Page 1 - AICOG

Day 1

65th ALL INDIA CONGRESS OF OBSTETRIC & GYNAECOLOGY | AICOG KOLKATA | 4th–8th JANUARY 2023

Workshop and
CME Spotlight:
Setting a New
Benchmark

Lamp-Lighting During AICOG 2023 Inauguration Ceremony AICOG 2023 is bringing together the finest
obstetricians and gynecologists of India
Welcome to AICOG 2023: Kolkata Brings at Kolkata for a scientific extravaganza.
Together the World of Women’s Health Indeed, the pre-conference CME sessions
and workshops held on Jan 4 and 5 set the
Marking a grand opening to the new year 2023, a new chapter was gynecology, including Dr. Hrishikesh D. Pai, President, FOGSI, ball rolling for the main event. In addition,
added to the glory of Kolkata on January 5, 2023, by the annual Dr. Jaydeep Tank, President-Elect, FOGSI, Dr. S. Shantha Kumari, they also set great benchmarks for the
gathering of eminent obstetricians and gynaecologists, the 65th Immediate Past President, FOGSI, Dr. Madhuri Patel, Secretary event.
All India Congress of Obstetric & Gynecology, which the Bengal General, FOGSI, Dr. Bhaskar Pal, Chair, Organizing Committee,
Obstetric and Gynaecological Society are organizing. This most- Dr. Basab Mukherjee, Organizing Secretary, Dr. Dibyendu The specialized training imparted in
awaited women’s health event of the year is being held at the Biswa Banerjee, Organizing Secretary, Dr Abinash Chandra Ray, President the magnificent workshops of this
Bangla Mela Prangan, Kolkata. BOGS, and other luminaries. The eminent guests illuminated the year encompassed various frontiers of
lamp, symbolizing the formal inauguration of AICOG 2023. obstetrics and gynecology, including
To everyone’s delight, Dr. Jeanne Conry, the president of the basic and advanced endoscopy, assisted
International Federation of Gynecology and Obstetrics (FIGO) Indeed, the inauguration ceremony was full of excitement and reproductive techniques, fetal diagnostics
was the chief guest. Ms. Mary Kom, renowned boxer and Padma moments of joy. The inauguration ceremony was followed by a and therapeutics, stimulating labor ward
Vibhushan awardee, and Ms. Vidya Balan, famous actor and Padma cultural evening Sthapona, which genuinely made the inaugural drills, challenges in urologic and oncologic
Shri awardee, were the guests of honour. The dais was graced by evening of AICOG 2023 unforgettable. conditions, state-of-art management of
the presence of several dignitaries from the field of obstetrics and postpartum hemorrhage, minute nuances
of vaginal surgery and cesarean section,
and cosmetic gynecology.

The FOGSI committee workshops
focused on diverse practical and academic
challenges encountered in providing care
to special cohorts, including adolescent
health, family welfare, genetics and fetal

Continued in Page 3

Consequences of Silent FMH on
Rh(–ve) & Latest FOGSI Guidelines

By blood loss is acute or chronic (Figure 1).
Dr. Chinmayee Ratha Feto-maternal hemorrhage with over 80 mL
of fetal blood is defined as massive FMH,
Silent feto-maternal hemorrhage (FMH) which affects 1 in 1000 pregnancies, and
refers to the antenatal or postpartum accounts for 14% of fetal deaths.
entrance of the fetal blood into maternal
circulation due to failure of the placental The etiology of clinically significant FMH
barrier. Most instances of FMHs are is idiopathic in 80% of cases, with maternal
clinically insignificant, but clinically abdominal trauma, placental abnormalities,
significant FMH (≥ 30 mL) occurs in 3 per and obstetric procedures accounting for
1,000 births. the remaining cases. High-risk pregnancies
due to maternal, fetal, and placental factors
The clinical consequences of FMH range are at a high risk of FMH. Though the
from nonsignificant to catastrophic neonatal pathophysiology of FMH is not fully clear, it
outcomes and are dependent upon the is characterized by a breach in the placental
volume of fetal blood loss and whether the trophoblastic barrier.

Decreased Massive FMH may occur with or without symptoms or signs.
fetal • Persistent decreased or absent fetal movement is the first sign of massive FMH or fetal

movements compromise /demise.
• As means of conserving oxygen, flow diverts towards essential organs like the heart, brain,
Sinusoidal
FHR pa�ern adrenal glands etc. fetal movements reduces.
Other non-specific signs and symptoms of FMH may include:
Hydrops • Sinusoidal heart rate pattern- Abnormal FHR patterns like peak systolic velocity of middle
fetalis
cerebral artery of more than 1.5 MoM warrants FMH testing.
Fetal death/ • Fetal hydrops- Fluid build up in one or more body areas of fetus or new born can be a sign of
s�llbirth
FMH.
Elevated middle • Unexplained stillbirth
cerebral artery • Unexplained elevated middle cerebral artery Doppler PSV consistent with anemia
• Early neonatal anemia- Development of unexplained anemia leading to circulatory collapse
Doppler PSV
and respiratory distress
Early • Uterine tenderness or vaginal bleeding (Antepartum Hemorrhage)
neonatal
anaemia

Figure 1. Clinical Consequences of FMH Continued in Page 2