2^nd World Congress on Midwifery and Women’s Health Aug 28-30, 2017 Philadelphia, Pennsylvania, USA

Biography:

Harrieth Gabone-Mwalupindi has completed her PhD in Nursing Education in September 2016 from Capella University. Currently, she is working at High Risk Women’s Health Department at University of Cincinnati Medical Center as a Clinical Program Developer (Clinical Nurse Educator) from more than four years and has been an Obsteric Nurse for 17 years. She has enjoyed working in Women’s Health clinical practices and engaging in research to provide current evidence base practices to nurses, nursing students, and medical residents at the UCMC.

Abstract:

Nurse preceptors are a vital part in facilitating knowledge application and acquiring of clinical nursing skills. Nurse preceptors come from various background of training for the role and may encounter challenges with orienting nursing students and novice nurses. Nurse preceptors’ orientation challenges may interfere nursing students’ and new nurses’ learning opportunities, which may lead to less than optimum learning environment. Understanding nurse preceptors’ self-reported role preparation may shed light to the preceptor-orientee learning process. The purpose of the study was to compare self-reported feedback of nurse preceptors who received formal training and that of nurse preceptors without formal training. A descriptive-comparative design following a non-randomized, convenient sampling strategy was employed on level I trauma and academic center nurses (n=350). The two theoretical frameworks were Benner’s theory from Novice to expert and Kolb’s (1984) theory Experiential learning were incorporated into this study. Instrumentation for the quantitative study included the Nursing Clinical Teacher Effectiveness Inventory tool. Results included a significant difference with p-value of less than 0.05 between nurse preceptors who received formal training from those without training on the interpersonal relationship of teaching construct category. The findings may be used to guide nurse educators and managers on developing and supporting training for nurse preceptor role, and may add to the body of nursing knowledge regarding the nurse preceptors’ self-reported.

Biography:

Thiwawan Thepha is currently perusing her PhD from the University of Aberdeen. She is a Lecturer at Khon Kaen University in Thailand, where she has been trained as a Midwife and has more than 10 years of experience

Abstract:

Improving the rate of six months exclusive breastfeeding (EBF) is an international challenge. Despite various interventions and initiatives aiming to improve this rate in Thailand, the six months EBF rate dropped from 27% in 2009 to 14% in 2013 in Northeast Thailand. The aim of this study was to develop a feasible six months EBF intervention model for Northeast Thailand utilizing concept mapping. A convenience sample of 22 participants including healthcare professionals and volunteers and community leaders were involved in the six concept mapping steps. Stakeholders were informed of the outcome of previous research identifying the facilitators and barriers to six months EBF, which led to the generation of possible interventions. Participants were asked to rate the feasibility of the interventions and to group them, allowing multi-dimensional scaling and hierarchical cluster analysis to be conducted. The outputs of the analysis were point rating, cluster and cluster rating maps which were shared with the stakeholders to reach consensus on a three-year intervention model. The proposed intervention model includes 15 feasible interventions clustered into three clusters namely health care services, education packages and community services. The healthcare services cluster was selected as the priority to be implemented within the first year, but aspects of the education packages namely those for families and parents were also proposed to be implemented in the first year. Most interventions in the community services and broader community education aspects were selected for implementation in the second year and health promotion opportunities were proposed for the third year breast feeding.

Biography:

Linda McDaniel is a Certified Nurse Midwife practicing in the Atlanta area and Course Faculty at Frontier Nursing University. She earned her DNP and MSN degrees from Frontier Nursing University. She is a Volunteer for Shared Hope International. She is currently conducting research on this topic of human trafficking and the impact it has on her community. She is passionate about this topic and utilizes opportunities to inform communities about this growing problem.

Abstract:

Human and sex trafficking has been a problem most individuals believe is only associated with events occurring outside of the United States. Unfortunately, this is a common misconception and this problem is prevalent and uprising in the United States. The exact number of cases in the United States is unknown but there are reported cases in every state. The youth of America are at an exponential risk of being exploited and becoming victims of human sex trafficking. Although youth and vulnerable populations are typical targets for sex trafficking, anyone is at risk of being a target. A victim of sex trafficking is defined by US federal law as an individual under the age of 18 who performs commercial sex through force, fraud or coercion, or is induced into commercial sex. Sex traffickers utilize different methods of manipulation to entrap and coerce their victims to perform sex acts they are unwilling to perform. This leads to some form of child or adult prostitution. Labor traffickers may embellish potential employment, education, or travel opportunities to recruit individuals to work in subservient roles resulting in hostile work conditions and inability to regain their freedom for various reasons. These acts translate into a form of modern day slavery. These victims are at risk for physical and psychological trauma that may be longstanding. With the increasing rise of these victims in our communities, most healthcare providers have not received the proper training to identify potential victims and resources to report and assist these individuals

Biography:

Manisha Bhandankar is Professor of Pediatrics with special interest in Neonatology at KLES University, Belgavi, and Karnataka, India. She is actively involved in training health care workers from resource limited settings to provide essential newborn care in India. Her research work in “Transitional adaptation in newborn delivered in tertiary care hospital and in primary health center in India” has contributed to understand the issues involved in care of newborns in various level of health set ups in India. Her recent work involved study of “Determinants of antenatal and postnatal maternal and newborn care service utilization and contributing factors”. She is also involved in various Perinatal Health Education Programs in India

Abstract:

Statement of the Problem: Immediately after birth it is crucial for the newborns to maintain normal body temperature for successful transitional adaptation. Postnatal thermal adaptation of newborns requires essential newborn care to be provided by health care professionals and close family members of the baby. The number of institutional deliveries has increased in India in the last decade but has not much altered the neonatal mortality rate. Provision of essential newborn care through education and training is of paramount importance to this effect. This study shows how the postnatal thermal adaptation differs for newborns delivered in tertiary care hospital and primary health centers in India.

Methodology: We continuously recorded and plotted changes in both abdominal and sole skin temperature from birth to 12 hours of life in term newborns delivered vaginally.

Findings: Neonates are under significant cold stress when delivered in primary health centres due to limited resources and lack of awareness among health professionals.

Biography:

Yu-Feng Wang has completed his PhD from Fukui Medical University and Post-doctoral studies from Yale University School of Medicine and University of California-Riverside. He is the Director of Laboratory of Neuroendocrine Studies in Harbin Medical University. He has published more than 35 papers in reputed journals and has been serving as an Editorial Board Member of the Frontiers in Cellular Neuroscience.

Abstract:

Milk shortage and aberrant maternal behaviors in women with cesarean section (CS) have become an increasing concern for the health of mothers and the babies recently; however, the underlying mechanisms and optimal therapeutic approaches remain to be explored. In this study, we found that CS significantly reduced’ retrieving, anogenital licking and suckling behaviors of rat dams while increasing the rate of self-grooming. Moreover, early dam-pup contact evoked more self-grooming while delayed maternal contacts resulted in severe hypogalactia. Intranasal application of oxytocin (OXT), a hypothalamic neuropeptide largely restored normal pattern of maternal behaviors in the CS dams. In whole-cell patch-clamp recordings putative OXT neurons in the supra optic nucleus (SON) in brain slices from the CS dams had lower firing rate and more depolarized resting membrane potential. Western blot and immunohistochemical analyses revealed that CS increased the expression of phosphorylated extracellular signal regulated protein kinase (pERK) 1/2, particularly at non-OXT neuronal components and glial fibrillary acidic protein (GFAP) of astrocytes in the somatic section of the SON. In the CS dams, intranasal application of OXT increased c-Fos protein in the area rich in OXT neurons but reduced GFAP in the somatic section of the SON while decreasing pERK 1/2 expression. These results indicate that CS can lead to postpartum depression and anxiety in association with the time of postpartum mother-baby contact, which is largely due to the suppression of hypothalamic OXT-secreting system; intranasal OXT can partially reverse these aberrant behaviors, thereby highlighting a novel therapeutic target.

Biography:

Ping Wang has completed her MD in 1983 from Harbin Medical University and Post-doctoral studies from Yale University School of Medicine, University of California-Riverside and LSUHSC-Shreveport. She is now a distinguished Research Fellow in the Department of Medical Genetics in Harbin Medical University. She has published many papers in reputed journals.

Abstract:

Effort to breastfeed the babies for more than 6 months is the recommendation of WHO and the wish of most of the mothers. However, many factors can cause maternal separation from the babies, leading to the failure of breastfeeding and postpartum mental disorders. To alleviate this condition, many measures have been applied, such as using milk pumps for regular hour workers, reducing heavy duty of service on mothers and applying milk-producing drugs which has limited effects; however, that is far from the expectations of mothers and high standards of modern Medicare. Thus, fully understanding the mechanisms underlying postpartum depression and hypogalactia evoked by mother-baby separation is essential for identification of the potential targets of medical mediation and for designation of more efficient therapies. Here, we report that intermittent separation of mothers from their babies in lactating rats resulted in significant reduction of dams’ interests toward their offspring as shown in an elongation of the retrieval latency of pups and decreases in the frequency of anogenital licking. Moreover, the separation also reduced litters’ body weight gains over 1 h suckling. These findings indicate the occurrence of postpartum depression and hypogalactia. Next, we explored potential mechanisms responsible for these effects of maternal separation in association with the activity of the hypothalamic oxytocin-secreting system, a major machinery of mental health and lactation. In the supraoptic nucleus, maternal separation significantly reduced the excitability of oxytocin neurons that also failed to show burst firing in response to burst-evoking drugs in patch-clamp recordings. Maternal separation also disrupted signaling cascade downstream to oxytocin receptors as shown in increased oxytocin receptors but reduced molecular association between this receptor with its downstream signals including the alpha subunit of G_q/11-type G protein and phosphorylated extracellular signal regulated protein kinase 1/2 in Western blots. These changes are accompanied with increased expression of glial fibrillary acidic protein around oxytocin neurons, an indicator of expansion of astrocytic processes and increased inhibition of oxytocin neuronal activity. Consistently, serum oxytocin levels during suckling stimulation, particularly that accompanying with milk ejections, reduced significantly. These findings highlight that maternal separation can reduce the excitability of oxytocin neurons and decrease the ability of pulsatile secretion of oxytocin which lead to postpartum depression and lactation failure.

Biography:

Abstract:

The prevalence of high maternal and infant mortality rate in developing countries continues to be listed among the major global health challenges. The most vulnerable groups are adolescents, women in childbearing age, newborn babies and infants in the remote areas. It takes more creativity to find sustainable solutions to a difficult problem. This workshop will highlight the inequities in access to maternity care and present innovative strategies developed to improve maternal, newborn and infant health in low resource countries, and the role of telemedicine in overcoming this global health challenge. The workshop will discuss lessons learned through designing, implementation, financing, collaboration and partnership. The interactive part of this workshop will: Guide participants through the experience; provide a forum for participants to explore the educational model used and; exchange ideas and discuss new concepts. Participants working for the common cause will be spurred to examine the transferability of this model, in order to fit it into their own context.

Biography:

Joy Chidinma Oko Uka is a registered Nurse/Midwife (RN, RM, BNSc). She got her Master’s degree in Midwifery (MSc Midwifery) from University of Salford Manchester, United Kingdom, and is currently a PhD student from the same University. She is a young Researcher and Midwifery Lecturer in the Department of Nursing Ebonyi State University Abakaliki, Nigeria. She has published 7 papers in reputed journals.

Abstract:

Maternal mortality is a global health issue with developing countries, such as Nigeria having an unacceptably high occurrence and levels of maternal death especially in the poor and rural communities (UNDP, 2015). Globally, Nigeria and India have been reported as the two countries which are hardest hit by maternal mortality. This research is an investigation of the socio-cultural factors that influence maternal mortality in a South Eastern Nigerian community, and what members of this community perceive to be the best approaches to improve maternal health to help reduce maternal mortality. The databases which were searched for a review of previous empirical research on maternal mortality included Intermid, the UK’s largest online database for midwifery articles, MEDLINE, CINHAL, Science Direct, Web of Science and Google scholar. The databases were explored using the following keywords: Maternal death/mortality, pregnancy, childbirth, culture, belief, death of women, prevention. The study used a qualitative methodology, which included focus group discussions and in-depth one-to-one interviews as the methods of data collection. The sample consisted of 39 participants included were traditional birth attendants, midwives, women, doctors, the village head, religious leader, and the youth leader. Initial findings suggest that, cultural beliefs and religious activities about childbirth as an obligation which every woman must obey, female genital mutilation, spiritual powers (Ogbanje), and also the position of women in the society influence the outcomes of pregnancy and increase the potential for maternal mortality. Thus, an understanding of the impact of cultural dynamics and influences on maternal health is needed for effective public health intervention to improve maternal health in Nigeria. This is because culture plays a vital role in the health of the individual, the family and the community

Biography:

Mrs Elizabeth Silumba nee Kasaira is a Midwifery Educator in Zimbabwe. She holds a Master’s degree in Midwifery Education from the National University of Science and Technology Zimbabwe. She did her BSc Nursing degree majoring in Nursing Education, a Diploma in Midwifery and a Diploma in General Nursing plus a certificate in Maternal and Child Health for Trainers from Tenshi College Japan. She is passionate for midwifery research, education and practice. She teaches midwifery and supervises midwifery research. She is an Active Member of the Zimbabwe Confederation of Midwives Association, as a Vice Chairperson in her province.

Abstract:

Midwifery is a competency based profession in which midwifery students acquire most of their guided learning in the clinical area, hence the need to ensure optimal mentoring which would promote the acquisition of the ideal clinical skills. Failure to support and prepare midwifery students may affect their ability to deliver the required level of midwifery care. This study purposed at exploring the midwives’ perceptions regarding mentoring of midwifery students in the clinical area at Marondera midwifery training institution. A qualitative phenomenological design based on the principles of naturalistic inquiry underpinned this study. The study sample was composed of six recently qualified midwives and ten senior midwives who met the inclusion criteria. Purposive sampling was used to select the sample until saturation was reached. Data were generated using tape-recorded unstructured individual interviews. Colaizzi’s thematic analysis was used to synthesize the findings, and data were presented using the emergent themes. The results generally revealed that mentorship was perceived as an important supportive, teaching and learning strategy. Four themes emerged from the interview data, namely; gross inconsistencies in the mentoring of midwifery students, lack of standardized procedures, poor communication between the school of midwifery and the clinical area and lack of ideal infrastructure which hinder effective mentoring of midwifery students. The results gave rise to the adaptation of Bandura’s social learning theory which was used as an explanatory framework for understanding the study’s findings. Several recommendations were proffered; allocating individual mentors to midwifery students, training programs specifically for mentors, benchmarking to improve training of midwifery students and standardization of mentoring guidelines. Communication between the school of midwifery and the clinical area must improve and there is need for creation of an active national midwifery education board which oversees midwifery teaching and mentoring. The authorities should be committed to the provision of adequate resources to enhance mentorship of midwifery. Further research should focus on identification of where midwives differ and sources of their differences, and then establish solutions to the challenges

Biography:

Harrieth Mwalupindi PhD. MSN. RNC-OB has been an obstetric nurse for more than 17 years and currently has a doctorate in Nursing Education from Capella University. She is also a clinical program developer at University of Cincinnati Medical Center in an obstetric unit designing and creating effective nursing staff speciality clinical education. She is also an adjunct clinical instructor at University of Cincinnati- College of Nursing supervising nursing students during obstetric clinical rotations. Improving and securing safety to maternal-child population is very impotant to her by training and preparing competent medical and nursing staff to respond to emergent events.

Abstract:

Problem. In hospital settings, encountering obstetric (OB) medical emergencies become part of daily nursing practices. The patients’ acuity is increasing requiring competent interdisciplinary teams such as OB attending, maternal fetal medicine, OB anesthesia group, OB residents, midwives, charge nurse, triage nurse, baby nurse, OB care associate, hospital supervisor, neonatal intensive care unit personals, pharmacy, respiratory, trauma, and medical team during the emergent events. Prior emergency activation system involved primary nurse to make multiple phone calls to alert individuals on above list. The stress level of individuals involved rises and the ability to recall phone numbers may be impaired. Time used to notify each individual may impact the life-saving efforts which reflect on seconds to minutes on saving maternal-child life. Therefore, patients’ safety and timely response to obstetric emergent event was of paramount importance.

Methodology. Reviewing prior delay time responses to emergent event, listening to feedback from nurses, doctors, and other people during the debriefing, led to initiation of a one activation response system. Different medium on responses were assessed using text, pager, and direct calls team. Communication and discussion with other departments were done. Mock drills and simulated events were exercised on different shifts to gather feedback.

Analysis. Time response to emergent event was the objective. Different medium of activation system provided varying time-response results. Review of audio and transcriptions notes provided a real life stress level during the emergent event.

Findings and Implications for Nursing. Two-tier emergent system is identified. Scripted terminologies are for activation of emergent system. Drills and simulated events address caller’s stress level when activating the emergent system.  Timely responses and accurate number of required individual are improving. Findings are used for planning learning opportunities.

Biography:

Juliet Ndhlovu is a Midwifery/Nurse Educator in Zimbabwe. She holds a Master’s degree in Midwifery Education from the National University of Science and Technology (NUST) in Zimbabwe, BSc Nursing degree majoring in MCH and Nursing Education with the Zimbabwe Open University, Diploma in Midwifery and a Diploma in General Nursing, a certificate in Family Planning and Intrauterine device insertion, a certificate in Syndromic Management of Sexual Transmitted Infections. She teaches General Nursing students at Mpilo Central Hospital, the second largest Central Hospital in Zimbabwe. She teaches theory for General Nurse Students and supervises, mentors them in the clinical area and supervises the students in research writing. She is an active member of the Zimbabwe Confederation of Midwives Association and Zimbabwe Nurses Association. She has attended various conferences of the above mentioned associations. She is currently a committee member at a branch of the Zimbabwe Confederation of Midwives Association.

Abstract:

This study is a qualitative enquiry, which used a phenomenological approach, the study sought to assess the self-care knowledge and practices among women who had abortion in their previous pregnancies The central point of the problem statement is that the women lack counseling/education on discharge post abortion on how to care for themselves at home and using some positive practices on self-care. The objectives of the study were to explore women’s knowledge of self-care post abortions, explore women’s self-care practices post abortion and to establish barriers to self-care among women post abortion. The populations under study were women who had a history of abortion whether spontaneous or induced. Sampling was done through convenience/purposive sampling and the sample consisted of 12 women. Data was collected through semi- structured interviews after they had voluntarily consented. The interviews were conducted in private settings and confidentiality was maintained through use of alphabetically corded audio recordings. Data analysis was done using Colaizzi’s strategy for data analysis a method cited in Polit and Beck (2014). The emergent themes were identified through a decision trail, which involved listening to the audio recordings, verbatim transcripts and a vertical summary of the individual transcripts and then identifying themes that ran across all conversations. The themes that emerged from the women were lack of counseling and education on discharge, lack of knowledge on self -care, practices which hinder women to care for self and lack of emotional support. The recommendations made were The midwives need to strengthen the counseling and education skills to women upon discharge so that they are well informed on how to care for themselves at home, More research studies to be done in relation to women’s post abortion self-care knowledge and practices so as to prevent post abortion complications, reduce maternal morbidity and mortality and to ensure meeting the sustainable millennium goal number 5,there is need to for midwives to be cultural and religious sensitive during care of these women not to ridicule, discourage harmful practices and encourage harmful ones in a more sensitive manner, There is need for community involvement and sensitization on post abortion care, so as to build up support of women by significant others at home.

Biography:

Abolfazl Mahmoodi Shahid graduated from Medical School of Shahid Beheshti University Tehran, Iran in 1998. He worked in Zaaim Hospital, Pakdasht city, one of the overpopulated cities in Tehran suburb for two years at Emergency Department (2000-2003). He was an Emergency Doctor, the most famous in Iran. Since then, he has been working in his Skin Care and Beauty Clinic and Emergency Department in Iran Mehr Hospital. It is noteworthy that he is one of the countrywide members of health plan in Iran selected universities. He has published some papers and a book “Lifestyle and its approach”.

Abstract:

Background: Lack of adequate social support, stress, and generally poor quality of life during pregnancy leads to adverse pregnancy outcomes for both the mother and the baby.

Objectives: This study aimed to investigate the relationship of social support and quality of life with level of stress during pregnancy.

Materials and Methods: This was a descriptive-correlative study conducted on 210 pregnant women (meeting study criteria), attending Shahriar Social Services Hospital during 2012. Purposive convenient sampling was used. Study subjects completed questionnaires of obstetrics and demographics, VAUX social support, World Health Organization quality of life, and stress during pregnancy. Data were analyzed with SPSS-19 and Lisrel 8.8, utilizing statistical path analysis.

Results: The final path model fitted well (CF1 = 1, RMSEA = 0.00) and showed that direct quality of life paths with β = Ë— 0.2, and indirect social support with β = Ë— 0.088 had the most effects on reduction of stress during pregnancy.

Conclusion: Social support indirectly and quality of life directly affect stress during pregnancy. Thus, health officials should attempt to establish measures to further enhance social support and quality of life of pregnant women to reduce stress and its consequences during this time.

Biography:

Beate André is a Nurse Practitioner with 32 years of experience as a Registered Nurse, 30 years as Registered Mental Nurse and 29 years in teaching nursing. She holds a Master’s in Nursing Science and Philosophy (1997) and a PhD in Clinical Medicine and Palliative Care (2010). After her PhD, she has been teaching Nursing at Bachelor’s and Master’s level together with scientific work in several topics. Her research areas range from nursing homes and palliative care to nurses' communication in stressful situations.

Abstract:

Background: Health care personnel’s experiences of grief and painful emotional involvements in situations facing perinatal death has attracted woefully little research and attention. In order to provide high standards of care for patients and their families, health care personnel needs to express their emotions in these situations in an adequate way.

Aim: The main aim of this study is to explore how midwives, obstetricians and nurses experience perinatal death and what characterizes these experiences.

Method: This review study was designed through systematic examination methods to detect articles in English and Scandinavian language that describe midwifes, obstetricians and nurses experiences with perinatal death and factors that characterize these experiences. Only ten articles met these inclusion criteria. A qualitative method was used to describe and comprehend the phenomena.

Findings: The following categories emerged from the data: Emotional implications, change in culture, education and training, hierarchical issues, support and learning from others. Emotional implications when facing perinatal death were reported in all the ten articles.

Conclusion: This study revealed that withdrawal from the situation and denial were common reactions to perinatal death among health care personnel. These reactions may lead to a lower quality of care for the bereaved parents. Findings in this study indicate that the problem is related to culture and to accept this as a problem and challenge. Emotional reactions among health care personnel to perinatal death must be fully acknowledged and normalized.

Biography:

Amal Zubani is a Consultant Neonatologist at King Faisal Specialist Hospital and Research Center- Jeddah, which is a tertiary care Hospital located in Jeddah on the West Coast of the Kingdom of Saudi Arabia. She is an advisor and active member in different committees in the Ministry of Health in Saudi Arabia. She graduated from King Abdul Aziz University in Jeddah in 2000 then she joined University of Manitoba, Winnipeg, Canada as Resident and then became a Fellow. She has her Canadian Board in Pediatric and Perinatal-Neonatal Medicine in 2005 and 2007. Her major interest and research subjects are nutrition in preterm infant and their neurodevelopmental outcome. She has several publications and presentations nationally and internationally.

Abstract:

Neonatal encephalopathy (NE) is a heterogeneous syndrome characterized by signs of central nervous system dysfunction in newborn infants. It can result from a wide variety of conditions but often remains unexplained. Approximately 70% of NE cases are associated with events arising before the onset of labor. On the other hand hypoxic-ischemic encephalopathy (HIE) is one of the many possible contributors to NE. The term is appropriately used when NE due to hypoxic-ischemic brain injury. Guidelines from the American Academy of Pediatrics and the American College of Obstetrics and Gynecology for HIE indicate that all of the following must be present for the designation of perinatal asphyxia or HIE: 1) profound metabolic or mixed acidemia (pH <7) in an umbilical artery blood sample
, 2) persistence of an Apgar score of 0 to 3 for more than 5 minutes
, 3) neonatal neurologic abnormalities and 4) multiple organ involvement. The asphyxia insult is due to impaired cerebral blood flow, as a consequence of interrupted maternal and/or fetal placental blood flow and gas exchange. The most important effects appear to include apoptosis and inflammation, which occur in the sub-acute phase after injury (hours to days after a hypoxic-ischemic event). There should be a comprehensive evaluation including assessment of neonatal clinical status, all potentially contributing factors and radiological studies. Therapeutic hypothermia is the only treatment currently shown to reduce death and/or disability after a hypoxic-ischemic insult in newborn infants with moderate to severe encephalopathy in the first 6 hours after birth. This intervention needs to be implemented according to the established published protocols and guidelines. Newborns with mild encephalopathy usually develop normally, while infants with moderate to severe encephalopathy are more likely to develop long-term neurologic sequela and morbidity

Biography:

Kuldeep Singh has been practicing ultrasound for over 18 years in South Delhi, India. He is known for his ultrasound skills in Anomaly Scanning, Color Doppler Scanning and High risk pregnancy evaluation. He has more than 150 lectures in various national and international conferences. He has more than 100 articles and chapters to his credit and has authored 16 books on Ultrasound in Obstetrics, Gynecology and Infertility. His books have been translated into Spanish, Chinese and Portugese. The Imaging Science Award was honoured to him at the AICOG 2008. He is presently the President of the Delhi Chapter of IFUMB. He has been appointed as Associate Director of Ian-Donald Inter University School of Medical ultrasound

Abstract:

Ultrasound is an essential tool for any obstetric practice. When it started five decades ago little did we realize that this invention is a technological marvel. One could look into the presentation and the viability of the fetus. Acrania could be excluded in the third trimester and with ultrasound machines and probes getting better we could exclude that in the second trimester so called Level II scan. With high resolution probes and high frequency transvaginal probes one can now diagnose fetal abnormalities in the late first trimester. This avoids the mental trauma the mother and the family have to go through and lethal abnormalities can be terminated much earlier. Acrania, anencephaly, gross dysgraphia disorganization of the fetal spine, anterior thoracic and abdominal wall defects and gross limb abnormalities are few structural malformations that can be detected with ease as early as 11-12 weeks. Apart from structural abnormalities the index of suspicion for chromosomal abnormalities also is there with looking at the nuchal translucency, nasal bone and flow through the tricuspid valve and in the ductus venosus. Combined testing with a dual test increases the sensitivity manifold. What is most important is the knowhow of what to look and how to look in your 11-14 weeks scan.

Biography:

Hala Shalaby has completed her Medical College from Zagazig University in Egypt (1989), then got DCH from the same university in 1996 and finally passed MRCPCH and became Member of The Royal College of Pediatric and Childhood in London/England since 2015. She is a Senior Registrar of Pediatric and Neonates in Riyadh Care Hospital in Riyadh, Saudi Arabia and has been working there for 15 years. She has published in the last year’s conference proceedings of 5^th International Conference on Pediatric Nursing & Health in Cologne Germany and presented many lectures in Saudi Arabia.

Abstract:

Objectives: Discuss the etiology, diagnosis and management of ovarian cysts in neonates with spotlight on alarming symptoms and signs after birth.

Background: Ovarian cysts are the most frequent, prenatally diagnosed intra-abdominal cysts in particular with ultrasonography. The management of fetal ovarian cysts is still controversial.

Etiology: It can happen due to excessive maternal hormone stimulation from HCG. The secretion of FSH from the fetal pituitary, beginning at 20 weeks of gestation may increase the number and size of the follicles. It can also result due to pathological disorders in the mechanism of folliculogenesis. It happens when after birth E2 and HCG decrease rapidly while, FSH declines more slowly. The association of fetal ovarian cysts with maternal diabetes or fetal hypothyroidism has been described.

Incidence: It has been estimated at more than 30% based on investigation of still born or infants who died within 28 days after birth.

Diagnosis: Through serial abdominal ultrasound scans. Antenatal diagnosis is possible especially with the third trimester and it is usually unilateral.

Complications: The complications associated include ovarian torsion, compression of other viscera and possible intestinal obstruction. Rupture with hemorrhage of large sized cyst and signs of Polyhydraminos.

Management: It depends according to its size and the complications associated with it such as; torsion for example or viscera compression. Usually, the management is surgical as; simple cystectomy in case of unilateral cyst or oophorectomy and cystectomy if bilateral cysts exists.

Case presentation: A term female baby was delivered in our hospital RCH on November 2015 and developed abdominal distension with palpable mass followed by respiratory distress and irritability. She was diagnosed to have unilateral ovarian cyst & was operated successfully.

Biography:

Ali Bilal is a Neonatologist, Working at  Center Hospitalier Intercommunal, in Department of Neonatology 40 avenue de Verdun, 94000 Créteil, France

Abstract:

Neonatal meningitis contributes substantially to neurological disability worldwide. Neonates are at increased risk of sepsis and meningitis than other age groups .The most frequent cause of neonatal bacterial meningitis is Streptococcus agalactiae (59%) and the second most frequent is Escherichia coli (28%) and Listeria monocytogenes is considered the third most frequent pathogen in the United States (5-10%) and France (< 3%). Neisseria meningitidis is occasionally implicated in neonatal bacterial meningitis. The objectify of this study is to describe epidemiological, clinical and bacteriological characteristics of N. meningitidis in France

Methods

In total, 233 pediatric wards covering 61% of French pediatric wards participated in this network. Pediatric wards included 45% neonatal units in France. All patients ≤ 28 days of age with confirmed bacterial meningitis were included. Isolates were identified in the microbiology laboratory of each hospital.

Neonatal meningitis was defined as early-onset (when occurring between days 0 and 4) and late-onset meningitis (when occurring between days 5 and 28). We crosschecked the databases of the (NRCM) for microbiological data and GPIP/ACTIV for clinical data. The data collection was approved by the French National Data Protection Commission (Commission National Informatique et Libertés, CNIL, no. 913006).

Results

Between 2001 and 2013, data for 5,139 cases of bacterial meningitis were collected; 831 cases were neonatal bacterial meningitis (16.2%). Bacterial species implicated in the neonatal period were S. agalactiae (n=464;55.8%), E. coli (n=232; 27.9%), N. meningitidis (n=23; 2.8%), L. monocytogenes (n=20; 2.4%), S. pneumoniae (n=18, 2.2%), other streptococcus (n=16; 2%), and other bacterial species (n=58; 7%).Among 23 patients with N. meningitidis, 12 were male (52%). The median gestational age at birth was 39.2 weeks. The median age was 17.9 days. Among the 23 cases, only 1 was early-onset (day 4); the remainders were late-onset (96%). Seasonal variation occurred, with the highest proportion of cases reported in winter. At diagnosis, 6 patients (27.3%) presented at least 1 sign of disease severity: all showed signs of shock (27.3%), 3 needed mechanical ventilation (13.6%), 2 were in a coma (9.1%), and 2 presented extensive purpura (9.1%); no seizures were reported. In the 434/807 term-born patients (53.8%) with late-onset meningitis, the proportion of NMM was 5.1% (22/434).N. meningitidis was isolated in 91% in CSF 2 had negative CSF culture (9%), one was diagnosed with positive PCR in CSF and other one had positive antigens.

The serogroup distribution was serogroup B for 18 cases (78%), C for 3 cases (13%) and others for 2 cases (9%).

The minimum inhibitory concentration was tested for cefotaxime, amoxicillin and penicillin G for 17 strains. All tested isolates were susceptible to cefotaxime. (12%) showed intermediate susceptibility to amoxicillin and penicillin G.Two patients died (both were girls, who showed late-onset meningitis at days 10 and 23, respectively).

Conclusions

Among 831 cases of neonatal bacterial meningitis occurring from 2001 to 2013, Neisseria meningitidis was the third most frequent bacterial species found. All cases occurred only in term neonates and were mainly late-onset.Serogroup B accounted for 78.3% of cases. At diagnosis, 27.3% of cases had at least 1 sign of disease severity.All strains were susceptible to cefotaxime, but 12% showed intermediate susceptibility to penicillin G and to aminopenicillin.