CERVICAL RIPENING AND INDUCTION OF LABOR: PHARMACOLOGICAL AND PHYSICAL

APPROACHES (PROSTAGLANDINS, LAMINARIA, FOLEY CATHETER, ETC) Liliana Voto (Buenos Aires, Argentina)

11.45 am IS THERE A ROLE FOR ROUTINE INDUCTION OF LABOR, AND IF SO, WHEN? (SHOULD ALL MOTHERS BE

INDUCED AT 39 WEEKS?) Aaron Caughey (Portland, OR, USA)

12.10 am INDUCTION OF LABOR IN CASES OF A PRIOR CESAREAN DELIVERY, SUSPECTED MACROSOMIA AND

SEVERE IUGR Yariv Yogev (Tel Aviv, Israel)

12.30 am THE ROLE OF VBAC IN MODERN OBSTETRICS: WHAT IS THE NATURE OF THE EVIDENCE AND DO PHYSICIANS AND PATIENTS WANT TO TAKE THE RISK? Eliana Amaral (Campinas, Brazil)

12.50 am Discussion 1.00 pm Lunch break and poster viewing

LUNCHEON SESSION: CHILDBIRTH INDUCED PELVIC FLOOR INJURIES Chairpersons: Jim Dornan (Northern Ireland), Francisco Mauad (Brasil) 1.00 pm A SCORE TO PREDICT PELVIC FLOOR INJURIES AFTER VAGINAL DELIVERY

Jim Dornan (Belfast, Northern Ireland)

1.25 pm ULTRASOUND IMAGING OF THE PELVIC FLOOR AND ITS CLINICAL IMPORTANCE Hans Peter Dietz (Sydney, Australia)

1.50 pm Discussion

Birth 2015 Brazil – Scientific Program -- -March 6th, 2015

SESSION 7: LABOR EMERGENCIES Chairpersons: Yves Ville (France), Josè Carlos Peraçoli (Brasil) 2.10 pm AMNIOTIC FLUID EMBOLISM

Frederico G. Rocha (Detroit, MI, USA)

2.30 pm ABRUPTIO PLACENTA: DIAGNOSIS AND MANAGEMENT Yves Ville (Paris, France)

2.55 pm EMERGENCY CESAREAN DELIVERY FOR FETAL BRADYCARDIA: IS QUICKER BETTER?

Tak Y. Leung (Hong Kong, China) 3.15 pm UTERINE RUPTURE: PREDICTION AND PREVENTION

Eduardo Cordioli (São Paulo, Brazil) 3.35 pm Discussion 3.50 pm Coffee break and poster viewing

SESSION 8: CHALLENGES IN LABOR AND DELIVERY I Chairpersons: Yves Ville (France), Antônio Fernandez Moron (Brazil) 4.20 pm THERAPY OF POSTPARTUM HEMORRHAGE: BEYOND BLOOD AND BRACE SUTURES

Jose Palacios de Jaraquemada (Buenos Aires, Argentina)

4.40 pm MANAGEMENT OF DIC AND A DILUTIONAL COAGULOPATHY (USE OF BLOOD PRODUCTS AND TRANSFUSION) Frederico G. Rocha (Detroit, MI, USA)

5.00 pm TWINS AND MULTIPLES: CHALLENGES IN LABOR AND DELIVERY

Jon F. Barrett (Toronto, Canada) 5.30 pm Discussion

SESSION 9: THE CHALLENGE OF “LOW RISK” DELIVERIES Chairpersons: Mike Robson (Ireland), Maria Regina Torloni (Brazil)

Birth 2015 Brazil – Scientific Program -- -March 6th, 2015

5.45 pm HOME DELIVERY: ANY PLACE IN MODERN OBSTETRICS?

Gerard H.A. Visser (Utrecht, The Netherlands) 6.05 pm A PROJECT FOR LOW RISK DELIVERIES IN A HOSPITAL SETTING: THE “DAISY” MODEL

Marco Santini (Florence, Italy), Gian Carlo Di Renzo (Perugia, Italy) 6.25 pm Discussion

6.30 pm ADJOURN

Birth 2015 Brazil – Scientific Program -- -March 7th, 2015

March 7th, 2015

SESSION 10: PRETERM LABOR: DIAGNOSIS, TREATMENT AND PREVENTION Chairpersons: Roberto Romero (USA), Ana Bianchi (Brazil) 8.00 am CERVICAL ULTRASOUND, FETAL FIBRONECTIN, IGFBP1, PAMG-1, SLUDGE AND OTHER DIAGNOSTIC

METHODS Roberto Romero (Detroit, MI, USA)

8.25 am TOCOLYSIS AND REPEATED STEROIDS: A CRITICAL APPRAISAL

Gerard H.A. Visser (Utrecht, The Netherlands) 8.50 am THE UTERINE CERVIX, CERCLAGE AND PROGESTOGENS TO PREVENT PRETERM DELIVERY

Eduardo Borges da Fonseca (Joao Pessoa, Brasil)

9.15 am A CERVICAL PESSARY TO PREVENT PRETERM BIRTH IN SINGLETONS AND TWINS Luis Cabero Roura (Barcelona, Spain)

9.35 am HOW AND WHERE TO DELIVER A PRETERM FETUS? Michael Robson (Dublin, Ireland) 9.55 am Discussion 10.10 am Coffee break and poster viewing

SESSION 11: CESAREAN DELIVERY: A CONTEMPORARY DILEMMA Chairpersons: Diogo Ayres de Campos (Portugal), Mario Dias Correa (Brazil) 10.40 am ELECTIVE CESAREAN DELIVERY – A WORLDWIDE PROBLEM? Guilherme Cecatti (Campinas, Brazil) 11.00 am STRATEGIES TO REDUCE CESAREAN DELIVERIES

Michael Robson (Dublin, Ireland) 11.25 am ABNORMALITIES OF PLACENTATION (ACCRETA, PERCRETA, INCRETA) REQUIRING CESAREAN DELIVERY

Jose Palacios de Jaraquemada (Buenos Aires, Argentina)

Birth 2015 Brazil – Scientific Program -- -March 7th, 2015

11.50 am THE CHALLENGES OF A “SCARRED UTERUS” Andrea Tinelli (Lecce, Italy)

12.10 am DELIVERY IN THE MORBID OBESE PATIENT

Dan Farine (Toronto, Canada) 12.30 am Discussion

12.45 am Lunch break and poster viewing

SESSION 12: SURGICAL TECHNIQUES FOR CESAREAN DELIVERY Chairpersons: Gian Carlo Di Renzo (Italy), Edson Lucena (Brazil)

1.40 pm A MODERN APPROACH TO THE TECHNIQUE OF CESAREAN DELIVERY

Michael Stark (Berlin, Germany)

2.00 pm AN EVIDENCE-BASED APPROACH TO CESAREAN DELIVERY (PERITONEUM, UTERINE CLOSURE, BLADDER FLAP AND SKIN CLOSURE) Eduardo Cordioli (São Paulo, Brazil)

2.20 pm PREVENTION OF POST PARTUM HEMORRHAGE DURING CESAREAN DELIVERY Jose Palacios de Jaraquemada (Buenos Aires, Argentina) 2.45 pm THE USE OF BALLOON TAMPONADE: INDICATIONS AND PITFALLS Iakov Zhukovsky (Moscow, Russia) 3.00 pm ANESTHESIA FOR CESAREAN DELIVERY: WHAT DO WE HAVE TO PAY ATTENTION TO?

Justo Alonso (Montevideo, Uruguay) 3.20 pm CESAREAN HYSTERECTOMY

Carlos Fuchner (Sta Cruz de la Sierra, Bolivia) 3.40 pm Discussion 4.00 pm Coffee break and poster viewing

Birth 2015 Brazil – Scientific Program –SPECIAL PARALLEL SESSIONS- -March 7th, 2015

MARCH 7th, 2015

SPECIAL SESSION FOR MIDWIVES AND LABOR AND DELIVERY NURSES:

“CARE OF THE MOTHER IN LABOUR“ Chairpersons: Renato Sá (Brazil), Marcos Dias (Brazil) 10.40 am BIRTH IN BRAZIL

Maria do Carmo Leal (Rio de Janeiro, Brazil)

11.00 am DOULA AND FAMILY SUPPORT FOR LABOR AND DELIVERY Marcos Dias (Rio de Janeiro, Brazil)

11.15 am ACUPUNCTURE FOR LABOUR INDUCTION Gisele Gribel (Rio de Janeiro, Brazil) 11.30 am ALTERNATIVES TO EPIDURAL TO PERIDURAL ANESTHESIA: NON PHARMACOLOGICAL METHODS FOR

PAIN RELIEF Ana Cristina Duarte (São Paulo, Brazil) 11.45 am THE ORGANIZATION AND STAFFING OF A “BIRTHING CENTRE” Maysa Luduvice (Rio de Janeiro, Brazil) 12.00 pm POST-PARTUM MONITORING OF THE PERINEUM AND EXCERCISES TO STRENGHTEN THE PELVIC FLOOR Dominique Klaczko (Rio de Janeiro, Brazil) 12.15 pm PROMOTING BREASTFEEDING Marcus Renato (Rio de Janeiro, Brazil) 12. 30 pm Discussion 12.50 pm CONCLUSIONS

Birth 2015 Brazil – Scientific Program –SPECIAL PARALLEL SESSIONS- -March 7th, 2015

SPECIAL SESSION: “NUTRITION IN PREGNANCY AND DURING LABOUR” Chairpersons: Yariv Yogev (Israel), TBA

1.40 pm OPTIMAL WEIGHT GAIN DURING PREGNANCY Yariv Yogev (Tel Aviv, Israel) 2.00 pm NUTRITION DURING PREGNANCY: MACRONUTRIENTS AND MICRONUTRIENTS Luis Cabero Roura (Barcelona, Spain) 2.20 pm NUTRITION IN LABOUR: CRYSTALLOIDS, GLUCOSE, ETC Justo Alonso (Montevideo, Uruguay) 2.40 pm NUTRITION DURING LACTATION TBA 3.00 pm NUTRITION DURING THE FIRST 1000 DAYS OF LIFE TBA 3.20 pm Discussion 3.40 pm CONCLUSIONS

Birth 2015 Brazil – Scientific Program --March 7th, 2015

SESSION 13: CHALLENGES IN LABOR AND DELIVERY II Chairpersons: TBD, Geraldo Duarte (Brazil) 4.30 pm ANTIBIOTIC ADMINISTRATION AND PREVENTION OF VERTICAL TRANSMISSION OF GBS

Gian Carlo Di Renzo (Perugia, Italy) 4.50 pm CHORIOAMNIONITIS: DIAGNOSIS AND MANAGEMENT

Juan Pedro Kusanovic (Santiago, Chile)

5.10 pm MANAGEMENT OF THE DIABETIC AND OBESE PATIENT Yariv Yogev (Tel Aviv, Israel)

5.30 pm THE PATIENT WITH HIV, HERPES, HEPATITIS OR HPV Claudia Hanson (London, UK – Dar es Salaam, Tanzania) 5.50 pm THE MANAGEMENT OF THE DIABETIC AND THE OBESE PATIENT

Huixa Yang (Beijing, China) 6.10 pm Discussion 6.20 pm KEYNOTE CLOSING LECTURE

INJURY OF THE PELVIC FLOOR AFTER VAGINAL DELIVERY Hans Peter Dietz (Sydney, Australia)

6.50 pm CLOSING REMARKS Roberto Romero (USA) & Gian Carlo Di Renzo (Italy)

Birth 2015 Brazil – Scientific Program -- -General Information

GENERAL INFORMATION

DATES AND VENUE

March 5th – 7th, 2015

Centro de Convenciones de Ceará

Av. Washington Soares, 999 - Edson Queiroz Fortaleza, Brazil

CHAIRPERSONS

GIAN CARLO DI RENZO MD, PhD, FRCOG (hon) FACOG (hon) Professor and Chairman Dept. of Ob/Gyn Director, Centre for Perinatal and Reproductive Medicine Director, the Midwifery School, The University of Perugia, Italy Hon Secretary General, FIGO Editor in Chief, Journal of Maternal Fetal and Neonatal Medicine Director, Permanent International and European School in Perinatal, Neonatal and Reproductive Medicine (PREIS SCHOOL) ROBERTO ROMERO M.D., D.Med.Sci. Chief, Perinatology Research Branch Program Director for Perinatal Research and Obstetrics Intramural Division, NICHD, NIH, DHHS Professor of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA Professor of Epidemiology and Biostatistics, Michigan State University, Lansing, Michigan, USA Editor-in-Chief, American Journal of Obstetrics & Gynecology

Birth 2015 Brazil – Scientific Program -- -General Information

LOCAL PRESIDENTS

NILSON ROBERTO DE MELO PhD in Medicine, Obstetrics and Gynecology, Federal University of São Paulo Scientific Chairman of FEBRASGO, Brazilian Federation of Societies of Obstetrics and Gynecology Past President of FLASOG - Latin American Federation of Gynecology and Obstetrics Sao Paulo, Brazil EDUARDO BORGES DA FONSECA Adjunct Professor at the Federal University of Paraíba PhD from the Faculty of Medicine University of São Paulo Specialist in Gynaecology, Obstetrics by FEBRASGO Chairman of the Perinatal Medicine Section at FEBRASGO Harris Birthright Research Fellow Centre King’s College Hospital NHS Foundation Trust Joao Pessoa, Brazil ORGANISING COMMITTEE

RENATO AUGUSTO MOREIRA DE SA (Rio de Janeiro), Chairman MD, PhD Associated Professor in Obstertics at Federal Fluminense University President of Fetal Medicine Committee from FEBRASGO Vice-President of Rio de Janeiro Society of Obstetrics and Gynecology Head of Obstetrics from Perinatal Clinic CARLOS MENEZES (Salvador de Bahia) FRANCISCO MAUAD (Riberao Preto – SP) EDSON LUCENE (Fortaleza – CE) FLIAVIO IBIAPINA (Fortaleza – CE) MARIA REGINA TORLONI (Sao Paulo) OLIMPIO MORAES FILHO (Recife – PE)

Birth 2015 Brazil – Scientific Program -- -General Information

SCIENTIFIC INFORMATION

The Scientific Committee invites clinicians and scientists who are interested in sharing their work with the participants of the meeting to submit their work in abstract form. Details available on the meeting website www.birth2015brazil.org. Abstracts accepted for presentation will be displayed ONLY in poster format. Changes in abstracts cannot be made after submission. Please verify that each field in the abstract form has been completed and follow the instructions outlined on the website. Deadline for abstract submission: January 1st, 2015

REGISTRATIONS

Euro USD

Early Registration Fees Within November 30th, 2014

Physicians € 182,00 $ 250,00

Nuses/Midwife € 131,00 $ 180,00

Residents € 95,00 $ 130,00

Regular Fees

Physicians € 291,00 $ 400,00

Nuses/Midwife € 219,00 $ 300,00

Residents € 145,50 $ 200,00

The fees Include:

CME accreditation

Access to all Scientific Sessions

Congress Kit and attendance badge

Final Scientific Program

Certificate of attendance

Welcome reception

Birth 2015 Brazil – Scientific Program -- -General Information

ORGANIZING SECRETARIATS

Official Organizing Secretariat

MCA SCIENTIFIC EVENTS MCA Events s.r.l. Milan, Italy Ph. +39 02.34934404 Fax +39 02.34934397 www.mcascientificevents.eu www.mca-group.eu Local Organizing Secretariat

SIN SOLUTION Sao Paulo, Brazil Ph. +55 (11) 3543-0400 eventos@sinsolution.com.br www.sinsolution.com.br