Methodology and rules for prenatal ultrasound screening in the first trimester of pregnancy. Possible congenital malformations in the first trimester.

Course curriculum

• Organization of prenatal diagnostics and combined first-trimester screening in the Russian Federation
  • — Goals of modern prenatal diagnosis
  • — Conditions for the effectiveness of prenatal diagnosis
  • — Order of the Ministry of Health of the Russian Federation No. 1130n dated 20.10.2020 'On approval of the procedure for providing medical care in the field of obstetrics and gynecology' - the procedure for organizing and conducting screening examinations
  • — - Timing and objectives of screening examinations
  • — - Components of ultrasound screening
  • — - Requirements for specialists
  • — - Levels of examination and care provision for pregnant women
  • — - Patient routing algorithm
  • — - Procedure for documentation
  • — - Equipment of ultrasound diagnostic rooms
• Prenatal diagnostics and fetal medicine: goals, development, achievements and prospects
  • — History of prenatal diagnosis
  • — Goals and methods of prenatal diagnosis
  • — Prospects for the development of prenatal diagnostics
• Safety of performing ultrasound screening examinations in the first trimester of pregnancy
  • — Safety when performing ultrasound in the first trimester
  • — Clinical significance of Doppler modes
  • — Safety when using Doppler modes
  • — Modern international guidelines on ultrasound safety
  • — Specific actions of the physician to ensure safety during ultrasound in the first trimester
• Searching for Congenital Malformations in the First Trimester of Pregnancy – Are There Any Rules?
  • — Goals of ultrasound in the first trimester of pregnancy
  • — Goals of screening ultrasound at 11–13+6 weeks of pregnancy
  • — Frequency of congenital malformations
  • — Capabilities of diagnosing congenital malformations at 11–13+6 weeks of pregnancy
  • — ISUOG practice guidelines: performing fetal ultrasound examination in the first trimester of pregnancy
  • — Features of ultrasound in the first trimester
• Anomalies of the fetal chest and abdomen – what can we see besides omphalocele and gastroschisis in the first trimester?
  • — ISUOG guidelines for ultrasound examination of the thoracic and abdominal organs in the first trimester of pregnancy
  • — Normal image of the thoracic cavity organs
  • — Normal image of the abdominal cavity and retroperitoneal space organs
  • — Assessment of pelvic translucency
  • — Ultrasound signs of abnormalities of the chest and abdomen
  • — Congenital malformations of the gastrointestinal tract within anomaly complexes
• Neurosonography. How to perform it in the first trimester?
  • — ISUOG practice guidelines (updated): sonographic examination of the fetal central nervous system. Part 1: performance of screening examination and indications for targeted neurosonography
  • — Technical features of neurosonography
  • — Screening examination
  • — - Brain
  • — - Spinal cord
  • — Expert study
  • — - Scanning planes
  • — - Structures studied
  • — Additional diagnostic techniques
  • — Which CNS developmental malformations can we diagnose?
  • — Monitoring of CNS anomalies detected in the first trimester of pregnancy
• Neurosonography. What is possible in the first trimester?
  • — Frequency of CNS congenital malformations
  • — Development of the fetal brain
  • — Difficulties of early ultrasound examination of the brain
  • — Congenital CNS anomalies – what we diagnose in the first trimester
  • — New diagnostic signs and the significance of early ventriculomegaly
• The 'rule of 3 spaces' in the first trimester and its value
  • — The 'rule of 3 spaces' is simple. But does it offer much for detecting CNS anomalies in the first trimester
  • — - Assessment of the posterior cranial fossa
  • — - Diagnosis of spina bifida
  • — - What is spina bifida?
  • — - Ultrasound signs of spina bifida in the first trimester of pregnancy
  • — - Surgical treatment options for spina bifida
• Congenital facial malformations – is it easy to see them in the first trimester of pregnancy and what do you need to know for this?
  • — Detectability of congenital malformations in the first trimester
  • — What can we see in the first trimester?
  • — Fetal face, assessment of facial structures, how to assess the face?
  • — Normal values
  • — Facial anomalies. Hypotelorism. Cyclopia. Proboscis. Otocephaly. Prominent forehead. Mandibular anomalies. Prognathism. Pierre Robin anomalad. Retronasal triangle. Micrognathia. Agnathia. Facial cleft
• Ultrasound diagnosis of developmental malformations accompanied by changes in the fetal contour. Ultrasound signs of limb anomalies in the first trimester
  • — ISUOG guidelines for ultrasound examination in the first trimester of pregnancy
  • — Rules for evaluating the neck in the first trimester
  • — Changes in the contours of the fetal neck
  • — Rules for evaluating fetal limbs
  • — Limb developmental anomalies
  • — Anomalies of skull shape
  • — Amniotic band syndrome
  • — Conjoined twins
• Screening for chromosomal abnormalities in the first trimester of pregnancy — features and methodology of ultrasound examinations
  • — The concept of screening
  • — Ultrasound markers of chromosomal abnormalities
  • — Rules for measuring CRL and NT
  • — Errors in nuchal translucency (NT) measurement
  • — Most frequent chromosomal abnormalities
  • — Assessment of the nasal bones
  • — Assessment of blood flow through the TV
  • — Assessment of blood flow in the IVC
  • — Normal karyotype and nuchal translucency thickening
  • — Fundamentals of calculating the risk of chromosomal abnormalities based on first-trimester combined screening results
  • — The essence of screening
  • — Requirements for tests
  • — Goals of combined first-trimester screening
  • — The significance of tests
  • — Calculation of CA risk
  • — Biochemical markers of CA
  • — FMF risk calculators
  • — Recommendations of the experts of the International Society for Prenatal Diagnosis
  • — Effectiveness and clinical significance of combined chromosomal abnormality screening
  • — Clinical significance of NIPT
• First-trimester screening: why calculate the preeclampsia risk? How to perform screening and risk calculation?
  • — Relevance of the problem of preeclampsia
  • — The nature of PE
  • — Risk factors for preeclampsia
  • — Technique for assessing Doppler parameters in the uterine arteries in the first trimester
  • — First-trimester screening for PE — methodology, conditions, effectiveness
  • — First-trimester screening for the risk of IUGR
  • — Preeclampsia risk calculators (FMF)
  • — Conditions for proper testing
  • — Screening strategies for preeclampsia and fetal growth restriction
  • — Preeclampsia prevention
  • — Prospects for early screening
• How to deliver bad news to a patient?
  • — Necessary knowledge
  • — Federal Law of 21.11.2011 N 323-FZ (as amended on 22.12.2020) "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" (Article 51. Rights of the family in the field of health protection, Article 22. Information on the state of health, Article 13. Observance of medical confidentiality)
  • — What the doctor can do. Is it easy for the doctor? What does such a conversation mean for the physician?
  • — Burnout syndrome
  • — What do patients want to hear? When should you tell a patient about problems with her baby? The stages of grief
  • — Counseling. Federal Law of 21.11.2011 N 323-FZ (as amended on 22.12.2020) "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" Article 6. Priority of the patient's interests in the provision of medical care
  • — SPIKES — A Six-Step Protocol for Delivering Bad News