Trialect

Active

Twin and Multiple Pregnancy - Part 1

St George’s Hospital, University of London

Faculty at St George’s Hospital, University of London

Main Areas of Interest

Lecturing and Teaching:

This fellowship is designed for physicians and sonographers who look after women with twin and multiple pregnancies. Twin pregnancy, which is becoming more common, is associated with increased maternal and perinatal mortality and morbidity. Offering a practical guide and a wealth of videos, images and illustrations, the fellowship will help clinicians to feel more confident when caring for women with twin pregnancy.

Its main objectives are:

To increase the level of knowledge of healthcare professionals involved in the care of these women;
To update their knowledge in keeping with the recommendations of the latest national and international guidelines; and
To promote a multidisciplinary approach to the management of women with multiple pregnancy.

Specialties

Obstetrics

Gynecology

Techniques You Will Learn

Learning Outcomes:

Obtain fundamental knowledge in keeping with the recommendations of the latest national and international guidelines
Critically apply their understanding to different scenarios including complicated monochorionic twin pregnancy, such twin to twin transfusion syndrome, selective fetal growth restriction, twin anaemia polycythaemia sequence and twin reversed arterial perfusion
Promote a multidisciplinary approach to the management of women with multiple pregnancy

Learning and Teaching Resources: (any articles or textbooks that you recommend)

RCOG Monochorionic twin guideline

https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.14188

NICE twin and triplet guideline

https://www.nice.org.uk/guidance/ng137/chapter/Recommendations

ISUOG twin guideline

https://www.isuog.org/uploads/assets/uploaded/b4ce0129-a7e8-40a9-8543c4243fb7638f.pdf

FIGO twin guideline

https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.12742

AJOG (SMFM) TTTS guideline

https://www.ajog.org/article/S0002-9378(12)01980-1/pdf

Twin growth chart

https://www.ncbi.nlm.nih.gov/pubmed/29660172, https://www.ncbi.nlm.nih.gov/pubmed/27622538, https://www.ncbi.nlm.nih.gov/pubmed/25052857

Twin PSP

https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1002/uog.20858

A core outcome set for studies investigating the management of selective fetal growth restriction in twins

https://www.ncbi.nlm.nih.gov/pubmed/31273879

Modules

Tasks and Timeline:

Module 1 (Week 1) National and International guidelines on Twin and Multiple Pregnancy

This course aims to update their knowledge in keeping with the recommendations of the latest national and international guidelines

Module 2 (Week 2) Screening for aneuploidy: roles for ultrasound and NIPT

In this course, we will learn the various available screening tests for see aneuploidy in twin and multiple pregnancy, their performance and limitations

Module 3 (Week 3) Fetal abnormalities in multiple pregnancy

In this course, we will learn the common structural abnormalities in twin pregnancies and their management. We will also discuss various interesting and challenging cases and their management.

Module 4 (Week 4) Monochorionic monoamniotic twin pregnancies: tips for diagnosis and surveillance

Monochorionic monoamniotic twin pregnancy is rare and at particularly higher risk of pregnancy loss, perinatal mortality and morbidity. In this course, we will learn the complications specific to monochorionic monoamniotic twin pregnancy, surveillance options, challenges and current best management.

Module 5 (Week 5) Reduction in multiple pregnancies: counselling and techniques

Reduction of triplet pregnancy to twins or singleton is associated with reduction in the risk of preterm birth and cerebral palsy. However, it is associated with the risk of miscarriage. In this course, we will learn how to counsel the parents in the various types of triplet pregnancies and the techniques used.

Module 6 (Week 6) Discordance in twin pregnancy: a benign or ominous sign?

Discordance is common in twin pregnancy. Discordance can be in the size, amniotic fluid volume or fetal Dopplers. In this course, we will learn how to counsel, monitor and manage twin pregnancy with discordance in size, amniotic fluid volume or fetal Dopplers.

Program Fee


Total Number of Modules	6
Time duration of Each module	45 minutes
Total Program Cost	$675

This program allows Merit Applications. This program allows merit-based applications for virtual and onsite clinical and research programs. If you are successfully awarded under this category, Trialect or the host mentor will cover the tuition fee only. All applications will be evaluated based on merit. Due to the high level of competition, the chances of being selected under the merit category are quite limited.

Who Can Apply

Physicians and other healthcare professionals who critically apply their understanding to different scenarios including complicated monochorionic twin pregnancy, such twin to twin transfusion syndrome, selective fetal growth restriction, twin anaemia poly

Host Details

Host Name: Professor Asma Khalil

Affiliation: St George’s Hospital, University of London

Address: 78 Harley Street, London W1G 7HJ

Website URL: http://www.asmakhalil.co.uk/

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

Legal & Affiliation Disclaimer

Affiliation Disclaimer: Trialect operates independently and is not affiliated with, endorsed by, or supported by any sponsors or organizations posting on the GrantsBoard platform. As an independent aggregator of publicly available funding opportunities, Trialect provides equal access to information for all users without endorsing any specific funding source, content, organization, or sponsor. Trialect assumes no responsibility for the content posted by sponsors or third parties.

Subscription Disclaimer: Upon logging into Trialect, you may choose to SUBSCRIBE to GrantsBoard for timely notifications of funding opportunities and to access exclusive benefits, such as priority alerts, reminders, personalized recommendations, and additional application support. However, users are advised to contact sponsors directly for any questions and are not required to subscribe to engage with funding opportunities.

Content Ownership and Copyright Disclaimer: Trialect respects the intellectual property rights of all organizations and individuals. All content posted on GrantsBoard is provided solely for informational purposes and remains the property of the original owners. Trialect does not claim ownership of, nor does it have any proprietary interest in, content provided by third-party sponsors. Users are encouraged to verify content and ownership directly with the posting sponsor.

Fair Use Disclaimer: The information and content available on GrantsBoard are compiled from publicly accessible sources in alignment with fair use principles under U.S. copyright law. Trialect serves as an aggregator of this content, offering it to users in good faith and with the understanding that it is available for public dissemination. Any organization or individual who believes their intellectual property rights have been violated is encouraged to contact us for prompt resolution.

Third-Party Posting Responsibility Disclaimer: Trialect is a neutral platform that allows third-party sponsors to post funding opportunities for informational purposes only. Sponsors are solely responsible for ensuring that their postings comply with copyright, trademark, and other intellectual property laws. Trialect assumes no liability for any copyright or intellectual property infringements in third-party content and will take appropriate action to address any substantiated claims.

Accuracy and Verification Disclaimer: Trialect makes no warranties regarding the accuracy, completeness, or reliability of the information provided by sponsors. Users are advised to verify the details of any funding opportunity directly with the sponsor before taking action. Trialect cannot be held liable for any discrepancies, omissions, or inaccuracies in third-party postings.

Notice and Takedown Policy: Trialect is committed to upholding copyright law and protecting the rights of intellectual property owners. If you believe that content on GrantsBoard infringes your copyright or intellectual property rights, please contact us with detailed information about the claim. Upon receipt of a valid notice, Trialect will promptly investigate and, where appropriate, remove or disable access to the infringing content.