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Pre-Congress Workshops & Breakfast Sessions

Pre-Congress Workshops

HALF DAY WORKSHOPS

POSTPARTUM HAEMORRHAGE WORKSHOP

Time:	13:30 - 17:00
Venue:	CTICC (MEETING ROOM 1.61)
Co-convenors:	Sue Fawcus and Stefan Gebhard
Faculty:	Ben Gaunt, Neil Moran, Justus Hofmeyr and Gerhard Theron

Overview

The workshop will have a brief introduction outlining the problem of PPH in both high resource and low resource settings. It will then have a debate on the controversial issue of appropriate uterotonic usage at caesarean section with anaesthetists and obstetricians. There will be a session on usage of blood products which will both try to address what is feasible and available in low resource settings and what is the latest haematologist approach to replacing blood components. There will be a session discussing what essential surgical skills should be available for managing PPH at rural district hospitals and how to train appropriately to ensure safe Caesarean delivery at district level. There will be a session on how to approach management of women suspected to have a morbidly adherent placenta; and also one on new technologies for managing PPH. The final 30 mins will be an optional practical skills session in which participants will rotate through skills stations with models on uterine compression sutures, uterine artery ligation, balloon tamponade etc.

Learning Objectives

1. Understand magnitude and nature of PPH as a problem in poor and well-resourced settings
2. To learn about current approach to safe effective use of uterotonic agents at caesarean section
3. To review appropriate use of blood products for massive haemorrhage in different settings
4. To learn about existing and new surgical interventions for PPH and to practice some on models

Programme

13:30 - 13:45	Setting the scene: Global trends in mortality and morbidity from postpartum haemorrhage	Sabartnam Arulkumaran
13:45 - 14:15	Debate on which uterotonics to give at Caesarean Section View from an Obstetrician View from an Anaesthetist	Justus Hofmeyr Robert Dyer
14:15 - 14:45	How should blood products be given? View from an Obstetrician View from a Haematologist	Stefan Gebhard Charlotte Ingram
14:45 - 15:00	Essential surgical skills for managing PPH and ensuring safe caesarean delivery in rural district hospitals View from the SA Confidential Enquiry View from a Provincial Obstetrician View from a Rural Doctor	Sue Fawcus Neil Moran Ben Gaunt
15:00 - 15:15	Tea | Coffee Break
15:15 - 15:35	Managing morbidly adherent placenta	Phil Steer
15:35 - 16:15	New technologies and drugs for PPH	Gerhard Theron, Justus Hofmeyr
16:15 - 17:00	Practicing skills session demonstration of new uterine suction haemostatic devices and other skills	Vasudeva Panicker, Sabartnam Arulkumaran, Sue Fawcus, Stefan Gebhard