Course in Practical skills in advanced operative obstetrics

Practical skills in advanced operative obstetrics

Department of Obstetrics and Gynecology

Haukeland University Hospital

13th – 15th May 2024

 

Acknowledged by the Norwegian Medical Association

 

Course faculty:

Elham Baghestan (Bergen, Norway)

Sindre Grindheim (Bergen, Norway)

Kim Hinshaw (Sunderland, UK)

Johanne Kolvik Iversen (Oslo, Norway)

Jörg Kessler (Bergen, Norway)

Ferenc Macsali (Bergen, Norway)

Anke Reitter (Zollikerberg, Switzerland)

Janne Rossen (Kristiansand, Norway)

 

Program

Module 1 – 13th May:

Complicated cephalic birth – biomechanics, forceps, shoulder dystocia

09:00-09:10 Welcome, presentation of the department, Jørg Kessler

09:10-10.00 The biomechanical fundament of normal delivery and irregular cephalic presentations, Johanne Kolvik Iversen

10:00-10:15 Pudendal block, Elham Baghestan

10:15-10:30 Coffee break

10:30-11:00 Shoulder dystocia, Ferenc Macsali

11:00-12:15 Hands-on-training: Structured clinical examination, pudendal block, shoulder dystocia, Group 1-6

12:15-13:15 Lunch

13:15-14:05 Forceps and vacuum – indications, mechanics and technique, Johanne Kolvik Iversen

14:05-14:45 The choice of instruments – vacuum vs forceps Kim Hinshaw

14:45-15:05 Coffee break

15:05-16:20 Hands-on training, forceps, Group 1-6

16.20-17.00 Rotational forceps, Kim Hinshaw

Dinner for participants and faculty (separate registration and payment)

 

Module 2- 14th May

Breech birth – epidemiology, biomechanics, forceps, upright birth position, Obstetric anal sphincter injury

08:30-09:00 Vaginal breech delivery in Norway epidemiology and results, Ferenc Macsali

09:00-09:50 Vaginal breech delivery and forceps on the aftercoming head – labor mechanics and technique, Johanne Kolvik Iversen

09:50-10:10 Coffee break

10:10-10:55 Alternative birth positions in breech delivery Anke Reitter

11:00-12:00 Hands-on-training: Breech and forceps on the after-coming head, Group 1-3

Hands-on training: Upright breech, Group 4-6

12:00-13:00 Lunch

13:00-14:00 Hands-on training: Upright breech, Group 1-3

Hands-on-training: Breech and forceps on the after-coming head, Group 4-6

14:00-14:45 Anal sphincter injury – diagnosis, treatment and counseling, Elham Baghestan

14:45-15:00 Coffee break

15:00-15:30 A nal sphincter injury – counseling, Elham Baghestan

15:30-17:00 Parallel session, half of participants at each session, change after 45 min

Hands on training: Anal sphincter repair Sindre Grindheim/Elham Baghestan

Clinical cases Jørg Kessler/Anke Reitter

 

Module 3, 15th May

Twin birth – epidemiology, breech extraction, combined podalic version. Obstetric hemorrhage – treatment strategies

08:30-09:15 Twin delivery – on the outlook for trouble Jørg Kessler

09:15-10:30 Hands-on training: 2nd twin – combined version, extraction , Group 1-6

10:30-10:50 Coffee break

10:50-12:00 Postpartum hemorrhage – practical approach. Aortic tamponade, vessel ligation, postpartum hysterectomy, Sindre Grindheim/Ferenc Macsali/Katrine Wøie

12:00-13:00 Lunch

13:00-14:45 Parallel session, half of participants at each session, change after 45 min

Training: Compression sutures on models

Autopsy room: Ligation of pelvic vessels (uterine, internal iliac artery) , Sindre Grindheim/Ferenc Macsali, Kathrine Woie

14:45-15:00 Summary and evaluation

15:00 End of the course