Practical skills in advanced operative obstetrics
Department of Obstetrics and Gynecology
Haukeland University Hospital
3rd -5th May 2023
Acknowledged by the Norwegian Medical Association
Course faculty
Elham Baghestan (Bergen)
Sindre Grindheim (Bergen)
Kim Hinshaw (Sunderland, UK)
Johanne Kolvik Iversen (Oslo)
Jörg Kessler (Bergen)
Ferenc Macsali (Bergen)
Anke Reitter (Zollikerberg, Switzerland)
Program
Module 1 - 3rd May:
Complicated cephalic birth – biomechanics, forceps, shoulder dystocia
09:00-09:10
| Welcome, presentation of the department |
Jørg Kessler
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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
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| 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
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| 16.20-17.00 | Rotational forceps | Kim Hinshaw |
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Dinner for participants and faculty (separate payment)
Module 2
Breech birth – epidemiology, biomechanics, forceps, upright birth position
Obstetric anal sphincter injury
4th May
| 08:30-09:00 | Vaginal breech delivery in Norway epidemiology and results | Ferenc Macasli |
| 09:00-09:50 | Vaginal breech delivery and forceps on the after-coming head -labor mechanics and technique | Johanne Kolvik Iversen |
| 09:50-10:10 | Coffee break | |
| 10:10-11:10 | Hands-on-training: Breech and forceps on the after-coming head
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| 11:15-12:00 | Alternative birth positions in breech delivery | Anke Reitter |
| 12:00-13:00 | Lunch | |
| 13:00-14:00 | Hands-on training: Upright breech
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| 14:00-14:45 | Anal sphincter injury - diagnosis, treatment and counseling | Elham Baghestan/Sindre Grindheim? |
| 14:45-15:00 | Coffee break | |
| 15:00-15:30 | Anal 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:
Twin birth – epidemiology, breech extraction, combined podalic version
Obstetric hemorrhage – treatment strategies
5th May
| 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 | | |
| 10:30-10:50 | Coffee break | | |
| 10:50-12:00 | Postpartum hemorrhage – practical approach. Aortic tamponade, vessel ligation, postpartum hysterectomy | Sindre Grindheim/Ferenc Macsali | |
| 12:00-13:00 | Lunch | | |
| 13:00-14:45 | Parallel session, half of participants at each session, change after 45 min Hands-on training, Ligation of vessels, postpartum hysterectomy | Sindre Grindheim/Ferenc Macsali | |
| | Clinical cases | | Jørg Kessler/Anke Reitter |
| 14:45-15:00 | Summary and evaluation | | |
| 15:00 | End of the course | | |
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