Evidence-Based Management of Twin Pregnancies

Monday, February 6, 2023

1:00 PM – 5:00 PM

Location: Room 2006, Moscone West, Level 2

CE: 3.5

CE Credits: 3.5
CME Credits: 3.5
Ultrasound Credits: 0

Course Director(s)

Amir Aviram, MD (he/him/his)

Staff physician
DAN Women & Babies Program, Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
Jon Barrett, MD,PhD

Chair
McMaster University
Hamilton, Ontario, Canada
Nir Melamed, MD (he/him/his)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
Toronto, ON, Canada

The rate of twin gestations increased in the last few decades, mainly due to the increased use of fertility treatments, and increase in maternal age. While the rate of twin gestation is around 3%, their contribution to maternal morbidity, as well as to neonatal morbidity and mortality, is quite more substantial. From increased rates of hypertensive disorders of pregnancy and gestational diabetes, to higher rates of preterm births and their associated complications, to unique complications such as TTTP, TAPS, selective fetal growth restriction and more. This course will review the most up-to-date evidence-based management practices in twin gestation, and will provide practical tools for the consulting MFM in twin gestations.

Learning Objectives:

To understand the contribution of twin gestations to maternal and neonatal morbidity and mortality
To discuss unique aspects of antenatal care in twin pregnancies
To recognize the most common twin pregnancies’ complications encountered in pregnancy
To learn how to perform risk assessment for potential complication in twin pregnancies
To learn how to differentiate between different monochorionic complications
To discuss evidence-based management practices in twin pregnancies

Presentations:

1:00 PM – 1:05 PM

Introduction and Overview of the Course
Presenter: Amir Aviram, MD (he/him/his) – DAN Women & Babies Program, Sunnybrook Health Sciences Centre
1:05 PM – 1:25 PM

Early Pregnancy and Genetic Screening
Presenter: Maeve Hopkins, MD – Department of Maternal-Fetal Medicine, Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic
1:25 PM – 1:45 PM

Fetal Growth Restriction in Twins
Presenter: Nir Melamed, MD (he/him/his) – Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
1:45 PM – 2:05 PM

MCDA Twins: Complication of The Shared Placenta
Presenter: Liesbeth Lewi, MD PhD (she/her/hers) – Department of Obstetrics and Gynaecology, University Hospitals Leuven
2:05 PM – 2:40 PM

Debate: Should we offer reduction from twins to singleton?
Presenter: Rupsa C. Boelig, MD – Sidney Kimmel Medical College at Thomas Jefferson University
Presenter: Mark I. Evans, MD (he/him/his) – Mount Sinai Hospital
2:40 PM – 3:00 PM

Hypertensive Disorders In Twins
Presenter: Amir Aviram, MD (he/him/his) – DAN Women & Babies Program, Sunnybrook Health Sciences Centre
3:00 PM – 3:30 PM

Break
3:30 PM – 3:50 PM

Preterm Birth – Screening and Prevention
Presenter: Amanda Roman, MD – Sidney Kimmel Medical College of Thomas Jefferson University
3:50 PM – 4:10 PM

Gestational Diabetes In Twins
Presenter: Rodney McLaren, Jr., MD – Thomas Jefferson University Hospital
4:10 PM – 4:30 PM

Timing and Mode of Delivery
Presenter: Jon F. Barrett, MD,PhD – McMaster University
4:30 PM – 5:00 PM

Discussion, Q&A and Closing Remarks
Presenter: Amir Aviram, MD (he/him/his) – DAN Women & Babies Program, Sunnybrook Health Sciences Centre