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Anomaly Certification - Sample Images


Key takeaways from the FMFI webinar on Rh isoimmunization

 – 25th September 2020.

FMFI Webinar on Rh Isoimmunization

  1. 1. Whichever lab is used for titration of Rh antibody titres, once ICT comes positive, check whether the titres are verified by Tube agglutination method rather than column method.
    Most labs have facilities for both but prefer to do the initial screening on the column method. An antibody screening panel test should be done straight away.
    Best would be that as soon as ICT comes positive to refer to a fetal medicine unit
  2. 2. The follow -up for ICT positive women is 2 weekly scans in a fetal medicine unit for MCA PSV.
    The follow-up for Rh negative, but ICT negative is ICT blood checks every 4 weeks from 20 weeks onwards, apart from the booking bloods ICT . This will avoid late referrals for blood transfusion when the fetus is already in heart failure.
  3. 3. Timing of subsequent transfusion after the initial in utero transfusion will be monitored by the cut-off of MCA PSV >1.5 MoM or rate of fall of hematocrit. Increasing the threshold to 1.69 MoMs (as suggested by a few papers) will miss a significant number of anaemic fetuses.
  4. 4. A lot of cases of isoimmunization happen even in women who have received prophylactic Anti-D injections. This could be secondary to inadequate doses, incorrect timing of prophylactic doses or faulty storage.
  5. 5. All Rh negative women who are ICT negative at 28 weeks, should receive full dose prophylaxis between 28-30 weeks and then at delivery in Rh positive babies.
  6. 6. Ideally a Kleihauer -Betke should be checked post delivery and additional doses be given if feto-maternal haemorrhage is deemed to be beyond the neutralization effects of the standard dose.
  7. 7. In peripheral areas, please check that your supplier has maintained the cold chain for Anti-D procurement and storage.

FMFI North East Symposium

Workshops 1 & 2
Venue: Gauhati Medical College & Hospital
First Trimester 11-14 weeks Workshop
8.30 am Registration followed by Tea
8:45 am Welcome Dr Alakananda Das
9:00 am – 9:45 am Technique for NT + CRL, how to get it in 15 mins.
Live Demo
Audience Interaction
Dr Rachna Gupta
Dr Rachna Gupta/ Prof Ashish K Bhattacharjee
9:45 am – 10:30 am Biochemical markers in First Trimester (Case based discussion)
Audience Interaction
Dr Anitha Shettikeri
10:30 am – 11:00 am Concepts of Risk Calculation
Audience Interaction
Dr Anita Kaul
11:00 am – 11:20 am Tea Break
11:20 am – 12:15 pm First Trimester Anomaly Screening – Always detectable 9
Videos + LIVE DEMO including for Uterine arteries
Dr Prathima Radhakrishnan
Dr Prathima / Dr Shyam Baruah
12:15 pm – 12:45 pm PET Screening – How to make sense of markers Prof Manisha Kumar
12:45 pm – 1:15 pm Multiple Pregnancy – Identifying Risks in First Trimester Dr Akshatha Sharma
1:15 pm – 2:00 pm LUNCH
Intrapartum Monitoring Workshop
2:15 pm – 2:45 pm How to use CTG Dr Jyoti Bhaskar
2:45 pm – 3:15 am How to triage low risk / high risk cases in early labour
-Using Whiteboards
-Concept of Helicopter view
Dr Surabhi Nanda
3:15 pm – 3:45 pm Partogram – how to effectively use it in a busy govt labour room Prof Manju Puri
3:45 pm – 4:15 am Case based discussion – labour room crisis, intrapartum monitoring in multiple pregnancy Dr Surabhi Nanda
4:15 am – 4:30 pm TEA BREAK
4:30 pm – 5:00 pm Role of midwives in reducing intrapartum stillbirths Dr Evita Fernandez
5:00 pm – 5:30 pm Intrapartum Sonogram Dr Surabhi Nanda
5:30 pm – 6:00 pm Shoulder dystocia drill Dr Jyoti Bhaskar, Prof Manju Puri, Prof Manisha Kumar

International Faculty

Dr Surabhi Nanda
Liverpool, UK

National Faculty
Dr Akshatha Sharma
New Delhi
Proof Deepike Deke
Prof Mandakini Pradhan
Dr Prashanta Deke
Arunachal Pradesh
Prof Alakananda Das
Dr Evita Fernandez
Prof Manju Puri
New Delhi
Dr Prathima Radhakrishnan
Dr Anita Kaul
New Delhi
Dr Indra Kumar Singh
Dr Manjima Baishya Ganguly
Dr Rachna Gupta
Dr Anitha Shettikeri
Prof Gokul Chandra Das
Prof Manisha Kumar
New Delhi
Prof R K Talukdar
Dr Apurba Bhattacharya
Dr Jina Bhattacharya
Dr Meenu Agarwal
Dr Satyajit Chowhan
Dr Arun Madhab Barua
Dr Jyoti Bhaskar
New Delhi
Dr Nabanita Deke
Dr Saket Thakar
Prof A K Bhattacharjee
Dr Mainka Aggarwal
Dr Parul Dutta
Dr Shyam Baruah
Dr Sujata Bhat
New Delhi
Date Programme TYPE Till 7th March 2019 8th March Onwards
16th March Workshops 1 & 2
-11-14 Weeks, The First Trimester Scan
-Intrapartum Monitoring
Rs 1500/- Rs 1875/-
16th March Workshop 3
Anomaly – Theory Only
Rs 2500/- Rs 3125/-
17th March CME Rs 1800/- Rs 2250/-
Combo offer Workshops 1 & 2 + CME Rs 3000/- Rs 3750/-
Combo offer Workshop 3 + CME Rs 4000/- Rs 5000/-

Payment Details
Cheque, DD, Bank transfer to “Fetal Medicine Foundation India
Bank A/c no: 03192560004661 IFSC Code: HDFC0000319 HDFC Bank, South Extension
Branch, New Delhi. Mail cheques/DD to secretariat address mentioned below ;

Conference Secretariat
Dr Anita Kaul
Apollo Centre for Fetal Medicine
Gate No 7, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi – 110067
Phone: 9811100511, 9560127575, , Email:
Dr Rachna Gupta M: 9899294499 Dr Akshatha Sharma M: 9891494545

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Organising Team
Organising Chairperson
Dr Anita Kaul
Organising Co-Chairperson
Dr Prathima Radhakrishnan
Organising Secretaries
Dr Rachna Gupta
M: 9899294499
Dr Akshatha Sharma
M: 9891494545
LOC Chairpersons
Prof Alakananda Das
Prof Ratna Talukdar
LOC Secretary
Dr Nabanita Deka
Apollo Centre for Fetal
Medicine Help Team

Bhawna, Himanshi
Cox n Kings Team
Carolina Fernandes
Deep Kumar Yadav

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


  • 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


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


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