Summary :
⁣The study determines the level of importance of the risk factors identification in women in relation to risk pregnancy during the prenatal care. The survey method of a selfconstructed questionnaire was used for data collection, as well as the standardized Hospital Anxiety and Depression Scale (HADS), the questionnaire to assess coping behaviors (Brief Cope), the International Personality Item Pool questionnaire (IPIP), and the Perceived Social Support Scale (PSSS). Data collection was carried out from December 2019 to February 2020. The questionnaires were distributed to midwives working in gynaecological, prenatal, and highrisk pregnancy clinics. Out of a total of 100 distributed questionnaires, the response rate was 81% (81 returned questionnaires). We first processed the data we had obtained using the descriptive statistics method. We used the Pearson and Spearman correlation coefficient tests to interpret the statistical significance of the differences and dependencies of the variables.


About Author :
⁣The author graduated in 1988 at the Comenian University in Bratislava- Slovakia in Nursing study program. In the 1998 graduated in Midwifery bachelor study program. The year of 2002 graduated the study of Master in Public Health. PhD study author graduated in 2009 and habilitation graduated in 2009 in Nursing. Since year of 2004 she works in Faculty of Health Care, Presov University as a teacher at the Department of Midwifery and held the possition as dean of faculty since 2021. She guarantees the subjects of Midwifery, Public health, and applied Psychology for Nursing and Midwifery study programmes. She was participated in professional mobility and Erazmus + mobility.

Summary :
⁣The primary aim of this study was to determine the prevalence of pelvic dysfunction symptoms following OASI. The secondary aim was to assess the scope of a dedicated perineal trauma clinic in identifying and investigating women that have experienced faecal incontinence after OASI and if a transitional clinic arrangement to colorectal or continence services would be useful.


About Author :
⁣An Obstetrics and Gynaecology doctor who is deeply passionate about patient education and women’s health. She believes empowering patients to be confident & knowledgeable about their conditions builds physician-patient relationships and improves patient outcomes. Someday, she would love to get involved in medical volunteering and her family loves globetrotting . Thanks to these travel goals she has moved a lot of countries - Born in India , did her schooling in Dubai , went back to India for med school and residency in Ob Gyn ( Civil Hospital , Ahmedabad ) , moved to the UK for a Royal college fellowship and worked in the UK for 3 years and has just moved back to Dubai and am working with the Medcare Hospital Group . She has advanced training in Maternal medicine , Urogynaecology and Menopause and is accredited by the european board in aesthetic gynaecology.

Summary :
⁣Transvaginal Natural orifice transluminal endoscopic surgery (vNOTES) is increasingly being performed in gynecology practice for various of indications. We aimed to share the surgical and subjective outcomes of patients who underwent NOTES for gynecological disease. This preliminary report included 43 patients. Out of those, 39.5% had previous abdominal surgeries. 14% of all underwent hysterectomy and 86% had various adnexal procedures. Mean age, BMI and median parity were 39.6±8.9 years, 28.9±9.1 kg/m2 and 3±2 births. The mean POP-Q C level measurement was -36±14mm. The mean total duration of surgeries was 21.8±15.2 minutes. Median pain scores measured by Visual Analog Score were 4±3 and 1±2 at 6th and 24th hours of surgery, respectively. 32.5% of all patients needed one and 14% needed two additional doses of analgesic in addition to routine one postoperative dose. There was no conversion to laparoscopy or laparotomy. Only one patient had early postoperative mild complication that is minor bleeding from colpotomy and was managed conservatively. The satisfaction was measured with Patient Global Impression scale, 95.3% of all patients reported that were very satisfied at the 1st week. In conclusion, the vNOTES is a feasible approach in regards to the duration of surgery, postoperative pain scores, and cosmetic outcomes.


About Author :
⁣Mainly interested in endoscopy, urogynecology, cosmetic /aesthetic and reconstructive surgery and sexual medicine. More specifically, focused on laparoscopic lateral suspension, Transvaginal Natural Orifice Transluminal Endoscopic Surgeries (vNOTES), implementation of Lung ultrasound in pregnant women suspected of SARS-CoV-2 infection, use of the Transperineal sonography in the management of obstetric anal sphincter injuries, in prediction of the operative vaginal delivery (intrapartum ultrasound), in objectively diagnosing the pelvic organ prolapses and in the management of mesh complications.

Summary :
⁣RF(radiofrequency) heats the tissue and stimulates subdermal collagen and elastin
production, tightens the vaginal canal, improves the labial skin laxity, sexual performance and
satisfaction. Fractional CO2 lasers stimulates collagen regeneration, the contracture of elastin fibers,
the neovascularization and vaginal lubrication. It is a safe method for the treatment of genitourinary
syndrome of menopause and mild urinary incontinence. Er:YAG devices: is based on collagen
synthesis and thermal stimulation of mucosal tissue being useful for genitourinary syndrome of
menopause and stress urinary incontinence. Non-invasive HIFU is highly effective in rebuilding skin
elastin while tightening, improves muscle strenght, tone and elasticity of vaginal muscles, improves
control over urinary incontinence, vaginal dryness and increased sensation during intercourse.
HIFEM increases the neuromuscular tone of the pelvic floor muscles, treating the urinary and fecal
incontinence, prolapse and vaginal laxity.


About Author :
⁣Dr. Hornea Margareta Medi, Gynaecologist, Obstetrician and Gynaecology Aesthetician from Timisoara, Romania. Passionate about Aesthetics, Member of the Romanian Society of Aesthetic Gynecology, Liftime Membership in International Association of Stemcell and Regenerative Medicine.

Summary :
⁣Hemorrhagic ascites associated with pleural effusion due to endometriosis is an uncommon presentation rarely reported in the medical literature. We present a case of a 29-year-old woman with a history of primary infertility .She presented to the emergency department for asthenia, abdominal swelling and pain. On examination she was stable with signs of massive ascites and right-sided pleural effusion. This was confirmed on ultrasound scan and computed tomography. A magnetic resonance imaging was performed to define the nature of fluid .It shows an abundant ascites (figure a) and right pleural effusion (figure b) seen as hyperintense signal on T1 weighted sequences due to hematic component. Paracentesis was done reveling a bloody ascetic fluid. She declined a pleurodesis for the pleural effusions. The patient was treated with a GnRH analogues with progressive reduction of pleural effusion This report of case draws attention to this presentation as a complication of endometriosis. This suggests that clinicians should include endometriosis in the differential diagnoses of middle-age women presenting with bloody ascites and pleural effusion in addition to infection and malignancy.

About Author :
⁣Hind Ennasser a resident doctor in the 5th year of residency at Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda Morocco

Summary :
⁣Anti-N-Methyl-D-Aspartate encephalitis is a subcategory of auto-immune encephalitis. It is known for its aggressive presenting symptoms and rapid deterioration, yet it is treatment responsive. It is associated in 50% to ovarian teratoma. Anti-NMDA receptor encephalitis with ovarian teratoma is a rare entity with rapid deterioration. Early diagnosis, surgical resection and proper medical treatment are essential for the management of this disease. We will report 2 cases of Anti-NMDA encephalitis with review of literature and discussion over treatment modalities.

Summary :
⁣Our clinic was declared a COVID support in March 2020. In the first 7 months of the pandemic, 60.91% of all patients had mild forms and 3.8% had severe forms, as opposed to the last 5 months of pandemics where the percentage was of 66.51% versus 1.8%. 78.4% of hospitalized patients had elevated CRP values, 14.28% had cough symptoms, and 12.68% dyspnea. There were 5 cases in the clinic with moderate and severe forms that required transfer to Infectious Diseases and ATI.

Summary :
⁣A total of 12RCTs with 2028 women (hysterectomy: n=977 women vs E:A/R: n = 1051 women) were included. Hysterectomy was compared with only endometrial ablation in five studies and only endometrial resection in five studies and both ablation and resection in two studies. Meta-analysis found that women in the hysterectomy group were more likely to show patient-reported and objective outcomes improving in HMB comparing with EA/R (risk ratio(RR)0.75, 95%CI:0.71,0.79) and (MD44.00, 95%CI:36.09,51.91)respectively. Patient-satisfaction was higher after hysterectomy up-to 2-years follow-up, (RR:0.90, 95%CI:0.86,0.94) but this effect was absent with longer term followup. EA/R had lower risk of adverse-outcomes for sepsis (RR:0.03, 95%CI:0.00,0.56), wound infection (RR:0.05, 95%CI:0.01,0.28) and urinary tract infection (RR:0.20,95%CI:0.10, 0.42) but higher risk of fluid-overload (RR:7.80,95%CI:2.16,28.16) and perforation (RR:5.42,95%CI:1.25,23.45).


About Author :
⁣Alyaa graduated in Medicine at Faculty of Medicine Kasr Al Ainy - Cairo University in 1997 and had training in obstetrics and gynaecology, then joined the University of Aberdeen in 2009.Currently she is a clinical lecturer and research fellow in urogynecology following obtaining of her MD in 2014. She is interested in medical education and obtained diploma in medical education 2016. She supervises students’ medical elective and intercalated BSc projects. Currently, Alyaa is Year 1 Deputy Lead Coordinator and Year 1 OSCE lead. Also, she is coordinator for “women’s health in a global setting online course” and Alyaa is a member of the Aberdeen Centre for Women’s Health Research and focuses on improving women’s health.

Summary :
⁣186/216 women with pre-eclampsia who attended the Maternal Health Clinic met inclusion criteria. No significant differences were observed for placental morphometric measurements between women who screened as having a high vs. low lifetime risk profile for cardiovascular disease at six months postpartum. However, using multivariable modelling that controlled for maternal age, prepregnancy body mass index, gestational age at delivery, and severity of pre-eclampsia, a low placenta to birth weight ratio (<15%) was associated with an increased odds of high lifetime cardiovascular disease risk (p < 0.009).


About Author :
⁣I’m a medical student studying at Trinity College Dublin and have achieved an Honours Bachelor of Health Sciences and MSc in Biomedical and Molecular Sciences, specializing in the field of Reproduction and Developmental Sciences. For my thesis, I studied the relationship between placental morphology and underlying cardiovascular risk factors in women diagnosed with pre-eclampsia. Our study identified a powerful screening tool for cardiovascular risk at the time of delivery, allowing clinicians to initiate postpartum interventions as most of these women are dealing with preventable health challenges. My research/volunteer experiences have taught me the importance of complementing the medical profession with patient-centered care by advocating for the needs of individuals who are unable to afford or access the healthcare they deserve.

Summary :
⁣A tubo-ovarian abscess (TOA) is an inflammatory mass involving the fallopian tube, ovary, and occasionally adjacent viscera. TOA carries a high morbidity and mortality rate of 5-10% when assocaited with severe sepsis. It is a common acute gynaecological presentation for which there are no national guidelines to guide clinical decision making. Management varies based on clinical presentation and experience of the clinician, and is based on IV antibiotics (conservative management), image guided drainage, or surgical options. In recent years, the laparoscopic approach to surgical intervention has gained favour due to reduced morbidity and quicker recovery time.

Summary :
⁣During the fetal period, the embryonal premature central nervous system (CNS) structure rapidly develops into a mature structure with gyral formation. Within this rapid development, various developmental disorders and insults result in multiple phenotypes of fetal CNS abnormalities. For understanding fetal CNS diseases, basic knowledge of the development of the central nervous system is essential. Malformations of cortical development (MCD) are disorders of cerebral cortex formation caused by various genetic mutations, infections, vascular abnormalities, or metabolic abnormalities. MCD is associated with abnormal cortical structure, ectopic gray matter, odd brain size.


About Author :
⁣Ritsuko K. Pooh graduated from Law and Medical Departments. As an Obstetrician, she dedicated to clinical investigation on embryos and fetal brain in perinatology. Especially, she introduced sophisticated fetal neuroimaging. She established CRIFM Prenatal Medical Clinic (https://fetal-medicine-pooh.jp/en/). Her Neurosonograms are really scientific/artistic, and displayed at NIH in USA. She received the Alfred Alfred Kratochwil Award, Lifetime Achievement Award, and Sir William Liley medal. She published 173 articles and 4 books. She established the clinical genetic laboratory (Ritz Medical Co., Ltd.) for performing latest genetic examination. She is a truly one of the international executives in perinatology.

Summary :
⁣Failure rate of transvaginal cerclage (TVC) is 13%.Pregnancies will deliver pre-viable infants despite this intervention.Patients who fail Trancervical cerclages are candidates for abdominal assisted cerclages. Indicarions of transabdominal cerclages are two or more failed TVC or if TVC is impossible due to extreme shortening, scarring or laceration of the cervix.No randomized control trials comparing preconception to early pregnancy. when comparing open to laparoscopic approach, The results demonstrated that there was no differencein the rates of thirdtrimester delivery and live birth.The use of cerclage, either through vaginal or abdominal routes, to assist in delaying pre-term delivery among select women with cervical insufficiency may be beneficial, but can also carry significant morbidity.


About Author :
⁣Elias D. Abi Khalil, MD is a consultant , head of department in Obstetrics & Gynecology at Clemenceau medical center dubai.He is the director of center of endometriosis and advanced pelvic and robotic surgery. He received his American board of Obstetrics and Gynecology after completing his training at the George Washington University in Washington DC, and his fellowship in Minimally invasive gynecologic surgery by the American association of gynecologic laparoscopists. He received multiple awards for excellence in endoscopic surgery, including the prestigious AAGL award for excellence in endoscopic surgery. He is a published author with more than 20 peer-reviewed publications, with a particular interest in fibroids, endometriosis and minimally invasive gynecologic procedures.

Summary :
⁣This was a retrospective case-control study performed in our hospital.We included all deliveries in women who had a history of bariatric surgery, operated in the same center between Jan 1, 2016 and Dec 31, 2019. This was the study group of fifty-two women. To investigate the effects of weight loss after bariatric surgery on pregnancy outcomes, we compared the study group with a control group matched for presurgery body mass index and did not undergo any bariatric procedure and delivered during the same period of time. This was the control group of 150 women. BMI was calculated using weight measured at the first prenatal visit. The main endpoints were gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), birth weight of the babies, age of gestation at delivery and mode of delivery.


About Author :
⁣Dr Amina Butt FRCOG, FACOG , Fellow HEA UK Chairperson RCOG IRC KSA Consultant obstetrician and Gynaecologist Sulaiman AlHabib hospital Special interest: Maternal medicine, high risk obstetrics, Medical education Have been involved in organizing multiple course in KSA with RCOG collaboration. RCOG Facilitator for MRCOG part 2 course Specialist interest in global women health and postnatal contraception.

Summary :
⁣Pregnant women and their neonates represent 2 vulnerable populations with an interdependent immune system that are highly susceptible to viral infections. Maternal antibodies are produced in the setting of an infection or vaccination, and pregnant women can pass on these antibodies via the cord blood to provide passive immunity to their babies. Thus, antibodies can be measured as a marker of the immune response as well as putative protection from infection. We demonstrate that maternal antibody levels correlate with symptomatic maternal SARS-CoV-2 infection, and higher levels of maternal antibodies are associated with passive neonatal immunity. Maternal antibodies from vaccination increase with time elapsed since vaccine dose 1 and the antibodies mounted against a vaccine are detected in the cord blood of their babies. The placental transfer ratio of antibodies correlate with time elapsed since maternal vaccination dose. Taken together, these data can guide the clinical management of SARS-CoV-2 infection as well as vaccination strategies for pregnant women.


About Author :
⁣Dr. Yang received her M.D. / Ph.D. from Harvard Medical School and completed her Clinical Pathology residency and Molecular Genetic Pathology fellowship at Columbia University Medical Center. She is a Research Fellow at Rockefeller University and previously trained at the World Health Organization. Dr. Yang is working on both a better understanding of SARS-CoV-2 in pregnancy to help guide clinical management, as well as increasing access to genetic testing in the pregnant patient population.

Summary :
⁣Abdominal wall hernias require surgical correction in most patients to avoid incarceration. There are currently many options for hernia repair, open approach, laparoscopic, robotic assisted. There are also many materials used for reinforcement of the abdominal wall. Women of childbearing age, often present with hernias. This presentation will review the literature, and explain techniques, choice of procedure and materials in this subset of patients. Current recommendations and procedures will be presented.


About Author :
⁣2005 University of Puerto Rico School of Medicine, General Surgery. Experience includes Breast Cancer research, Complex abdominal wall reconstruction, Robotic Surgery, Oncoplastic Breast Reconstruction, Minimally Invasive Surgery.

Summary :
⁣Superovulation is a drug-induced method to enable multiple ovulation per menstrual cycle and key component towards a successful IVF cycle. Although there are the general guidelines for dosage, the dose is not optimized for each patient, and complications, such as overstimulation, can occur. To overcome the shortcomings of this general system, a mathematical procedure and a decision support tool is developed which can provide a customized model of this stage regarding the size distribution of follicles obtained per cycle as a function of the chemical interactions of the drugs used and the conditions imposed on the patient during the cycle. Uncertainty and risk are modeled and included in optimal drug dosage decisions. This paper describes the theory, model, the optimal control procedure, and the decision support tool for improving outcomes of IVF treatment for all the four protocols used in real practice. The validation of the procedure is performed using clinical data from more than 100 patients previously undergone IVF cycles. Customized patientspecific model parameters are obtained by using initial two-day data for each patient and validated. The models are then used for predicting the customized optimal drug dosage for each patient. Two clinical trials were conducted in India. The results from the trials show that the dosage predicted by using the model is 40% less than the suggestion made by the IVF clinicians. The testing and monitoring requirements for patients using optimized drug dosage is reduced by 72%.


About Author :
⁣Dr. Urmila Diwekar is the President of Stochastic Research Technologies LLC and the president of the Vishwamitra Research, a non-profit research institute that she founded to pursue multidisciplinary research and development. From 2002-2004, she was a Professor at the University of Illinois at Chicago. From 1991-2002 she was on the faculty of the Carnegie Mellon University. She is the author of more than 185 peer-reviewed research papers, 15 book chapters, 7 books, 3 software packages, and has given over 400 presentations and seminars, and has chaired numerous sessions in national and international meetings. She has been the principal advisor to 45 Ph.D. and M.S. students, and has advised 15 post-doctoral fellows and researchers. She is fellow of AIMBE and AIChE.

Summary :
⁣Why are women who face poor prognoses for success in assisted reproductive technology (ART) treatment choosing to pursue procedures using their own eggs, despite receiving information that their chances of success are low? Cross-sectional study based on an anonymous questionnaire distributed to women aged between 43 and 45 years, undergoing ART using their own oocytes, at public outpatient fertility clinics and public in-hospital IVF units in Israel. The main outcome measure was personal estimation of chance to achieve a live birth after the current ART treatment cycle and the cumulative estimated rate after all the treatment cycles the patient intended to undergo.


About Author :
⁣Talya Miron-Shatz (PhD psychology) is full professor at the Ono Academic College, Israel, and visiting researcher at the University of Cambridge. She specializes in studying health and medical decisions, with over 60 academic papers on the topic. She also has vast industry experience as a consultant to pharma, health advertisers, startups and corporates. Prof. Miron-Shatz did her post-doc at Princeton University with Nobel laureate Daniel Kahneman, taught at Wharton, and is a visiting researcher at Cambridge University. She is the author of ‘Your Life Depends On It: What You Can Do to Make Better Choices about Your Health (Basic Books, Hachette).

Summary :
⁣High prognostic value of yolk sac diameter, on the 5th and 10th week of gestation for pregnancy failure in the studied groups with a cut off value of yolk sac diameter (5.70mm), on the 5th and (5.85mm) 10th week of gestation. Findings of this study also suggests the possibility of using serum CA-125 with ultrasound parameters for the prognosis of first trimester threatened miscarriage with cut-off value of CA125 38.25U/mL on the 5th week of gestation and 53U/mL on the 10th week of gestation in patients presented with pain only but in patients presented with minimal vaginal bleeding a cut-off value of CA125 on the 5th week of gestation become 45.6 u/ml and 68 u/ ml on the 10th week of gestation.


About Author :
⁣I am Dr Nesreen Badr. I am an Obstetrics and Gynecology Specialist at NMC Oman. I have been practicing Obstetrics and Gynecology for 18 years with special interest in Fetal medicine. I got the opportunity to join primary, secondary and tertiary care facilities. Each one added to my clinical, surgical and communication skills. I have been an active member in multiple national and international societies; I am a member of The Royal College of Obstetrics and Gynecology in London and of The Royal College of Physicians in Dublin. I earned my Master degree in Obstetrics and Gynecology from Ain Shams University in Egypt and The Doctorate MD degree from AL Azhar University in Egypt.

Summary :
⁣Endometriosis is a condition that affects at least 1 in 10 women worldwide and is a common cause of Dysmenorrhea, Dyspareunia, Dyschezia, and Chronic Pelvic Pain. Endometriomas affect more than 20% of women with endometriosis and are often associated with deep infiltrating endometriosis in 60-80% of women that present with Endometriomas. Management of endometriomas is extremely important because of all types of endometriosis are most likely to affect the fertility of a patient. The presence of endometriomas can cause decreased ovarian reserve and affect egg quality and implantation rates. Removal in tern can also decrease ovarian reserve and if not removed properly can result as well in high recurrence rates. This presentation will review the diagnosis and management of endometriomas including mechanisms to identify patients that may benefit from surgical management as well as advanced techniques that a surgeon may use to adequately remove endometriomas without affecting ovarian function. A discussion of tips and techniques of addressing both the endometrioma as well as the associated endometriosis will be held. Surgical techniques and types of energy used to treat endometriosis surgically will also be reviewed.


About Author :
⁣Mona Orady, MD, is the Director of Robotic Surgery Services at St. Francis Memorial Hospital in San Francisco, California practicing gynecologic minimally invasive Surgery at Dignity Medical Foundation. She is also the Director of the Dignity Health Center for Advanced Gynecology and Minimally Invasive Surgery and is starting a fellowship in Endometriosis and advanced minimally invasive surgery. She is currently the Vice President of the Society of Laparoscopic and Robotic Surgeons after serving for 10 years on their Board of Directors.

Summary :
⁣Laparoscopy is regarded as the Gold Standard in diagnosis of Endometriosis. However, for deep infiltrating endometriosis (DIE), posterior compartment disease cannot be quantified until densely adherent bowel is mobilized with opening of perirectal space. This is associated with a high risk of complications needing careful planning and patient counselling. Using transvaginal ultrasound can help in the diagnosis and can be used as a screening tool followed by MRI to confirm the extent of the disease.


About Author :
⁣Dr Marlain Mubarak completed postgraduate training at the Oxford Deanery UK obtaining RCOG/BSGE Laparoscopic/ Hysteroscopic surgery accreditation in 2004. Following that did spend a year working at Oxford Radcliff Hospital endometriosis centre as a senior registrar and was awarded CCT UK in 2005. Between 2006 & 2009 as a consultant at High Wycombe Hospital, UK, worked to establish Laparoscopic Hysterectomy as the standard management for endometrial cancer. Between 2010 t& 2017 worked at Luton & Dunstable University Hospital UK as a consultant Lead for Colposcopy and Diagnostic Oncology. In 2014 facilitated the development of BSGE accredited endometriosis centre and led the surgical team. Areas of expertise also include Psychosexual counselling acquiring Diploma in 2009 and later membership of Institute of Psychosexual Medicine London in 2011. In 2016 she was awarded MsC from Oxford University in Experimental Therapeutics; dissertation topic was creating a diagnostic module for diagnosis of severe Endometriosis.