book of abstracts institute of obstetricians & gynaecologists, rcpi four provinces meeting junior

256 Pages·2014·3.4 MB·English

by  Neill Coen

B A
OOK OF BSTRACTS

INSTITUTE OF OBSTETRICIANS & GYNAECOLOGISTS, RCPI
FOUR PROVINCES MEETING

JUNIOR OBSTETRICS & GYNAECOLOGY SOCIETY
ANNUAL SCIENTIFIC MEETING

ROYAL ACADEMY OF MEDICINE IN IRELAND
ANNUAL CLINICAL REPORTS

FRIDAY, 28 NOVEMBER 2014
TH
ROYAL COLLEGE OF PHYSICIANS OF IRELAND
NO 6 KILDARE STREET, DUBLIN 2
The Institute Four Province, JOGS & RAMI Meeting

WELCOME

Dear friends and colleagues,

On behalf of the Institute of Obstetricians and Gynaecologists in Ireland, The Junior Obstetrics and
Gynaecology Society (JOGS) and the Royal Academy of Medicine in Ireland (RAMI) welcome to this year’s
scientific meeting.

This year we had the highest number of abstract submissions since the JOGS meetings began 26 years ago.
We would like to thank everyone who submitted their work for consideration and acknowledge the quality of
research taking place in Irish hospitals. We would also like to thank the reviewers for taking the time to judge
the abstracts and presentations here today.

The afternoon session will commence with a focus on safety and quality assurance issues. We welcome Dr Tim
Hillard, Consultant Obstetrician & Gynaecologist in Poole Hospital Foundation Trust who will present on the
importance of surgical audit. This is followed by a presentation by Dr Kim Hinshaw a Consultant Obstetrician &
Gynaecologist at Sunderland Royal Hospital and Director of Research & Innovation for the Trust. As the past-
Chairman of the ALSO UK Board, and a member of the MOET UK Working Group, he is well placed to talk on
human factors training in the labour ward.

Following this, will be a multidisciplinary presentation on management of HIV and HSV in pregnancy, launch of
new guidelines on these topics and a case-based discussion on challenging aspects of perinatal infectious
disease management. The panel will include Obstetrics, Dr Nicola Maher, Paediatrics, Dr Wendy Ferguson and
Prof Karina Butler and Dr Fiona Lyons, GU/HIV Medicine.

The RAMI Reports meeting welcomes Professor Patricia Crowley and Professor Tom Matthews who will present
their review of the 2013 maternity reports followed by an opportunity for each of the Masters and Clinical
Director to present on the outcomes and challenges detailed in the reports. As always, we are expecting an
informative review of the high quality of obstetric and neonatal care provided in our maternity hospitals.

We look forward to seeing as many of you as possible at this year’s Annual Dinner and Awards ceremony. This
meeting could not happen without the financial assistance of ours sponsors and we would like to take the
opportunity to thank them for their ongoing support.

Kind regards,

Dr Jennifer Donnelly Dr Vicky O’Dwyer Dr Aoife Mullally
Convenor of Meetings Chair of JOGS RAMI
The Institute Four Province, JOGS & RAMI Meeting

T C
ABLE OF ONTENTS
The Institute Four Province, JOGS & RAMI Meeting

ORAL PRESENTATIONS
CUSTOMISATION OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME CRITERIA FOR
THE DIAGNOSIS OF MATERNAL SEPSIS
Lead Presenter: Patrick J Maguire p. 1
Bladder and bowel function post vaginal surgery: how are we doing?
Lead Presenter: Azriny Khalid p. 2
COMPARING THE TRIAGING OF GYNECOLOGY REFERRALS BY DIFFERENT
GYNECOLOGIST
Lead Presenter: Somaia Elsayed p. 3
ENDOMETRIAL CANCER IN A TERTIARY REFERRAL CENTRE - A FIVE YEAR REVIEW
Lead Presenter: Zara Fonseca-Kelly p. 4
ENVIRONMENTAL AWARENESS: EVALUATION OF A PROCESS-BASED INDUCTION
PROGRAMME FOR OBSTETRIC EMERGENCIES
Lead Presenter: Aoife McTiernan p. 5
A REVIEW OF INTRA-PARTUM PYREXIA AT THE NATIONAL MATERNITY HOSPITAL
(NMH), DUBLIN
Lead Presenter: Ogugua Iloabachie p. 6
TISSUE FACTOR INHIBITOR 2 (TFPI-2) IN CLEAR CELL CANCER AND BENIGN OVARIAN
TUMOURS
Lead Presenter: Audris Wong p. 7
ENDOMETRIAL CANCER IN OLDEST AGE: CHALLENGES AND TREATMENT APPROACHES
Lead Presenter: naomi burke p. 8
MMPS AND IL-6 AS POTENTIAL BIOMARKERS FOR ENDOMETRIOSIS
Lead Presenter: Katie Field p. 9
The Institute Four Province, JOGS & RAMI Meeting
HUMAN EPIDIDYMIS PROTEIN 4 (HE4) COULD DISCRIMINATE COMPLEX ATYPICAL
HYPERPLASIA FROM ENDOMETRIAL CARCINOMA
Lead Presenter: Rizmee Shireen p. 10
MID-TRIMESTER RUPTURE OF MEMBRANES: A CLINICAL REVIEW
Lead Presenter: Amy Claire O'Higgins p. 11
DRILLING IN A MINEFIELD ! - ELECTROMECHANICAL MORCELLATION - AN IRISH
PERSPECTIVE
Lead Presenter: Edward Corry p. 12
Perinatal outcomes for couples who suffer from recurrent miscarriage: A high risk
pregnancy group
Lead Presenter: Katie Field p. 13
WHAT'S TO BLAME FOR THE PAIN? A RARE CASE OF LOWER ABDOMINAL PAIN IN
PREGNANCY
Lead Presenter: Sarah Marie Nicholson p. 14
THE RELATIONSHIP BETWEEN GESTATIONAL WEIGHT GAIN AND GESTATIONAL
DIABETES MELLITUS
Lead Presenter: Lisa O'Higgins p. 15
PLACENTAL CAUSES OF PERINATAL DEATH AND THEIR CONTRIBUTION TO THE
INSTITUTIONAL PERINATAL MORTALITY RATE
Lead Presenter: Eibhlín Healy p. 16
KNOWLEDGE OF, ATTITUDES TOWARD, BEHAVIOURS RELATING TO VITAMIN D IN A
COHORT ATTENDING FOR SUBFERTILITY TREATMENT IN DUBLIN, IRELAND
Lead Presenter: Grace Neville p. 17
PERINATAL OUTCOMES OF REDUCED FETAL MOVEMENTS: A PROSPECTIVE COHORT
STUDY
Lead Presenter: Claire M McCarthy p. 18
The Institute Four Province, JOGS & RAMI Meeting

TRENDS IN VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) IN TWO LARGE IRISH
MATERNITY HOSPITALS
Lead Presenter: Éanna Ryan p. 19
LEARNING FROM EXPERIENCE: DEVELOPMENT OF A COGNITIVE TASK LIST TO
PERFORM A CAESAREAN SECTION IN THE SECOND STAGE OF LABOUR
Lead Presenter: Sorca O' Brien p. 20
MODE OF DELIVERY OPTIONS IN TWIN GESTATIONS WITH A PREVIOUS CAESAREAN
SECTION
Lead Presenter: Niamh Joyce p. 21
The Impact of Preanalytic Glucose Sample Handling when Screening Obese Women for
Gestational Diabetes Mellitus
Lead Presenter: Niamh Daly p. 22
The Cost Of Screening For Diabetes Is Just The Tip of The Iceberg...
Lead Presenter: niamh maher p. 23

POSTERS
A single centre experience of "Elevate" transvaginal mesh for vaginal prolapse
Lead Presenter: Hala Abu Subeih p. 24
PRETERM PLACENTAL ABRUPTION: INCIDENCE, RISK FACTORS AND CLINICAL
IMPLICATIONS
Lead Presenter: sahar ahmed p. 25
AUDIT OF ANTENATAL CORTICOSTEROIDS ADMINISTRATION IN PRETERM DELIVERED
PREGNANCIES
Lead Presenter: Sara Ahmed p. 26
CATEGORY OF CAESAREAN VERSUS MODE OF ANAESTHESIA
Lead Presenter: Sara Ahmed p. 27
The Institute Four Province, JOGS & RAMI Meeting
The positive association between sleep and behaviour on maternal health
Lead Presenter: Kate Ainscough p. 28
AN AUDIT OF MANAGEMENT OF HYSTEROSCOPIC DISTENDING MEDIA
Lead Presenter: Breffini Anglim p. 29
SUBMUCOSAL UTERINE FIBROID PROLAPSE
Lead Presenter: Breffini Anglim p. 30
RIGHT OVARIAN CYST AUTOAMPUTATION
Lead Presenter: Breffini Anglim p. 31
Screening for Gestational Diabetes – The patient's perspective
Lead Presenter: Sami Backley p. 32
AN AUDIT OF PREGNANT PATIENTS ADMITTED TO BEAUMONT HOSPITAL IN 2013 PRIOR
TO THE INTRODUCTION OF THE IRISH MATERNAL EARLY WARNING SCORE (IMEWS)
Lead Presenter: Helena Bartels p. 33
FOLLOW UP OF WOMEN UNDERGOING MEDICAL MANAGEMENT OF MISCARRIAGE
Lead Presenter: katie beauchamp p. 34
DIAGNOSIS OF SEVERE FETOMATERNAL HEMORRHAGE: PERSONAL EXPERIENCE AND
SYSTEMATIC REVIEW
Lead Presenter: Federica Bellussi p. 35
AN EXAMINATION OF INDUCTION PROTOCOL AND TIME OF DELIVERY
Lead Presenter: Dr Marie Bourke p. 36
THE RELATIONSHIP BETWEEN NEONATAL ADIPOSITY AND HYPOGLYCAEMIA
Lead Presenter: Anthony Breen p. 37
ACUTE ONSET HORNER'S SYNDROME POSTNATALLY
Lead Presenter: Michael Carey p. 38
The Institute Four Province, JOGS & RAMI Meeting

AN UNUSUAL CERVICAL TOMOUR :RELAPSE OF ACUTE MYELOID LEUKAEMIA (AML)
Lead Presenter: Vicki Collins p. 39
ENDOMETRIAL CARCINOMA 14 YEARS AFTER HYSTERECTOMY
Lead Presenter: Vicki Collins p. 40
PERINEAL TEAR AND EPISIOTOMY INFECTION STUDY
Lead Presenter: Laura Corkery p. 41
PROTECTING THE PROFESSIONAL - AN AUDIT OF CONSENT IN A TERTIARY CENTRE
Lead Presenter: Edward Corry p. 42
SEX AFTER VAGINAL SURGERY: FOR BETTER OR FOR WORSE?
Lead Presenter: Simon Craven p. 43
ANTENATAL DISCUSSION OF THE RISKS AND BENEFITS OF VBAC AND ERCS
Lead Presenter: David Crosby p. 44
OBSTETRIC AND NEONATAL CHARACTERISTICS OF PREGNANCY AND DELIVERY FOR
INFANT BIRTHWEIGHT ≥5.0kg
Lead Presenter: David Crosby p. 45
WCC IN FIRST TRIMESTER AND RISK OF HYPERTENSIVE DISORDERS
Lead Presenter: Genevieve Crudden p. 46
Is there a place for pre-pregnancy cervical length scanning?
Lead Presenter: Nikita Deegan p. 47
A CASE OF PYOMYOMA: A RARE SOURCE OF POSTPARTUM SEPSIS
Lead Presenter: Alison DeMaio p. 48
AN UNUSUAL CAUSE OF INTRAUTERINE DEMISE: A CASE FOR ROUTINE ANOMALY
SCREENING?
Lead Presenter: Alison DeMaio p. 49