Current Developments in Obstetrics

17/11/2013

The conference, under the auspices of the Israeli Society of Maternal-Fetal Medicine and organized by Ziv physicians, Dr. David Peleg and Dr. Maya Wolf, took place at the Faculty of Medicine, affiliated with the Bar-Ilan University in Zefat.

Lecturers and specialists from universities and hospitals in Israel and around the world participated in the conference, including: Prof. Catherine Y. Spong , Associate Director for Extramural Research at the Eunice Kennedy Shriver National Institute of Child Health and Human Development NICHD, NIH, Bethesda, MD, USA and Prof . Steven L. Warsof:Division of Maternal-Fetal Medicine, Department of OB/GYN, at the Eastern Virginia Medical School, Norfolk, VA, USA. 

Premature births are those occurring before the 37th week of gestation. The prematurity rate varies in different regions of the world and is around 10%. Premature newborns carry an increased risk of mortality during their first year of life and especially during their first month of life. Premature newborns may suffer from a variety of medical problems, depending on the week of pregnancy in which they were born, their pulmonary development at birth and complications resulting from lack of maturity of various organs and infectious related complications. Prematurity complications include brain injury such as intraventricular hemorrhage that may result in neurological injury depending on the extent and severity of the bleeding. Additionally, there may be respiratory, gastrointestinal and ocular complications. 

Risk factors for Preterm labor include: multiple fetuses, increased amniotic fluid, placental separation, amniotic fluid infection, medical complications, such as maternal systemic disease, maternal infection, smoking and past pregnancies including previous abortions or early births, or various cervical surgeries. Apart from this, there is a group of medical conditions that may put the mother or fetus at risk and warrant inducing an early labor. These conditions include gestational hypertension and thrombosis, an underdeveloped fetus or water breaking early. 

The goal of the conference was to examine preterm births in situations of various pregnancy complications and the results of these pregnancies according to the gestational week at birth and medical aspects and decisions such as when to induce labor in cases of cesareans as well as normal deliveries. In addition, issues were also examined regarding preparation for elective cesareans in cases of placenta accreta, which puts the mother at risk for significant blood loss and may result in a hysterectomy. Another topic raised for discussion was cesarean birth requests without appropriate medical indication, pros and cons were reviewed. 

Prominent lecturers from hospitals in Israel included:Prof. Yariv Yogev and Prof. Isaac Blickstein, Kaplan Medical Center ; Prof. Eyal Sivan, Sheba Medical Center at Tel Hashomer; Prof. Ariel Mani, Tel Aviv Sourasky Medical Center (Ichilov) ; Prof. Jacob Bar , Wolfson Medical Center ; Prof. Ido Solt, Rambam Medical Center; Dr. Yuri Perlitz, Baruch Padeh Medical Center Poriya and Dr. Oz Gavish, Rabin Medical Center, Beilinson.