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Welcome to AICOG 2023, Kolkata
Dr. Hrishikesh D Pai Dr. Madhuri Patel Dr. S Shantha Kumari Dr. Jaydeep Tank
President, FOGSI Secretar y General, FOGSI Immediate Past President, FOGSI President Elect, FOGSI
I extend a warm welcome to all the It is my privilege to welcome you to I am pleased to welcome you to AICOG My greetings to all the learned obstetricians
distinguished delegates to AICOG Kolkata, this august gathering of AICOG 2023. 2023, Kolkata. The well-planned academic and gynaecologists attending this signature
the 65th All India Congress of Obstetrics The AICOGs are huge platforms for the sessions will enhance the technical skills event, AICOG 2023, the 65th All India
and Gynecology organized by The Bengal dissemination of knowledge, networking, and development of obstetricians and Congress of Obstetric & Gynecology
Obstetric and Gynaecological Society in innovations, and collaboration. This is the gynaecologists to face future challenges. organized by The Bengal Obstetric and
Kolkata. The scientific program of AICOG best time to focus your attention on the The exchange of ideas with renowned Gynaecological Society, in Kolkata. Building
2023 is par excellence and will provide recent outstanding achievements in the faculty from all over the world will on the success of previous AICOGs, the
an opportunity for new learning and field of obstetrics and gynecology. I am sure contribute to the learning process for theme for 2023 is Creating Tomorrow
networking. I wish every FOGSI member AICOG 2023 will offer you top-level quality everyone and will definitely have an impact Together. I look forward to the excellent
a bright future, healthy life, and success research and knowledge. So friends, let’s on improving clinical practice along with discussions, that are the hallmark of the
in all their endeavors. But we should also live up to their expectations and participate the necessity for the implementation of AICOGs, surrounding the latest science on
remember that our very purpose of living wholeheartedly in this grand gathering. My technology and innovations. I congratulate the most pressing topics of our times. My
and our every success should benefit our best wishes for a fruitful AICOG 2023 and a the organizing team for their hard work and best wishes for a successful conference and
society and make life meaningful to live for heartfelt thanks to the organizers for their excellent planning of the scientific program. many thanks to all organizers.
us, for our brethren and everyone in our persistent efforts and hard work.
country and the planet. Jai Hind !
Long Live FOGSI
Dr. Bhaskar Pal Dr. Dibyendu Banerjee Dr. Basab Mukherjee Dr. Abinash Chandra Ray
Organizing Chairperson Organizing Secretar y Organizing Secretar y President, BOGS
On behalf of the organizing committee It is a truly humbling yet momentous Let me take this opportunity along with At the outset let me welcome all of you
of 65th All India Congress of Obstetrics occasion for me along with the entire our conference Chair to welcome 9000+ on behalf of the Bengal Obstetric and
and Gynecology (AICOG 2023), I extend organizing committee of the 65th All India delegates and accompanying persons Gynaecological Society to our beloved city
a hearty welcome to all of you to the Congress of Obstetric and Gynecology to who have registered for this conference. Kolkota. AICOG is the annual knowledge
City of Joy. I am indeed grateful for your extend a warm welcome to all of you to this The team of Bengal Obstetric and festival, and it is a great opportunity to
attendance during these uncertain times sprawling new venue, Biswa Bangla Mela Gynaecological society shall leave no stone learn from a large number of national
where we are greatly confused if the Prangan, in the city of joy Kolkota. We are unturned towards offering you a pleasant and international experts. Hats off to the
COVID pandemic is over or not. On our indeed thankful to FOGSI for providing and enjoyable stay in Kolkata. The scientific entire organizing committee for tirelessly
part, we have tried our best to create a Bengal Obstetric & Gynaecological Society team has done a commendable work for working day and night towards making this
carnival like atmosphere in this magnificent the grand opportunity to organise this stitching together a program including a very successful meetingwhich is full of
venue where apart from science, you can prestigious congress after 15 long years. practical and clinically relevant topics. We academics and socio-cultural events. I hope
relax, make new friends, meet old friends, We sincerely hope to make this conference sincerely hope that you will have a pleasant and expect that all of you will return with
do some shopping, enjoy the food and have academically enriching, culturally fulfilling stay and leave with enduring memories of lifelong memories and updated knowledge
a good & enriching time together. I hope and gastronomically satiating to each one of your time with us during this 65th All India from this 65th All India Congress of
and expect you all to return with lifelong you. Jai Hind ! Long Live FOGSI Congress of Obstetric and Gynecology. Obstetrics and Gynecology. Wish you all a
memories and updated knowledge from this Jai Hind ! Long Live FOGSI Happy and Prosperous New Year.
65th AlCOG. Jai Hind ! Long Live FOGSI
Consequences of Silent FMH on Rh(-ve) & Dydrogesterone – A Preferred
Choice of Luteal Support in IVF
Latest FOGSI Guideline Continued from page 1
As a result, fetal blood cells move away based on the maternal Rh (D) status Controlled ovarian stimulation techniques luteal phase. Among these, many patients
from the higher-pressure fetal circulation (Figure 2). that are routinely used during IVF mandate may consider the vaginal and parenteral
into the lower-pressure intervillous space the use of exogenous follicle-stimulating routes inconvenient. In contrast, the oral
and ultimately into the maternal circulation. The management of FMH includes and gonadotrophin-releasing hormones. route of administration helps avoid the
Besides the consequences on the current strict fetal surveillance and either fetal However, controlled ovarian stimulation inconvenience and side effects related
pregnancy, another important consequence intravascular transfusion (intrauterine) often causes endocrine defects in the luteal to intravaginal or intramuscular routes.
of FMH is Rh (D) isoimmunization in or delivery with neonatal backup. phase, which may jeopardize embryo Dydrogesterone and natural micronized
Rh (D) negative patients, leading to Corticosteroids for lung maturity and implantation and maintenance of early progesterone are the two main oral
sensitization of the mother for future Rh(D) magnesium sulfate for fetal neuroprotection pregnancy. progestogens used in the setting of IVF.
+ve fetus. The assessment for FMH is also may be required for preterm gestation.
Therefore, luteal phase support is Dydrogesterone, a retroprogesterone, has
Suspected FMH? In addition, Rh (D) immune globulin necessary to support embryo implantation been used since the 1960s in conditions of
Initiate prompt testing must be administered to Rh-negative and to enhance the probability of an progesterone deficiency. The bioavailability
women within 72 hours after any ongoing pregnancy. Hence, it is now of oral dydrogesterone is higher than that of
Maternal RhD status: Maternal RhD status: potentially sensitizing event to prevent considered a standard practice to oral micronized progesterone. In addition,
D‐negative D‐positive or D‐antigen alloimmunization. Most FMH cases support the luteal phase with exogenous it is a more selective progesterone receptor
(of volume <10 mL) can be neutralized progestogens to improve pregnancy rates agonist than progesterone and has a lower
variant by the low prophylactic dose of anti-D obtained from IVF. Using progesterone affinity for androgen and glucocorticoid
immunoglobulin. A higher dose of for luteal phase support is associated receptors. The higher selectivity of
ICT screening Kleihauer‐Betke test or anti‐ prophylaxis is needed in cases of severe with an improvement in pregnancy rates dydrogesterone for progesterone receptors
HbF flow cytometry FMH (>30 mL) for neutralization. The in IVF treatment. Moreover, the chance translates into endometrial transformation
FOGSI Recommendation for Routine of developing ovarian hyperstimulation at relatively lower doses and minimal
ICT positive ICT negative Antenatal Anti-D Prophylaxis (RAADP) syndrome with progesterone is 20 times androgenic, estrogenic, anabolic, and
Isoimmunized KB test Or prophylactic states that a single-dose regimen of 300 mcg lower than that with hCG. corticoid side effects.
refer to fetal medicine IM in the deltoid is effective, economical,
dose of AntiD and offers better compliance. Oral, vaginal, and parenteral routes of A wealth of clinical evidence supports
administration are the three available the use of dydrogesterone in IVF. Several
Figure 2. Assessment of Suspected FMH routes for progesterone support in the
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