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Anomaly Certification - Sample Images

Blog

Blog

Webinar on 2nd trimester minor markers for aneuploidies – confusion to clarity

Date: 3 april 2016
Time: 10.30 am

This session will be useful for practitioners who deal with counseling patients regarding the findings of the second trimester fetal ultrasound scan.

Minor markers for fetal aneuploidies form a major cause of anxiety in patients and consultants alike. These markers may be variations of normal anatomy if not associated with aneuploidies. However, the call of whether or not to investigate further for fetal aneuploidies and how to follow up these cases through pregnancy is ridden with tremendous confusion. The aim of this session will be to clarify these issues.

Dr.Chinmayee Ratha, an FMF-UK accredited faculty will conduct the one-hour lecture. Dr Ratha works as a Lead Consultant – Fetal Medicine with Navodaya Hospitals, Hyderabad. There will be short MCQ during the lecture on what you have learnt. You will also have the opportunity to interact with the speaker and clear your doubts at the end of the lecture.

Second-trimester-anomaly-scan-level-11-scan

FMFI conducted a Nuchal Scan outreach programme at Sonepat on the 7th Feb 2016

This was part of the mission statement of FMFI to enhance scanning skills in the periphery.

The interaction was particularly good between the attendees and the FMFI faculty as the Chief Guest Dr J S Punia could give feedback on the problems faced at the government hospital level in implementing the NT programme.

It is clear that although the gold standard of screening is the combined test using FMF software and accredited labs, this may be a bit difficult to implement at a government hospital level. Dr Punia was pleasantly surprised to learn that a number of fetal abnormalities can be picked up at the First trimester scan and requested the FMFI team to give hima document of the “always detectable 9” structural abnormalities that should not be missed on the scan.This along with a correctly taken CRL and NT should constitute the absolute minimum requirements of scanning at the peripheral level.

FMFI will be preparing this document and will be interested in overseeing its implementation at a district hospital level

Minimum requirements of the First trimester scan at the Peripheral level

  1. Correctly taken CRL
    crl
  2. Fetal heart rate
  3. Nuchal translucencynuchal
  4. Check of the anatomy

Always detectable anomalies in first trimester:

  1. Body stalk anomaly
  2. Acrania
  3. Iniencephaly
  4. Encephalocele
  5. Exomphalos
  6. Gastroschisis
  7. Alobar holoprosencephaly
  8. Megacystis
  9. Limb reduction defects

Webinar on Setting up of 12 weeks Fetal Wellness clinic

Date: 17 October 2015
Time: 1.30 pm – 2.30pm

This certification is for centres who are regularly providing patients with

  • Aneuploidy Risks using the FMF software
  • Risk stratification for pre-eclampsia by taking maternal blood pressure correctly according to the International Society for the Study of Hypertension in Pregnancy
  • Screening for Thalassemia in every patient
  • Screening for maternal diabetes using 75g Oral Glucose Tolerance Test [according to the International Association of Diabetes & Pregnancy Study groups ( IADPSG )

0

The Fetal Anomaly/ Level 2 Scan Masterclass Srinagar, Kashmir

Dear Friends

The Anomaly/ Level 2 scan is one of the most important scans during pregnancy and there have been many requests to revise the theory and practical aspects of this scan to the standard required by the Fetal Medicine Foundation UK and the International Society of Ultrasound in Obstetrics and Gynaecology (ISUOG)

We have the pleasure in inviting you for this focused ultrasound teaching programme comprising of live demo, didactic lectures, plenty of video teaching and case examples conducted by members of the experienced faculty of INSUOG and set amongst the spectacular beauty of Kashmir. This is over the long weekend of Friday 13th, 14 th and 15th November 2015.

The course will be the first step towards obtaining the FMF –UK 18-23 weeks Anomaly certification as attendance of a recognized Theory Course is a prerequisite

We hope the resulting programme will leave you not just better informed but also refreshed in both mind and spirit.
Please do block your long weekend post Diwali.

Anita Kaul

Faculty

  • Dr-Anita-KaulDr Anita Kaul
  • dr-Ashok-KhuranaDr Ashok Khurana
  • Dr-B-S-RamamurthyDr B.S Ramamurthy
  • Dr-Chander-LullaDr Chander Lulla
  • Dr-Geeta-KolarDr Geeta Kolar
  • Dr-S-SureshProf S Suresh

Programme

Day 1

Friday 13th November Arrival Srinagar
Meeting and assistance on arrival and transfer to either hotel or houseboat.

5.00 – 8.00
Introduction to the FMF 18-23 weeks Anomaly Certification Process
Normal and Abnormal CNS system
Normal and Abnormal Face
Normal and Abnormal Spine

Welcome dinner

Day 02
9.00 – 11.00
The cardiac examination and common abnormalities

Tea

11.30 – 1.00
Normal and Abnormal Pulmonary abnormalities
Normal and Abnormal GIT
Normal and Abnormal Anterior Abdominal Wall

1.00 – 2.30
Live demonstration

Lunch by Dal Lake
Outing around Srinagar
Dinner on own

Day 03
8.30 – 11.00
Abnormalities of the Fetal Urinary system
Abnormalities of the Skeleton
Abnormalities of Placenta and Amniotic Fluid
Features of chromosomal defects

11.00-11.30 hrs: High Tea

11.30-13.00 hrs
Session 4
Maternal serum markers for detection of chromosomal abnormalities.
Biochemical screening for adverse pregnancy outcomes in the 2nd trimester.

Transfer to the airport for flight to onward destination.

Conference Fee

Category Early Bird Registration Regular Registration
20 Sep 2015 Post 20 Sep 2015
Registration for doctors INR 3500 INR 4500
Students INR 2500 INR 3500

Register for early bird

Rubella infections

As part of the FMFi- Look for life education outreach, we are starting a monthly newsletter covering subjects which will help towards addressing the problems of perinatal mortality and still birth. The first of these is fetal infections of which the most preventable cause of severe neonatal morbidity is congental rubella infections.

Universal rubella immunization is part of the Govt of India’s childred immunisation programme but nevertheless any woman who is planning pregnancy or is seen at any time during pregnancy has to have her IGG Rubella status checked. ( please note that it is important to not just do an IGM whenever infection screening is done and both IGG and IGM values need to be checked so that correct advice can be given.

Rubella, also called German measles, is a disease of childhood . In the absence of pregnancy, it is usually clinically manifested as a mild self-limited infection.During pregnancy, however, the virus can have potentially devastating effects on the developing fetus. It has been directly responsible for inestimable wastage and for severe congenital malformations.

Recommendations

  • The risk of congenital defects has been reported to be 90% when maternal infection occurs before 11 weeks of gestation, 33% at 11–12weeks, 11% at 13–14 weeks, 24% at 15–16 weeks, and 0% after 16 weeks.7.Since the effects of congenital rubella syndrome vary with the gestational age at the time of infection, accurate gestational dating should be established, as it is critical to counselling. (II-3A)
  • The diagnosis of primary maternal infection should be made by serological testing. (II-2A) The presence of a rubella
    • A fourfold rise in rubella IgG antibody titre between acute and convalescent serum specimens
    • A positive serologic test for rubella-specific IgM
    • A positive rubella culture (isolation of rubella virus in aclinical specimen from the patient)
  • Serologic studies are best performed within 7 to 10 days after the onset of the rash and should be repeated two to three weeks later.
  • Screening to determine the antibody status of all pregnant women to determine susceptibility. Providing programs to ensure postpartum immunization of non-immune women before they are discharged from the hospital.
  • Women who have been inadvertently vaccinated in early pregnancy or who become pregnant immediately following vaccination can be reassured that there have been no cases of congenital rubella syndrome documented in these situations. (III-B)
  • Women wishing to conceive should be counselled and encouraged to have their antibody status determined and undergo rubella vaccination if needed. (I-A)
  • Congenital defects and late manifestations of rubella infection:
    Present at birth Late manifestations : Audiologic anomalies (60–75%) ,Sensorineural deafnessCardiac defects (10–20%) – Pulmonary stenosis , Patent ductus arteriosus, Ventricular septal defectOphthalmic defects (10–25%) –Retinopathy , Cataracts , Microphthalmia , Pigmentary and congenital glaucoma

    Central nervous system (10–25%) – Mental retardation , Microcephaly ,Meningoencephalitis

    Others – Thrombocytopenia , Hepatosplenomegaly ,Radiolucent bone disease ,Characteristic purpura (Blueberry muffin appearance) , Diabetes mellitus , Thyroiditis ,Growth hormone deficit , Behavioural disorder

    (SOGC Guidelines 2008)

Webinar on FMFIndia’s Obstetrician Certification

Date: 28 March 2015
Time: 2.00-3.00 P.M India time.

The one hour lecture webinar on first trimester screening and NT , which will be conducted by an FMF-UK accredited faculty. You will have a chance to interact with the speaker and clear your doubts.

FMFIndia’s Mission
FMFIndia is a non-profit organisation dedicated to the education and promotion of Skilled Medical Professionals in the field of Fetal Medicine. It aims to address problems and improve the health of pregnancies of Indian women across all social strata. It will do this by increasing the number and availability of skilled professionals (physicians,ultra-sonographers, and other health-care workers) to all Indian women.

Obstetrician Certification’s Objectives

  • It is important that all the obstetricians are familiar with standard protocols of prenatal care, and offer them to all pregnant women.
  • The obstetricians should by the end of the programme be able to counsel the patient regarding risk for the common aneuploidies , risk for preeclampsia and prematurity, and guide further management. Only if they need diagnostic testing, or invasive procedure for one reason/other, should they feel the need refer the patient to higher centre.
  • We also need to ensure that all sonographers follow FMF protocols and that can be ensured only if Obstetricians review All images of NT scan and motivate their sonographers to get FMF accredited
  • FMF India has been organizing training and hands on workshops all over India to help sonographers become proficient in NT scans and a list of these centres will be found on the website www.fmfindia.in

FMFIndia academic activities

FMFIndia is dedicated to teaching obstetricians and sonologists about the current standard of antenatal screening protocols and .

  1. 2 week ultrasound programme

The following doctors from all across India have undergone the 2 week ultrasound programme at ACFM under the aegis of FMFI.

2013

  • Dr Divya Aggarwal Lucknow, UP
  • Dr Vandan Jain Rohtak, Haryana
  • Dr Savita Dagar New Delhi
  • Dr Broti Basu Calcutta, West Bengal
  • Dr Kanchi Khurana Chandigarh, Haryana
  • Dr Shivali Mittal Palwal, Haryana
  • Dr Sophia Keshi Imphal, Manipur

2014

  • Dr Jaya Chawla New Delhi
  • Dr Madhushree Ray Naskar Calcutta, West Bengal
  • Dr Usha Gupta Bhatinda, Punjab
  • Dr Pradeep Ingale Ahmadnagar, Maharashtra
  • Dr Neelu Yadav Patna, Bihar

2015

  • Dr Uzma Firdaus Srinagar, Kashmir
  • Dr Disha Bansal New Delhi
  1. 6 month Ultrasound Training Programme
  • Dr Anjali Solanki at Rainbow Hospital, Hyderabad
  • Dr Setu Chhabra at ACFM, New Delhi
  1. CMEs and Workshops
  • 11th Nov, 2012 CME, World Prematurity Day
  • 20th July, 2013 Perceptor Workshop on Fetal Echocardiography, Prof Lindsay Allen
  • 9th Sept, 2013 Maternal Fetal Medicine Symposium Serum
  • 27th Oct, 2013 GE Obstetric Doppler workshop
  • 9th June, 2014 Obstetric Doppler Workshop
  • 7th June, 2014 Maternal Serum Screening Study Day
  • 22nd Jan, 2015 Fetal Cardiac Screening Workshop
  1. Awareness Activities
  • 2nd Dec, 2013 International Day of People with Disability
  • 7th Dec, 2013 World TTTS Day
  • 21st Mar, 2014 World Down Syndrome Day
  • 2nd Dec, 2014 International Day of People with Disability
  • 17th Nov, 2014 World Prematurity Day

1 day Fetal Cardiac Screening Workshop

Date: 22nd February, 2015.
Venue: Auditorium, Indraprastha Apollo Hospitals, New Delhi

Congenital Cardiac defects occur at a frequency of about 1:100.

Many enquiries come to us from sonologists who want to learn basic cardiac scanning.

This one day snap-shot programme is devised for those who do scan and want to familiarise themselves with identifying common cardiac structural defects. The program consists of teaching through simple diagrams, lots of videos of structural defects and will allow for lots of interaction and doubt-clearing. Tips and tricks to minimise the chance of missing a fetal cardiac defect will highlighted.

The programme will be lead by Dr Manisha Chakroborty, a Paediatric/Fetal Cardiologist and Dr Bhanu Bansal, a Paed Cardiologist, well supported by the Apollo Centre for Fetal Medicine team.

To register, please write to fetalmedicine@apollodelhi.com or call 011-29873018, 09560127575

fetal-cardiac-program-delhi

CME on maternal screening

The CME on Maternal Screening held at ACFM on 7th June was well attended by obstetricians and radiologists across Delhi as well as from nearby states.

IMG_2545

There was animated discussion amongst the speakers, panelists and the audience and we hope that most questions were answered to the audience’s satisfaction.

Many delegates were asking for training in performing diagnostic tests such as amniocentesis. The problem is that the PCPNDT Law requires a certain number to be done supervised which is impossible unless you are doing a Fellowship with us and even if we train on models, the law may not accept this to start a clinical service.

Any suggestions?

Contact Us

Questions or Comments?
Contact us and we'll get right back to you.

Fetal Medicine Foundation - India
13, Babar Lane, New Delhi - 110001

Tel: +(91) - 11 - 29873018
        +(91) - 11- 26925858, Extn. 3018

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