Fetal Growth

Sixth International Conference on

Fetal Growth 2017

Fota Island, Cork, Ireland

20 - 22 September 2017

FINAL PROGRAMME

Wednesday 20 September
09:00 - 17:00 Thursday 21 September
08:30 - 18:00 Friday 22 September
08:30 - 18:00 Poster-Oral
Presentations Electronic
Posters

Workshop 1		Growth Assessment Protocol (GAP)
From 09:00		Registration
09:30		Welcome and Introduction Fetal growth restriction and pregnancy outcome Customised charts: principles, and clinical implications Risk assessment and surveillance: guidelines, algorithms Q&A
11:00		Coffee/Tea
11:30		Clinical Application Fundal height - standardised measurement and plotting Referral protocols – indications for further investigation Clinical and practical application – case studies Documentation and record keeping - plotting and referral scenarios Q&A
12:30		Lunch
13:30		Routine Data Collection Birth data, benefits and how to implement Baseline audit – rates of SGA, referral and detection prior to implementation of GAP Missed case audit tool – implementation, identifying issues and addressing problems Q&A
15:00		Coffee/Tea
15:30		Ultrasound Protocols & algorithms Routine scans for all? – review of the evidence Q&A; general discussion
17:00		Close
Faculty Jason Gardosi, Professor and Director, Perinatal Institute, Birmingham, UK Sally Buller, Senior Midwife, Perinatal Institute, Birmingham UK Mandy Williams, Health Informatics Clinical Lead, Perinatal Institute, Birmingham UK
Workshop 2		Ultrasound and Doppler
From 09:00		Registration
09:30		Ultrasound biometry Structural scans Audit and Quality Assurance
11:00		Coffee/Tea
11:30		Live Demonstration
12:30		Lunch
13:30		Doppler – Basics Doppler Investigation I (UA, ACM, CPR, UtA) Live Demonstration
15:00		Coffee/Tea
15:15		Biophysical profile & amniotic fluid Doppler Investigation II (UV, DV) Live Demonstration
17:00		Close
Faculty Ahmet Baschat, Professor of Gynecology and Obstetrics, The Johns Hopkins, Baltimore, USA Francesc Figueras, Associate Professor of Maternal-Fetal Medicine, University of Barcelona, Spain Noirin Russell, Consultant Obstetrician and Gynaecologist and Clinical Senior Lecturer, Cork University Maternity Hospital

Presentations: K=Keynote (20 min): O=Oral (10 min): P-O=Poster-Oral (3 mins)

08:30	Session 1	Fetal Growth, Prematurity and the Infant
K	Gene Dempsey (IE)	Perinatal and long term outcomes
K	Jennifer Zeitlin (FR)	Prematurity and fetal growth restriction
O	E Mazarico (ES)	Fetal growth curves in extreme preterms: Predictive performance for neonatal mortality
O	J Caradeux (ES)	Smallness for gestational age by non-customized vs. customized fetal standards in extreme preterm neonates: association to mortality and severe morbidity
O	H Bartels (IE)	Identifying fetal growth trajectories and their association with maternal and child characteristics: secondary analysis from the ROLO study
	Plenary / Open Forum
10:20	Coffee/Tea
10:40	Session 2	Growth Standards and Clinical Implications
K	Katherine Grantz (US)	The NICHD program on fetal growth
K	Jennifer Zeitlin (FR)	INTERGROWTH and standards in Europe
K	Torvid Kiserud (NO)	The WHO fetal growth standard
K	Jason Gardosi (UK)	International customised GROW charts
O	Birgit Arabin (DE)	Do German newborns follow the INTERGROWTH charts as postulated?
O	Alexander Heazell (UK)	Identification of placental insufficiency in a cohort of stillbirths – evaluation of the performance of customised (GROW) and INTERGROWTH- 21 birthweight standards
	Plenary / Open Forum
12:50	Lunch
13:30	Session 3	Poster-Oral 1 List

14:10	Session 4	Risk factors, Screening and Surveillance
K	Lesley McCowan (NZ)	Risk factors and prevention of FGR
O	R J Martinez-Portilla (ES)	Added value of maternal perceived stress as a predictor of small for gestational age
O	Isabelle Monier (FR)	Maternal vitamin D status in the first trimester of pregnancy and risks of having a small-for-gestational age or preterm birth: a prospective cohort study
O	Grainne Milne (IE)	The introduction of “GAP” for the first time in the Republic of Ireland – the good, the bad and the ugly
O	Mandy Williams (UK)	Missed case audit of babies born small for gestational age
	Plenary / Open Forum
15:40	Coffee/Tea
16:00	Session 5	FGR and Stillbirth: Causes and Prevention
K	Paul Corcoran (IE)	Fetal growth restriction among stillbirths and its antenatal detection in Ireland: a national clinical audit
K	Alex Heazell (UK)	The NHS Care bundle for stillbirth prevention: the importance of fetal growth restriction
O	Andre Francis (UK)	Prevalence of ‘disorders of fetal growth’ and associated maternal/obstetric conditions according to ICD-PM
O	Nuzhat Aziz (IN)	Customised centiles and reduction of stillbirth rate at a South Indian Perinatal Institute
O	Sally Buller (UK)	Reducing stillbirths in North England: the SaBiNE project
O	E Romano (UK)	Reducing stillbirth by fetal growth surveillance
P-O	Hannah Rickard (UK)	Reducing stillbirth – implementing the ‘Saving Babies’ Lives’ care bundle
P-O	Sucheta Jindal (UK)	Understanding each stillbirth: a way forward to “Saving Babies Lives”

	Plenary / Open Forum
18:00	Close
20:00 Gala Dinner & Dance

Presentations: K=Keynote (20 min): O=Oral (10 min): P-O=Poster-Oral (3 mins)

08:30	Session 6	The Placenta
K	Brendan Fitzgerald (IE)	The placenta in early and late onset IUGR
O	Alex Heazell (UK)	Placental changes in diabetic stillbirths
P-O	Khadijah Ismail (IE)	Placental and umbilical cord morphometry of pregnancies with small for gestational age infants
P-O	Khadijah Ismail (IE)	Abnormal placental cord insertion and adverse pregnancy outcome
P-O	Beata Hargitai (UK)	Perinatal post-mortem without the baby: applying ReCoDe classification for placenta examination
	Discussion
09:20	Session 7	Early onset IUGR
K	Ahmet Baschat (US)	Investigation and management
O	Rebecca Spencer (UK)	Maternal serum biomarkers for the prediction of fetal and neonatal mortality in early onset FGR
O	F Mone (IE)	A randomized controlled trial and cost-effectiveness analysis of low dose aspirin
O	E Ingram (UK)	Longitudinal measures of placental DR1 and R2* in normal and FGR pregnancies

	Plenary / Open Forum
10:40	Coffee/Tea
11:00	Session 8	Late onset IUGR
K	Francesc Figueras (ES)	Investigation and management
O	Ngaire Anderson (NZ)	Low PIGF and ultrasound defined FGR in late-onset SGA pregnancies
O	Javier Caradeux (ES)	Longitudinal growth assessment for the prediction of adverse perinatal outcome among SGA-suspected fetuses
O	M Rial Crestelo (ES)	Added value of cerebro-placental ratio at routine third trimester screening
O	J Morales-Roselló (ES)	Birth weight differences at term are explained by the gender, gestational age, placental dysfunction, but not by ethnicity
O	Anne Ego (FR)	Preventing third-trimester stillbirths by improving detection of FGR: a population-based nested case-control study in France
	Plenary / Open Forum
12:40	Session 9	Poster-Oral 2 List
13:05	Lunch
13:45	Session 10	Poster-Oral 3 List

14:20	Session 11	Twins, Macrosomia
O	Katherine Grantz (US)	Fetal Growth in twins
O	Jason Gardosi (UK)	Twin growth and late onset IUGR
	Discussion
O	Francesc Figueras (ES)	Cross-sectional versus longitudinal assessment of AC and EFW in the detection of macrosomia
O	K Cresswell (UK)	Predicted fetal macrosomia on scan - intervention rates post Montgomery ruling
	Discussion
15:40	Coffee/Tea
16:00	Best abstracts	Presentation & Award

16:30	Session 12	Policies and Protocols; Next Steps
K	Lesley McCowan (NZ)	Overview of international status quo
K	Alyson Hunter (UK)	Protocols developed in ‘Perinatal Ireland’
	Plenary / Open Forum
	Closing Remarks
17:45	Close

Thu 13:30	Session 3	Poster-Oral 1
PO 3.1	H Baston (UK)	Quilting to quit smoking in pregnancy: a feasibility study
PO 3.2	K Grantz (US)	Can longitudinal fundal height predict small-for-gestational age with improved accuracy over cross-sectional measures?
PO 3.3	A Kajdy (PL)	Does detection of sga change neonatal outcome – retrospective cohort study
PO 3.4	H Watson (UK)	Establishing a midwife-led fetal growth assessment (MFGA) clinic for low risk women to detect fetal growth restriction
PO 3.5	P Wuppalapati (UK)	Audit for missed small for gestational age babies
PO 3.6	B Dromey (UK)	Customised growth charts – effects on outcomes in a large teaching hospital
PO 3.7	B Dromey (UK)	Customised growth charts in clinical practice - intrapartum & postnatal outcomes for monitored and unmonitored groups
PO 3.8	A Hunter (UK)	Improving birth outcomes: a prospective audit of the detection and management of small for gestational age (sga) fetuses
PO 3.9	B Arabin (DE)	Maternal impact on fetal birthweight and length from 2000-2015 within a German federal province (Hessen, 6 million inhabitants)
PO 3.10	E Meler (ES)	Customised birthweight standards for a Spanish population
PO 3.11	J Araújo Pereira (PT)	Is there any relationship between non- O blood type and pregnancy with fetal growth restriction?
PO 3.12	M Gomes (PT)	High blood viscosity: a risk factor for fetal growth restriction?
PO 3.13	M Gomes (PT)	Predictors of vaginal delivery among growth-restricted fetuses
Fri 12:40	Session 9	Poster-Oral 2
PO 9.1	S C Lean (UK)	A mouse model of advanced maternal age – understanding mothers’ vulnerability to fetal growth restriction and late stillbirth
PO 9.2	A Kajdy (PL)	Fetal congenital heart disease and intrauterine growth restriction
PO 9.3	C Ní Laighin (IE)	Fetal growth restriction – does asymmetry matter?
PO 9.4	M Muniesa (ES)	Hypertensive disorders and fetal growth restriction in high risk of preterm birth pregnancies
PO 9.5	K A Eastwood (UK)	The impact of small for gestational age birth for mothers and infants: analysis of outcomes from the predict study
PO 9.6	C Mulcahy (IE)	The impact of aspirin on 3D placental volumes and vascular flow indices in the first and second trimesters of pregnancy and correlation with uterine artery doppler: results of the test multicentre RCT
PO 9.7	J Morales-Roselló (ES)	Accuracy of the fetal cerebroplacental ratio for the detection of intrapartum compromise in non small fetuses
PO 9.8	E D Johnstone (UK)	Serial ultrasound assessment from 28 weeks is unnecessary in babies at moderate risk of fetal growth restriction (FGR)
Fri 13:45	Session 10	Poster-Oral 3
PO 10.1	M Lubusky (CZ)	Combined screening for small for gestational age at 11–13 weeks
PO 10.2	S Martinelli (BR)	Evaluation of depression, stress, social support and self-esteem in pregnant woman with suspected fetal growth restriction
PO 10.3	A Dempsey (UK)	Intra and inter-examiner variability in fractional thigh volumes (tvol) in pregnancies complicated by maternal pre-existing diabetes and obesity
PO 10.4	Z Thurlwell (UK)	Single fractional thigh volume image acquisition and analysis has improved reproducibility compared to the average of multiple images.
PO 10.5	S Khatib (CA)	The role of sonographers in supporting families pregnant after loss : a quality improvement project
PO 10.6	K Van de Kamp (NL)	Validation of reference charts for mid-trimester fetal biometry
PO 10.7	M Cahuana (ES)	Maternal residential proximity to major roads and placental function
PO 10.8	G Straface (IT)	Aortic intima media thickness in fetuses of underweight and obese women
PO 10.9	K Weiner-Gorzel (IE)	An audit of macrosomia and maternal care for excessive fetal growth in cork university maternity hospital
PO 10.10	L Bell (UK)	Waist circumference, gestational diabetes and fetal birthweight in pregnant women with class iii and iv obesity
PO 10.11	K Kosinska-Kaczynska (PL)	Neonatal outcome in twin gestations complicated with selective or non-selective intrauterine growth restriction
PO 10.12	T Marton (UK)	The role of fetal growth restriction in term intrapartum, and neonatal death.

		Posters
P 1.1	L Almeida (ES)	Birth weight and cardiac remodelling according to maternal residential proximity to a major road
P 1.2	P Ramamoorthy (IN)	Pattern of vitamin-D levels among pregnant women attending tertiary care hospital, Madurai
P 1.3	R Myagerimath (UK)	Comparison of grow and who birth weight centile and its impact on our neonatal services
P 1.4	C Molinet (ES)	Decreased birth weight in relation to maternal exposure to trihalomethanes (thm) in drinking water during pregnancy.
P 1.5	N Mazanowska (PL)	Fetal growth restriction with polyhydramnios: still an ominous sign
P 1.6	M Ghosh (UK)	Fetal growth restriction – is it a preventable risk factor for perinatal mortality
P 1.7	A Brodrick (UK)	Innovative service improvement package to improve the care of women presenting with reduced fetal movements
P 1.8	T Meneses (PT)	Emergency Cesarean birth in term pregnancy – possible association with undiagnosed late fetal growth restriction
P 1.9	T Meneses (PT)	Gestational age and abnormal doppler evaluation at diagnosis of fetal growth restriction
P 1.10	T Meneses (PT)	Last doppler evaluation prior to birth and mode of delivery
P 1.11	C Palma Reis (PT)	Indication and mode of delivery in early fetal growth restriction (EFGR)
P 1.12	C Palma Reis (PT)	Indication and mode of delivery in late fetal growth restriction (IFGR)
P 1.13	M Patel (UK)	The detection rate of small for gestational age (SGA) babies and intrapartum outcomes- is there room for improvement?
P 1.14	N Singh (UK)	Infant and maternal outcomes of pregnancies complicated by H1N1 infection needing ECMO therapy: a UK ECMO centre experience
P 1.15	S Jindal (UK)	Increased impedance indices are seen in the umbilical arteries of twin fetuses in comparison to a singleton fetus: a fact or a myth!.
P 1.16	M Smyka (PL)	Relationship between gestational weight gain and pregnancy complications in pregnant women with excessive weight.