Prenatal ultrasound diagnostics of multiple pregnancy: from the first trimester to delivery — training, 24 h | МЕДТРЕЙН Asia
Obstetrics and Gynecology · Beginner

Prenatal ultrasound diagnostics of multiple pregnancy: from the first trimester to delivery

Confident management of ultrasound diagnostics for twins and triplets — from chorionicity in the first trimester to growth monitoring and complications up to delivery.

24academic hours
13master classes
Beginnerlevel
Distance learningmode of study

Course curriculum

  • Fundamentals of ultrasound diagnosis in multiple pregnancy
  • Classification of multiple pregnancy
  • Standardized ultrasound protocols
  • ISUOG and FMF recommendations for prenatal ultrasound in multiple pregnancy
  • Standards of the Ministry of Health of the Russian Federation for perinatal monitoring and the clinical guidelines «Multiple Pregnancy»
  • Ultrasound diagnosis in the first, second, and third trimesters of multiple pregnancy
  • Technique for performing ultrasound examination of multiple pregnancy in the first trimester
  • Main ultrasound markers of chorionicity and amnionicity in the first trimester
  • Transvaginal vs. transabdominal approach
  • Optimal transducer settings
  • Markers of chromosomal abnormalities in the first trimester in multiple pregnancies
  • Technique for performing ultrasound examination of multiple pregnancy in the second and third trimesters: fetometry and Doppler
  • Difference in fetal growth rates: physiological or pathological asymmetry? Algorithm for assessing fetal growth in multiple pregnancy
  • Main parameters of Doppler measurement
  • Assessment of amniotic fluid volume
  • Ultrasound diagnostics of complications of multiple pregnancy from the fetuses
  • Conjoined twins
  • Selective growth restriction of one of the fetuses
  • Twin-to-twin transfusion syndrome
  • Anemia-polycythemia sequence
  • Twin reversed arterial perfusion syndrome
  • Fetal malformations and malpositions in the uterus
  • Death of one or more fetuses
  • Ultrasound diagnostics of complications of multiple pregnancy from the uteroplacental system and from the mother
  • Placenta previa and placental abruption
  • Premature rupture of membranes and umbilical cord entanglement
  • Complete hydatidiform mole and postpartum hemorrhage
  • Cervical incompetence
  • Anemia in pregnancy
  • Gestational diabetes
  • Arterial hypertension and preeclampsia
  • Management strategy for pregnancy and labor
  • Outpatient management strategy for multiple pregnancy
  • Frequency of ultrasound and Doppler examination
  • Frequency of visits, tests, and CTG monitoring
  • Prevention of complications
  • Preparation for Childbirth
  • Management strategy for labor in multiple pregnancy
  • Indications for elective cesarean section
  • Conditions for possible vaginal delivery in twin pregnancy
  • Strategy for complications: hypoxia, umbilical cord prolapse of the second fetus

Multiple pregnancy does not forgive errors in dating and chorionicity. You will learn to accurately determine the type of multiple pregnancy from the first trimester, monitor fetal growth and detect specific complications in time (TTTS, selective growth restriction).

You will manage such pregnancies calmly and systematically — and your conclusions will become a reliable basis for the obstetrician.

Shchepetova Marina Sergeevna

Преподаватель-практик

Obstetrician-gynaecologist, ultrasound diagnostics physician, gynaecologist-endocrinologist, mammologist. Marina Sergeevna Shchepetova is a specialist with 12 years of experience, working at the Yekaterinburg Clinical Perinatal Centre and providing consultative appointments at a number of medical centres in Yekaterinburg and the Sverdlovsk Region (including RMC Clinic, "Novaya Bolnitsa", "MedAr"), where she combines clinical gynaecology with ultrasound diagnostics.

In 2013 she graduated from the Ural State Medical Academy with a degree in General Medicine, completed a residency in obstetrics and gynaecology, and then obtained professional retraining in ultrasound diagnostics. She additionally studied urogenital infections and skin pathology of the vulva, pathology of the cervix, vulva and vagina (with the basics of colposcopy and radiosurgery), genetic and phenotypic aspects of thrombosis and bleeding, endocrinology in obstetrics and gynaecology with the basics of mammology, female infertility, aesthetic gynaecology, ultrasound diagnostics in obstetrics, gynaecology and perinatology, as well as the basic and advanced aspects of ultrasound diagnostics during pregnancy.

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