International Federation of Gynecology and Obstetrics · • The International Federation of...
Transcript of International Federation of Gynecology and Obstetrics · • The International Federation of...
FIGOMission
• The International Federation of Gynecology and Obstetrics (FIGO) is a unique organization, being the only international professional body that brings together 130 obstetrical and gynecological associations from all over the world.
• FIGO is dedicated to the improvement of women’s health and rights and to the reduction of disparities in health care available to women and newborns as well as to advancing the science and practice of obstetrics and gynecology. The organization pursues its mission through advocacy, programmatic activities, capacity strengthening of member associations and education and training.
InternationalFederationofGynecologyandObstetricsWorkingGrouponGoodClinicalPracticeinMaternal-FetalMedicine
Chair: G C Di Renzo
Expert members:E Fonseca, BrasilE Gratacos, SpainS Hassan, USAM Kurtser, RussiaF Malone, IrelandS Nambiar, MalaysiaM Sierra, MexicoK Nicolaides, UKH Yang, China
Expert members ex officio:C Fuchtner, FIGOM Hod, EAPMGH Visser, SM CommitteeE Castelazo , CBET CommitteeL Cabero, WG GDMV Berghella, SMFMY Ville, ISUOGM Hanson, DOHaD, WG NutritionPP Mastroiacovo, ClearinghouseJL Simpson, March of DimesD Bloomer, GLOWM
InternationalFederationofGynecologyandObstetricsWorkingGroupontheChallengesofLabour andDelivery
Chair: R Romero
Expert members:D Farine, CanadaMT Gervasi, ItalyJ M. Robson, IrelandT Duan, ChinaS Rosales, MexicoT Kimura, JapanL Yeo, Korea-USA
Expert members ex officio:C N Purandare, FIGOG C Di Renzo, FIGOM Stark, NESAGH Visser, SM CommitteeE Castelazo , CBET CommitteeC Lees, RCOGA Conde’ Agudelo, NIH NICHDD Bloomer, GLOWM
International Federation of Gynecology and ObstetricsMarch of DimesWorking Group on Preterm Birth Prevention
Chairs: J L SimpsonG C Di Renzo
Expert members:Ernesto CastelazoMary D’AltonEduardo FonsecaChris HowsonBo JacobssonJames MartinJane NormanT Y Leung
Expert members ex officio:CN Purandare, FIGOJ Howse, March of DimesG Visser, SM CommitteeD Bloomer, GLOWMJim Larson BCGDavid Ferrero, BCG
International Federation of Gynecology and ObstetricsGDM initiative
Chair: M Hod
Expert members:Mukesh AgarwalBlami DaoGian Carlo Di RenzoHema DivakarEran HadarAnil Kapur
Expert members ex officio:CN Purandare, FIGOGH Visser, SM CommitteeD Ayres do Campo, SM CommL Cabero, CBET CommitteeD Bloomer, GLOWMR Fabienke, Novo Nordisk
Good practice advice
• Folicacidsupplementation•Predictionandpreventionofpretermbirth•Noninvasiveprenataldiagnosisandtesting
Good practice advice
• Thyroiddiseasesinpregnancy•MgSO4useinobstetrics•Appropriateuseofultrasoundinpregnancy•Hyperglycemiaandpregnancy
GoodpracticeadvicefinalisedinJune2016
•AspirinUseinPregnancy• Irondeficiencyanaemia•ManagementofTwinPregnancy•MicronutrientsinPregnancy
GoodpracticeadvicetobediscussedonDecember2016
• Intrauterinegrowthrestriction•RecurrentMiscarriage•Predictionofpreeclampsia
International Federation of Gynecology and ObstetricsWorking Group on Good Practice on Maternal-Fetal Medicine
Hyperglycemia in pregnancy
• Allpregnantwomenshouldbetestedforhyperglycemia.Universaltestingbyallmemberassociations
• WHO(2013)andIADPSG(2010)criteriafordiagnosisofgestationaldiabetesmustbeused
• DiagnosisofHDPshouldbeonproperlycollectedvenousplasmasamples.Indevelopingcountriesaplasmacalibratedhandheldgluocometer isacceptable
• ManagementofHDPshouldbeinaccordancewithavailablenationalresourcesandinfrastructure
• Nutrition andphysical activity counselling is amust andcontinue after birthalso
• Insulin is added if lifestyle anddiet modification does not controlHyperglycemia.Metformin andor glyburide may beused in2nd and3rdtrimesters.Oraldrugs may befirst choice in2nd and3rd trimester
• Postpartum 8weeks visit counselling andlife style modifications for motherandchild is necessary
• Public health measures toincrease awareness andacceptance ofpreconception counselling should beapplied for all women planningpregnancy.
International Federation of Gynecology and ObstetricsWorking Group on Good Practice on Maternal-Fetal Medicine
FOCUSONGLOBALSTRATEGIES
AMELIORATEOURPROFESSIONOVERCOMINGTHELIMITSOFNATIONALSOCIETIESGUIDELINES:THEBESTPRACTICEADVICEGLOBALSTRATEGIESFOR:PRETERMBIRTHPREVENTIONNONCOMMUNICABLEDISEASESPREVENTINGEXPOSURETOTOXICCHEMICALS
FIGHTINGTHEINEQUITY
Gatheringdataonmaternalmortalityandmaternalhealthisnotoriouslydifficult.However,onethingisclearfromallthestatistics:althoughmaternalandperinatalmortalityandmorbidityisfallinggloballytheperspectivesforwomen-infantsinpoorresourcescountriesaremuchworstthanforthoseinindustrialisedcountries.
Accesstocare
HealthcareSystems/InsuranceCoverage
Education/Counseling
PreventivetoolsBest
Practice
Riskfactors/MarkersImplementation
Window of Opportunity
Pregnancyoffersawindowofopportunitytoprovidematernalcareservicestomotherandoffspring
Reducetraditionalmaternalandperinatalmorbidityandmortality
indicators
AddressintergenerationalpreventionofpretermbirthandNCDs,suchas
diabetes,hypertension,cardiovasculardisease,andstroke.
OnSept2015theUNGeneralAssemblyadoptedthe“Agenda2030:TransformingourWorld”,withaconsensusoftheWorldGovernmentCommunity- introduced17sustainabledevelopmentgoalsSDGs.ManyofthesuggestedSDG’shaveEnvironmentalandReproductivehealthembeddedintheirgoals
Itisasheerco-incidencethatSeptember2015witnessedthe20th anniversaryoftheBeijingWorldConferenceonWomenundertheslogan-“Planet50-50by2030:SetitupforGenderEquality”.
‘TheAgenda2030;Transformingourworld’ orPlanet50-50by2030’ i.e.SDGswillnotmaterialisewithoutthecontributionof50%ofitspopulationi.e.women- Thiscanbeachievedonlywithgenderequality,equaleducationandemploymentopportunities+providingsexualreproductivehealthandrights.
ReproductiveHealthandRightswillnotbecompleteunlessweimproveenvironmentalHealth
FIGOwasnotandwillnotbeapassiveobservertobringaboutthisrequiredchangeandwillacttomakethesedreamsrealforwomen.