33rd Annual Meeting - Society for Maternal-Fetal Medicine

Society for Maternal Fetal-Medicine
33rd Annual Meeting –
The Pregnancy Meeting
February 11 – 16, 2013
Hilton San Francisco Union Square
San Francisco, CA
Supported by an unrestricted educational
grant from the March of Dimes
Postgraduate Courses
Scientific and Clinical
Meeting
Industry Exhibits
Register online at www.SMFM.org
2013 Program Committee
Donna Johnson, MD, Program Chair
William Grobman, MD, Poster Chair
Andrew Helfgott, MD, Postgraduate Course Chair
Sean Blackwell, MD, Scientific Forums Chair
Thomas Musci, MD, Local Arrangements Chair

Postgraduate Courses, Workshops, and Symposia
Some postgraduate courses, workshops and symposia run concurrently.
Please check your schedule to make sure you do not choose conflicting options.
Monday, February 11
1. Clinical Applications of Fetal Echocardiography
Course Directors: Jude Crino, MD and James Huhta, MD
Learning Objectives
• Review the indications for fetal echocardiography and criteria for proper
coding and billing
• Demonstrate the proper technique for fetal cardiovascular imaging
• Discuss the imaging features of and management strategies for various
forms of fetal congenital heart disease
• Understand the effect of maternal and placental conditions on the fetal
cardiovascular system
Course Schedule:
8:00–8:05am Welcome and Introduction
Jude Crino, MD and James Huhta, MD
8:05–8:35am Indications, Coding, and Billing
Andrew Helfgott, MD, MHA
8:35–9:05am Epidemiology, Genetics, and Counseling
Jude Crino, MD
9:05–10:00am Imaging Technique and Live Demonstration
Julia Solomon, MD
10:00–10:30am Break
10:30–11:00am Diagnosis, Management, and Outcome of
Conotruncal Anomalies
Julia Solomon, MD
11:00–11:30am Diagnosis, Management, and Outcome of
Complex Cardiac Anomalies
James Huhta, MD
11:30–11:45am Fetal Echocardiography Guidelines and Accreditation:
A National Perspective
Alfred Abuhamad, MD
11:45am–12:00pm Q&A
Faculty
12:00–1:00pm Lunch
1:00–1:30pm Fetal Arrhythmias
Bettina Cuneo, MD
1:30–2:00pm Timing and Mode of Delivery in Fetal Congenital
Heart Disease
Jude Crino, MD
2:00–2:30pm Considerations on the Management of the Preterm Fetus with
Congenital Heart Disease
James Huhta, MD
2:30–3:00pm Maternal, Placental, and Non-cardiac Fetal Conditions
Affecting the Fetal Cardiovascular System
Bettina Cuneo, MD
3:00–3:30pm Break
3:30–4:00pm Fetal Echocardiography: 15 Pearls in 30 Minutes
Alfred Abuhamad, MD
4:00–4:30pm Point/Counterpoint: Intervention for Fetal Congenital Heart
Disease
Jude Crino, MD and James Huhta, MD
4:30–5:00pm Interesting Cases and Q&A
Faculty
2. Putting the “M” Back in Maternal-Fetal Medicine
Course Directors: Ed Yeomans, MD and Gerda Zeeman, MD
Learning Objectives
At the conclusion of this postgraduate course, participants will be better
equipped to:
• Manage severe hypertension and the most frequent causes of obstetrical
hemorrhage
• Manage life-threatening post-cesarean infections and ARDS
• Develop a plan of care for HIV-infected pregnant women
• Describe the role of the MFM in complicated deliveries and persistent
occiput posterior in labor and delivery
Course Schedule:
8:00–8:15am Framing the Problem
Mary D’Alton, MD
2 | The Society for Maternal-Fetal Medicine • www.smfm.org
8:15–8:30am ABOG Response
Larry Gilstrap, MD
8:30–9:10am Obstetric Hemorrhage and Transfusion
Edward R. Yeomans, MD
9:10–9:50am Causes and Consequences of Cerebrovascular
Complications Due to Preeclampsia
Gerda Zeeman, MD
9:50–10:00am Q&A
10:00–10:30am Break
10:30–11:10am Life-Threatening Post-Cesarean Infections
William Barth, MD
11:10–11:50am ARDS and Pregnancy
Lauren Plante, MD
11:50am–12:00pm Q&A
12:00–1:00pm Lunch
1:00–1:50pm Management of Severe Hypertension
Gerda Zeeman, MD
1:50–2:40pm HIV in Pregnancy
Andrew Helfgott, MD
2:40–3:00pm Q&A
3:00–3:30pm Break
3:30–4:10pm Role of the MFM in Complicated Deliveries
Edward R. Yeomans, MD
4:10–4:50pm Management of Occiput Posterior
William Barth, MD
4:50–5:00pm Q&A
3. What’s a Woman to Do: Assessing the Pregnant
Cervix in 2013
Course Directors: Vincenzo Berghella, MD and Helen Feltovich, MD
Learning Objectives
• Review history and method of cervical length measurement for preterm
birth prediction
• Understand emerging methods of quantitative cervical assessment
• Evaluate indications for and against universal screening with transvaginal
cervical length
• Evaluate the efficacy of vaginal progesterone, cerclage, and pessary as
interventions for short TVU CL in pregnancy
• Assess the efficacy of cervical tests alternatives to TVU CL as screening
tests for preterm birth
Course Schedule:
8:00–8:10am Welcome/introduction
Vincenzo Berghella, MD
8:10–8:30am Preterm birth is a heterogeneous phenotype
Sean Esplin, MD
8:30–9:00am Cervical assessment: technique and prediction
Jay Iams, MD
9:00–10:00am Current treatment options for the short cervix
9:00–9:15 Cerclage (Berghella)
9:15–9:30 Vaginal progesterone (Baxter)
9:30–9:45 Pessary (Carreras)
9:45–10:00 Questions and Discussion
(Audience and Faculty)
Vincenzo Berghella, MD; Jason Baxter, MD
Elena Carreras, MD
10:00–10:30am Break
10:30–11:00am Cervical assessment: Clinical use
Vincenzo Berghella, MD
11:00–11:15am Basic concepts of cervical remodeling in pregnancy
Helen Feltovich, MD
11:15–11:45am Emerging methods of cervical assessment:
quantitative methods
Timothy Hall, MD
11:45am–12:00pm Questions and Discussion
Vincenzo Berghella, MD; Helen Feltovich, MD
Timothy Hall, MD

12:00–1:00pm
1:00–1:30pm
1:30–2:00pm
2:00–2:10pm
2:10–3:00pm
3:00–3:30pm
3:30–4:45pm
4:45–5:00pm
Lunch
Emerging methods of cervical assessment:
semi-quantitative methods
Helen Feltovich, MD
Cervical engineering: model systems and
treatment potential
Michael House, MD
Questions and Discussion
Helen Feltovich, MD; Michael House, MD
Debate: universal cervical length screening
2:10–2:20 Audience response
2:20–2:35 Pro (Esplin)
2:35–2:50 Con (Saade)
2:50–3:00 Questions and Discussion
Helen Feltovich, MD; George Saade, MD
Sean Esplin, MD
Break
Controversies: using the evidence for your ‘unique’ patient
3:30–3:45 Prior PTB: Progesterone or CL monitoring
or both (Baxter)
3:45–4:00 Twins with prior sPTB (House)
4:00–4:15 Short CL: when do I consider pessary?
(Berghella)
4:15–4:30 Should you use CL in patients symptomatic
with PTL? (Iams)
4:30–4:35 Audience response
4:35–4:45 Questions and Discussion
Jason Baxter, MD; Michael House, MD;
Vincenzo Berghella, MD; Jay Iams, MD
Closing comments: the future of cervical assessment
Helen Feltovich, MD
4. Debate on Research Funding for the Young
and the Restless
Course Directors: Suneet Chauhan, MD and JoNell Potter, PhD
Learning Objectives
• Debate the merits of obtaining external research funding
• Provide simple steps to enhance success for extramural funding and how to
become a successful young investigator
• Review trends in NIH support
• Provide “tips”on how to build and maintain a clinical research program
Course Schedule:
8:00–8:15am Introductory Remarks
Suneet Chauhan, MD
8:15–9:00am Grants: Oh the Joy!
Kjersti Aagaard, MD
9:00–9:45am Grants: Oh the Horror!
Suneet Chauhan, MD
9:45–10:00am Questions & Answers
JoNell Potter, PhD
10:00–10:30am Break
10:30–10:50am 5 Best Funded Obstetrical Publications In Last 50 Years
George Macones, MD
10:50–11:20am 5 Best Non-Funded Obstetrical Publications In Last 50 Years
Anthony Vintzileos, MD
11:20–11:50am Grant Writing 101
Alison Cahill, MD
12:00–1:00pm Lunch
1:00–1:45pm Review of Trends in NIH Support- How to be a
Successful Young Investigator
Uma Reddy, MD
1:45–2:30pm Risk and Reward in the Era of Big Team Science
Kjersti Aagaard, MD
2:30–3:00pm Questions & Answers
Suneet Chauhan, MD
3:00–3:30pm Break
3:30–4:00pm The Nuts & Bolts of Building & Sustaining a Clinical
Research Program
JoNell Potter, PhD
4:00–4:30pm Words of Wisdom for the Young and Restless
George Macones, MD
4:30–5:00pm Panel Discussion – Questions & Answers
All Faculty
Tuesday, February 12
5. NICHD/SMFM/ACOG/AAP Workshop – Periviable Birth
Tuesday Session 12:00pm–6:00pm
(cont. Wednesday 8:00am–2:45pm)
A workshop co-sponsored by the Society for Maternal-Fetal Medicine, the
American College of Obstetricians and Gynecology, the American Academy of
Pediatrics and the Eunice Kennedy Shriver National Institute for Child Health
and Human Development (Registration limited. Attendees are responsible for
their meals.)
6. Ultrasound Controversies: Many Shades of Gray
Course Directors: Isabelle Wilkins, MD and Karin Fuchs, MD
Learning Objectives
• Review the technique and utility of arterial and venous Doppler for various
conditions
• Describe modification of aneuploidy risk estimates using the Genetic
Sonogram
• Summarize the outcomes of reduced twin gestations
• Identify the elements of an adequate cervical ultrasound exam
• List situations where 3D ultrasound adds useful information
• Determine when to code for a basic versus targeted ultrasound
Course Schedule:
8:00–8:15am Introduction
Isabelle Wilkins, MD and Karin Fuchs, MD
8:15–8:55am Beyond the Basics of Fetal Doppler
Ahmet Baschat, MD
8:55–9:35am Role of Doppler in Management of IUGR
Henry Galan, MD
9:35–10:00am Q&A
Faculty
10:00–10:30am Break
10:30–11:10am Role of US in Twin Gestations
Lauren Ferrara, MD
11:10–11:40am Debate: Should everyone have first trimester uterine
artery Doppler?
Ahmet Baschat, MD vs. Henry Galan, MD
11:40am–12:00pm Discussion / Q&A
Faculty
12:00–1:00pm Lunch
1:00–1:45pm Cervical Length: Tips and Tricks
Isabelle Wilkins, MD
1:45–2:30pm Role of the Genetic Sonogram after 1st Trimester Screening
Karin Fuchs, MD
2:30–3:00pm Q&A
Faculty
3:00–3:30pm Break
3:30–4:10pm Three Dimensional Ultrasound for the Maternal-Fetal
Medicine Practice
Alfred Abuhamad, MD
4:10–4:40pm Debate: When is a Level I a Level II?
Isabelle Wilkins, MD vs. Andrew Helfgott, MD
4:40–5:00pm Discussion / Q&A
7. Fetal Therapy: Debates and Details
Course Directors: Nancy Chescheir, MD and Tony Johnson, DO
Learning Objectives
At the conclusion of this postgraduate course, participants will have an
overview of:
• Preoperative evaluation, intraoperative effort and maternal comorbidities
associated with fetal surgery
• Controversies in the evaluation and management of selective fetal disorders
including
a. Twin-twin transfusion syndrome
b. Selective growth restriction in monochorionic multifetal
pregnancies
c. Diaphragm hernia
d. Lower urinary tract obstruction
• The expanding role of stem cell therapy and bioengineering as it pertains
to in utero treatment of selective metabolic disorders and fetal/neonatal
malformations.
Course Schedule:
8:00–8:15am Introduction
Nancy Chescheir, MD
The Society for Maternal-Fetal Medicine • www.smfm.org | 3

Tuesday, February 12, continued
8:15–8:45am History of Fetal Intervention: Setting the Stage
Tony Johnson, DO
8:45–9:15am “It takes a village”—What are the components of a fetal therapy
program?
Robert Ball, MD
9:15–9:45am Maternal Health Issues: Risk factors, comorbidities, obesity,
fibroids, diabetics, pulmonary problems, future pregnancy
Mounira Habli, MD
9:45–10:30am Prenatal fetal assessment: Is MRI a necessary preoperative
evaluation in all cases of structural malformations? Don’t need
it if the ultrasound is complete vs. Won’t go without regardless
of ultrasound findings
Nancy Chescheir, MD & Robert Ball, MD
10:30–11:00am Break
11:00–11:20am Premature rupture of the membranes: Clinical issues including
preventive strategies, incidence.
Jan Deprest, MD, PhD
11:20am–12:00pm Debate: Lower Urinary Tract Obstruction: Do we know who to
treat and should we? Yes or No
Mark Johnson vs. Mark Kilby
12:00–1:00pm Lunch and Webcast: TTTS Laser
1:00–1:40pm Debate: TTTS Staging should include cardiac assessment:
Yes or No
Anita Moon-Grady, MD & David Stamilio, MD
1:40–2:30pm Debate: Selective IUGR in monochorionic multifetal
pregnancies, Observation vs. In utero treatment
Jena Miller, MD & Ramen Chmait, MD
2:30–2:50pm Discordant fetal malformation in monochorionic multifetal
pregnancies
Anthony Johnson, DO
2:50–3:15pm Break
3:15–3:55pm Debate: Diaphragmatic hernia in utero vs. Postnatal
treatment
Jan Deprest, MD, PhD vs. Alan Flake, MD
3:55–4:15pm ONTD post MOMS
Catherine Spong, MD
4:15–4:55pm Debate: Repair of meningomyelocele, post-MOMs Trail; Fetal
surgery vs. Postnatal repair
Mark Johnson, MD & R. Doug Wilson, MD
4:55–5:30pm End with Future: Stem cell, bioengineering
Alan Flake, MD
5:30–5:40pm Closing comments
Anthony Johnson, DO
8. Maternal Health: Shifting the Paradigm
Course Directors: Manju Monga, MD and Carla Martinez, MD
Learning Objectives
• Outline assessment and management of women with cardiac disease or
organ transplantation in pregnancy
• Develop differential diagnosis for hepatic dysfunction in pregnancy
• Recognize maternal and obstetric implications of thrombophilia in
pregnancy
• Identify risks associated with very advanced maternal age in pregnancy
• Describe maternal implications of cesarean delivery, fetal intervention and
delayed delivery
Course Schedule:
8:00–8:15am Welcome/Overview/Objectives
Manju Monga, MD and Carla Martinez, MD
8:15–9:00am Maternal Cardiac Disease in Pregnancy
Carla Martinez, MD
9:00–9:30am Diagnostic Dilemma: Liver Dysfunction in Pregnancy
Manju Monga, MD
9:30–9:45am Questions
Manju Monga, MD and Carla Martinez, MD
9:45–10:00am Break
10:00–10:45am Thrombophilia in Pregnancy – Much Ado about
Nothing?
Robert Silver, MD
10:45–11:15am Pregnancy after Organ Transplantion – Beyond the Kidney
Joan Mastrobattista, MD
11:15–11:30am Questions
Robert Silver, MD and Mastrobattista, MD
4 | The Society for Maternal-Fetal Medicine • www.smfm.org
11:30am–1:00pm Lunch
1:00–1:30pm Very Advanced Maternal Age – Maternal and
Obstetric Risks
Bryan Oshiro, MD
1:30–2:15pm Climbing Cesarean Delivery Rates and
Maternal Morbidity
Robert Silver, MD
2:15–2:30pm Questions
Bryan Oshiro, MD and Robert Silver, MD
2:30–2:45pm Break
2:45–3:15pm Maternal Implications of Fetal Intervention –
At what cost, success?
Joan Mastrobattista, MD
3:15–3:45pm Delaying Delivery until 39 weeks: Maternal Consequences
Bryan Oshiro, MD
3:45–4:30pm Panel/Questions
Faculty
9. Hands-On MFM Simulation
Course Directors: Shad Deering, MD, Brian Brost, MD and Dena Goffman, MD
Learning Objectives
• Describe techniques and review templates for how to implement simulation
as part of a comprehensive patient safety program in maternal-fetal
medicine and obstetrics.
• Discuss and perform simulated obstetric emergencies including but
not limited to maternal cardiopulmonary arrest, eclampsia, and MFM
emergencies (thyroid storm, etc).
• Discuss the development of simulation programs including those for
individuals, teams, obstetric emergencies, and maternal-fetal medicine
specific procedures.
• Review proper technique for MFM-specific procedures including
amniocentesis, PUBS, CVS, and intraamniotic shunt placement on highfidelity
simulators.
Course Schedule:
8:00–8:15am Welcome, Introduction of Faculty, Review Learning
Objective
Shad Deering, MD
8:15–9:00am Simulation and MFM - Review and Update
Dena Goffman, MD
9:00–9:45am OB Patient Safety and Simulation
Shad Deering, MD
9:45–10:00am Break
10:00–11:00am MFM/OB Emergency Simulations
Faculty
11:00am–12:00pm MFM/OB Emergency Simulations
Faculty
12:00–1:00pm Lunch
1:00–2:45pm MFM Procedural Skills Simulators/Implementation of MFM
Simulation Curriculum
Faculty
2:45–3:00pm Break
3:15–4:45pm MFM Procedural Skills Simulators/Implementation of MFM
Simulation Curriculum
Faculty
4:45–5:00pm
Course Wrap-Up and Review
Faculty
10. Gray (American Journal of Obstetrics and Gynecology)
and Green (Obstetrics and Gynecology) Journals
Reviewer Course
5:00 – 7:00pm
Course Directors: Tom Garite, MD and Nancy Chescheir, MD
The leadership of the American Journal of Obstetrics and Gynecology and
Obstetrics and Gynecology will give a brief course on reviewing manuscripts
for the journals. This course in intended for new and mid-level reviewers and
attendees need not already be reviewers.
The course will include:
• The essence of reviewing
• What makes a good review
• What makes a good reviewer
• The value of reviewing to the individual and the specialty and ultimately the
patient
• Online mechanics of performing the review

Wednesday, February 13
11. Nuchal Translucency Credentialing Learning Objectives
Faculty: Richard Berkowitz, MD; Mary D’Alton, MD;
James Goldberg, MD; Jean Lea Spitz, MPH
Learning Objectives
• Interpret the evidence that supports first trimester risk assessment
• Analyze criteria for acceptable nuchal translucency measurements
• Discuss and compare protocols for first and second trimester combined risk
assessment
• Implement recommendations of the ACOG Practice Bulletin #77, titled
Screening for Fetal Chromosomal Anomalies in a variety of practice settings
• Analyze the role of nasal bone imaging and other techniques in first
trimester risk assessment
Course Schedule:
8:00–8:20am Welcome to the NTQR
Jean Lea Spitz, MPH
8:20–9:00am Screening for Down Syndrome
James Goldberg, MD
9:00–9:45am Technical Aspects of Nuchal Translucency Measurement
Richard Berkowitz, MD
9:45–10:00am Break
10:00–10:45am Combining 1st and 2nd Trimester Screening and Technical
Aspects of Nasal Bone Imaging
Mary D’Alton, MD
10:45–11:15am Additional Benefits and Considerations
Richard Berkowitz, MD
11:15–11:45am The Importance of Quality Monitoring
Jean Lea Spitz, MPH
11:45am–12:00pm Questions & Answers
Faculty
12. Debates: Substance Abuse: Every Clinician’s Problem
Course Directors: Robert Andres, MD and Mona Prasad, DO, MPH
Learning Objectives
• Review methamphetamine, opioid & prescription drug abuse among
pregnant women
• Provide an overview of smoking cessation programs that improve perinatal
outcome
• Discuss the risks and benefits of methadone versus buprenorphine as
treatment options during pregnancy
• Review empirical research demonstrating efficacy of Contingency
Management and other effective treatment modalities in abuse treatment
• Discuss recent advance in the field of fetal alcohol spectrum
Course Schedule:
8:00–8:05am Introductory Remarks
Robert Andres, MD
8:05–8:45am Methamphetamine: More Questions than Answers
Alexandra Eller, MD
8:45–9:15am National Trends in Prescription Drug Abuse
Robert Andres, MD
9:15–10:00am Methadone versus buprenorphine during pregnancy: what are
the differences and does the obstetrician care?
Marjorie Meyer, MD
10:00–10:30am Break
10:30–11:10am Controversies in Caring for Opioid Dependent
Pregnant Women
Mona Prasad, DO, MPH
11:10–11:50am Common Questions in Caring for Opioid Dependent
Pregnant Women
Kristina Milan, MD, MSCI
11:50am–12:00pm Questions & Answers
Faculty
12:00–1:00pm Lunch
1:00–1:40pm Smoking Cessation Programs: Evidence Based
Improvement in Perinatal Outcome
Angela Stotts, PhD
1:40–2:00pm Strategies Used in Alcohol and Other Drug Abuse Treatment
to Encourage Positive Behavior Change
JoNell Potter, PhD
2:00–2:40pm Fetal Alcohol Spectrum Disorders - How Broad is the Spectrum
and How Much Alcohol is Too Much?
Cristina Chambers, PhD, MPH
2:40–2:50pm Panel Discussion – Questions & Answers
Faculty
13. Ethics in Perinatology: A Day of Dilemmas,
Discussion and Debate
Course Director: Jeffrey Ecker, MD
Learning Objectives
• To consider and define ethical issues and principles surrounding the
process of delivery
• To consider the moral status of the fetus and how such considerations
inform approaches to research and innovative care in pregnancy
• To examine ethical principles and legal precedent involved in court-ordered
interventions during pregnancy
• To explore ethical dilemmas in prenatal diagnosis
Course Schedule:
8:00–8:05am Welcome and Introduction: Check Your Weapons but Not Your
Arguments at the Door
Jeffrey Ecker, MD
Topic I: What To Do About Delivery?: Moral
Dilemmas and the Process of Birth
8:00–8:40am TOLAC and Home Birth: Two Peas in an Ethical Pod?
Jeffrey Ecker, MD
8:40–9:15am Decisions at the Limits of Viability: Who Decides What? And
When?
Ruth Farrell, MD
9:15–9:30am Questions and Debate: Topic 1
Topic II: What Does an Ethicist Think of a
Fetus?
9:30–10:00am Moral Status of a Fetus: Models and Dilemmas
Howard Minkoff, MD
10:00–10:30am Break
10:30–10:50am Innovation and Research in Pregnancy:
The Example of Maternal-Fetal Intervention
Elena Gates, MD
10:50–11:10am Court Ordered Interventions in Pregnancy: Good? Bad? Ugly?
Jennifer Dunn, JD
11:10–11:30am Questions and Debate: Topic II
11:30am–12:00pm Ask the Ethicists: Attendees are encouraged to bring cases
and ethical dilemmas for brief discussion by the faculty and
audience
Moderator: Jeffrey Ecker, MD
12:00pm–1:00pm Lunch
Topic III: Prenatal Diagnosis: A Moral Morass?
1:00–1:35pm New Technologies, New challenges: Disclosure, Counseling
and Collaborative Decision-Making
Elena Gates, MD
1:35–2:10pm Picking Pink or Blue: A Debate on Sex Selection
Howard Minkoff, MD; Ruth Farrell, MD
2:10–2:30pm Questions and Debate: Topic III
14. Prenatal Genetics: Out with the Old, In with the New
Course Directors: Anthony Gregg, MD and Brian Shaffer, MD
Learning Objectives
• Distinguish between disease specific and genome wide arrays and
understand the pros and cons of each
• Understand the clinical value of array CGH compared with the standard
karyotyping in the prenatal setting
• Develop and approach to counseling patients with array CGH results that
includes variants of uncertain significance
• Recognize the pros and cons of expanded carrier screening in the prenatal
setting
• Discuss the role of non-invasive prenatal diagnosis for aneuploiody
screening and how this technology changes the current paradigm
Course Schedule:
8:00–8:05am Introduction
Anthony Gregg, MD and Brian Shaffer, MD
8:5–8:40am Microarray technology: a foundation
Ignatia Van den Veyver, MD
8:40–9:20am NIH trial - time to abort STD karyotype?
Ron Wapner, MD
9:20–9:40am Microarray cases and Bioinformatics
Anthony Gregg, MD
9:40–10:00am Expanded carrier screening – why bother?
Brian Shaffer, MD
The Society for Maternal-Fetal Medicine • www.smfm.org | 5

Wednesday, February 13, continued
10:00–10:30am Break
10:30–10:50am Expanded carrier screening – why not?
Anthony Gregg, MD
10:50–11:30am NIPD technologies – Same horse different color?
Ignatia Van den Veyver, MD
11:30am–12:00pm NIPD – Enterprise, Data and Reports
Mary Norton, MD
12:00–1:00pm Lunch
1:00–1:20pm 1 st trimester screening – gone but not forgotten
Ron Wapner, MD
1:20–1:50pm Putting it all together – clinical scenarios
Brian Shaffer, MD
1:50–2:30pm Questions and Answers
Panel
15. Obstetrical Debates: Do As We Say and As We Do
Course Director: Andrew W. Helfgott, MD, MHA
Learning Objectives
• Understand the changing maternal and neonatal risks by week of gestation
in term pregnancies.
• Compare induction of labor to the appropriate comparison group of
expectant management in terms of maternal and neonatal outcomes
• Understand Recommendations behind Thyroid Screening In pregnancy
• Detail outcomes for routine thyroid screening versus sreening patients who
are symptomatic
• Understand the Dilemas and Complications Associated with Delivery of
Twins
• Delineate the risks for delivery of Twin Gestation
• Understand the Economics associated with the the practice of MFM
• Compare the Economies of Full Service MFM vs Consultative Practice
• Compare the Different Nomenclatures for Electronic Fetal Heart Rate
Monitoring
• Understand the Rationaled for NICHD Fetal Heart Rate Classification
Course Schedule:
8:00–8:10am Introduction of Ground Rules
Andy Helfgott, MD, MPH
Optimal Time for Delivery: 39 Weeks Or Sooner
8:10–8:30am No Baby Before 39 Weeks
Brian Oshiro, MD
8:30–8:50am Wait Till 39 Weeks and It May be Too Late
Aaron Caughey, MD
8:50–9:05am Discussion
Questions and Answers
Audience Response
Helfgott, MD, MPH; Brian Oshiro, MD; Aaron Caughey, MD
Thyroid Screening in Pregnancy
9:05–9:25am Routine Screening: Not Something you should do!
Brian Casey MD
9:25– 9:45am Screen Them All: It Does Make a Difference
Margarita de Veciana, MD
9:45–10am Discussion
Questions and Answers
Audience Response
Andy Helfgott, MD, MPH; Brian Casey, MD;
Margarita de Veciana, MD
10–10:30am Break
Management of Twin Gestation:
This is How We Do It
10:30–11am Twins Gestation: Really This is How We Do It
Ed Yeomans, MD
11:00–11:30am Twin Gestation: No This Is How We Do It
Mary D’Alton, MD
11:30–11:45am Discussion
Questions and Answers
Audience Response
Andy Helfgott, MD, MPH; Ed Yeomans, MD;
Mary D’Alton, MD
11:45am–12:00pm Wrap-up
Andy Helfgott, MD, MPH and Faculty
12:00–1:00pm
1:00–1:20pm
1:20–1:40pm
1:40–1:50pm
1:50–2:20pm
2:20–2:40pm
2:40–3:00pm
Lunch
MFM Full Service or Consultative Only. What Should I do?
Full Service MFM-Everything to Everyone
Andy Helfgott, MD, MPH
Consultative MFM Only: Wiser Use of Resources
Brian Iriye, MD
Discussion
Questions and Answers
Audience Response
Dan O’Keeffe, MD; Andy Helfgott, MD, MPH; Brian Iriye, MD
Electronic Fetal Heart Rate Interpretation
Category II FHR Tracings: This is Good for Nomenclature but
is it Good for Management?
Tom Garite, MD
In Defense of the of the NICHD 3-Tier FHR Classification
System
Sean Blackwell, MD
Discussion
Questions and Answers
Audience Response
Andy Helfgott, MD, MPH; Tom Garite, MD; Sean Blackwell, MD
Oral Presentations and Poster Sessions
A total of 86 oral presentations will be given during the Plenary Sessions and
the Concurrent Sessions. You will have the opportunity to view 750 poster
presentations over the course of the five Poster Sessions.
Scientific Forums
Scientific Forums focus on scientific subject areas within the specialty, academic
areas immediately related to MFM, and the technologies that support MFM
practice. Meeting agendas are detailed on the SMFM web site at www.SMFM.org.
Wednesday, February 13, 3:00pm–various
Critical Care Cornelia Graves, MD (2012-2013)
Diabetes Arnon Wiznitzer, MD (2012-2013)
DoD MFM Network Linda Chan, MD (2012-2013)
Fetal Cardiology Wesley Lee, MD (2013-2014)
Genetics
Global Health
Susan Tran, MD & Jeffrey Kuller, MD
(2013-2014)
Tom Ivester, MD & Dotun Ogunyemi, MD
(2012-2013)
Hypertension Douglas Woelkers, MD (2013-2014)
Infections and Inflammation
in Pregnancy
International SPO
Kim Fortner, MD (2013-2014)
Federico Mariona, MD
Maternal-Fetal Surgery Ruben Quintero, MD (2012-2013)
Pregnancy as a Window to
Future Health
George Saade, MD (2011-2013)
Preterm Labor James Kurtzman (2013-2014)
Perinatal Epidemiology
Alison Cahill, MD & Sindhu Srinivas, MD
(2013-2014)
Research Support Michelle DiVito (2013-2014)
Simulation in Pregnancy Dena Goffman, MD (2013-2014)
Toxicology in Pregnancy
Jorge Tolosa, MD (2012-2013)/David
Stamillio (2014-2015)
Ultrasound Jodi Dashe, MD (2013-2014)
Thursday, February 14, 5:30 – 7:30pm
Scientific Presentations of the
International Society of Perinatal
Obstetricians
Uwe Lang, MD - President
6 | The Society for Maternal-Fetal Medicine • www.smfm.org

Special Focus Groups
Thursday, February 14, 11:30am–1:00pm
Research Support Personnel Box Lunch Meeting, Michelle DiVito
Topic
TBD
Speaker: TBD
Department of Defense (DoD) MFM Network, Linda Chan, MD
Topic
Contemporary labor management- new insights and unanswered questions
Speaker: George Macones, MD, St. Louis, MO
Meeting Location and Accomodations
Hilton San Francisco Union Square
Toll Free Reservations: 1 800-HILTONS
333 O’Farrell Street
San Francisco, CA, United States 94102
Telephone: 415-771-1400 Fax: 415-771-6807
www.HILTON.com
Located just off Union Square and the Cable Cars in the heart of the city’s
restaurant, theater, and shopping districts, you can enjoy the world-famous sites
of Union Square, Golden Gate Park and Chinatown. This San Francisco hotel
offers a full-service spa, luxury and expert service and hospitality in the heart of
the city!
To receive the special group rate, reservations must be made by January 10,
2013. Reservations, room cancellations, and any special arrangements must be
handled directly with the hotel. When making your reservations, please state
you will be attending the SMFM 33rd Annual Meeting to insure you receive
the special group rate. Reserve your room early – group rates are based upon
availability.
New Events
MFM Fellowship Program Directors Retreat
Tuesday, February 12, 7:30am – 6:00pm
Goals:
• To provide an overview of ABOG’s infrastructure, function, and requirements
• To discuss approaches to improve academic and clinical training in MFM
• To improve training in maternal medicine
• To provide a forum to discuss administrative challenges and methods for
streamlining
• To provide a forum to share ideas among program directors
Residents Forum
Wednesday, February 13, 3:00 – 5:00pm
Objectives
• Increase understanding among residents about what MFM fellowships entail.
• Encourage Ob/Gyn residents to apply for MFM fellowships.
• Familiarize residents with the application process.
Combined MFM/Genetics Fellows Breakfast
Friday, February 15, 7:00 – 8:00am
Social Events
An Opening Reception combined with the opening of the Exhibits will be held
on Wednesday, February 13, from 6:00 – 8:00pm, providing an opportunity for all
attendees to meet and mingle informally over drinks and light hors d’ouevres.
For the fourth year, there will be a silent auction to benefit the Pregnancy
Foundation! The Opening Reception is the place to be for all meeting attendees
and we encourage attendees and exhibitors alike to participate in the SMFM
Foundation’s silent auction. The Foundation is looking for donations such as
jewelry, gift certificates, wine, electronics, art, memorabilia, tickets, appliances,
and other luxury items! Consider asking your suppliers or favorite local
businesses to donate items. Last year generous donors contributed their time
and effort to making the silent auction a rousing success, and we are looking
forward to another wonderful year! To make a contribution to the silent auction,
or if you have any questions, please contact Sarah Kyger at skyger@smfm.org.
New! The Pregnancy Foundation is hosting a 40th Anniversary Dinner
celebrating Dr. Edward Quilligan and the Founders of MFM. The dinner,
with live entertainment, will be held on Thursday, February 14 in the Imperial
Ballroom from 7:30pm – 10:30pm. Space is limited so buy your ticket now!
Contact Sarah Kyger at 202-314-2307 or skyger@smfm.org for ticket information.
On Thursday, February 14, from 6:30– 7:30pm, there will be a reception for MFM
Fellows-in-training. This event is by invitation only and will immediately follow
the Associate Member’s meeting which will be held from 6:00 – 6:30pm.
On Friday night, from 6:30 – 7:00pm, the President’s Award Ceremony is an
opportunity to welcome the SMFM’s newest Honorary Member, Achievement
Award recipient, Pregnancy Foundation/AAOGF Scholarship Award winner, and
to cheer as the best oral and poster presentations (as judged through Friday)
are announced. The President’s Award Ceremony will immediately follow the
presentation by 2013 Honorary Member Dr. Michael Lu (5:45 – 6:30pm) and the
second annual “Late-Breaking Research” presentations (5:15 – 5:45pm).
Exhibits
Located in Grand Ballroom B adjacent to the poster presentations, and the West
Lounge between the Yosemite registration area and the Continental ballrooms,
the Industry Exhibits are designed to inform attendees about commercially
available products and services that are related to maternal–fetal medicine. The
SMFM values the educational contribution made by our Industry Exhibitors and
encourages you to attend this important part of the meeting.
Exhibit Days, Dates and Times
Wednesday, February 13, 2013
6:00pm–8:00pm (with Opening Reception)
Thursday, February 14, 2013
10:00am–1:00pm
3:30pm–5:30pm
Friday, February 15, 2013
10:00am–1:00pm
3:30pm–5:30pm
Exhibits Open on Wednesday Evening!
In 2013, the opening of the exhibits will be combined with Wednesday evening’s
Opening Reception in the Grand Ballroom. Once again for the 2013 exhibit
portion of the meeting is the Exhibit Passport Program where attendees receive
“passports” at registration and obtain an exhibitor stamp at each booth they
visit. Once they obtain stamps from at least 20 different exhibitors, they can
enter for prize drawings. Prize offerings include electronics, software, and
meeting registrations. This is the only national meeting where you will have
the opportunity to see new services, equipment, and technologies especially
showcased for maternal-fetal medicine subspecialists.
Meeting Cancellation Policy
Written cancellations postmarked by January 18, 2013 will be refunded
less a $75.00 processing fee. REFUNDS WILL NOT BE MADE FOR
CANCELLATIONS RECEIVED AFTER THAT TIME. All refunds will be issued
after the meeting.
Additional Information
Registration fees for the Scientific Sessions include Continental breakfast and
breaks. The Wednesday Evening Reception and Friday’s President’s Award
Ceremony are open to you and your spouse/guest. Back by popular demand
are the Luncheon Roundtables, featuring presentations by authorities in the
specialty. Topics will cover current controversies and concerns in Maternal-Fetal
Medicine. Attendance at each session is limited, so pre-registration is essential.
The registration fee for the Roundtable Luncheons includes a box-lunch,
beverage, handout, and the opportunity to hear some of the most respected
names in MFM discuss today’s “hot button” issues.
Electronic Posters
Electronic posters will be available for viewing throughout the meeting in the
Yosemite Foyer. Come by to see this addition to the SMFM Annual Meeting.
Register Online and Save!
Register Online and avoid late/onsite registration fees!
Register online at www.smfm.org. Registering online is
fast, easy, and secure. SMFM accepts Visa, MasterCard
and American Express for online registration.
Reminder
If you are registering with the enclosed registration form, you must send a
separate form for each individual attending. To ensure your registration
information is processed correctly please TYPE or PRINT LEGIBLY.
You are encouraged to register in advance for all sessions. Space is limited in
the postgraduate courses, workshops and symposia, special interest groups,
and luncheon roundtables and registration is on a first come, first serve basis. In
addition, those registering after January 18, 2013 pay an additional $150 for late/
onsite registration.
The Society for Maternal-Fetal Medicine • www.smfm.org | 7

SMFM 33rd Annual Meeting-at-a-Glance
Monday, February 11
REGIStratION
7:00am–10:00am
Noon–5:00pm
Clinical Applications of Fetal
Echocardiography
8:00am–5:00pm
Putting the “M” Back in
Maternal-Fetal Medicine
8:00am–5:00pm
What’s a Woman to Do:
Assessing the Pregnant Cervix
in 2013
8:00am–5:00pm
Debate on Research Funding for
the Young and the Restless
8:00am–5:00pm
Tuesday, February 12
REGIStratION
7:00am–5:00pm
MFM Fellowship Program
Directors Retreat
7:30am–6:00pm
Ultrasound Controversies:
Many Shades of Gray
8:00am–5:00pm
Fetal Therapy: Debates and
Details
8:00am–5:00pm
Maternal Health: Shifting the
Paradigm
8:00am–5:00pm
Hands-On MFM Simulation
8:00am–5:00pm
Periviable Birth NICHD/
SMFM/ ACOG/AAP Workshop
12:00pm–6:00pm
Gray and Green Journals
Reviewer Course
5:00pm–7:00pm
Wednesday, February 13
REGIStratION
7:00am–5:00pm
Periviable Birth
NICHD/SMFM/
ACOG/AAP Workshop
8:00am–2:45pm
Substance Abuse: Every
Clinician’s Problem
8:00am–2:30pm
Ethics in Perinatology: A Day
of Dilemmas, Discussion and
Debate
8:00am–2:30pm
Prenatal Genetics: Out with the
Old, In with the New
8:00am–2:30pm
Obstetrical Debates: Do As We
Say and As We Do
8:00am–2:30pm
Scientific Forums
3:00pm–various
Resident Forum
3:00pm–5:00pm
Program Directors Meeting
5:00pm–6:30pm
Opening Reception
and Opening of Exhibits
6:00pm–8:00pm
Thursday, February 14
REGIStratION
7:00am–5:00pm
Continental Breakfast
7:00am–7:45am
Oral Plenary Session I
8:00am–10:00am
Poster Session I
10:00am–Noon
& Exhibits
10:00am–1:00pm
Research Support Personnel
Box Lunch Meeting
11:30am–1:00pm
DoD MFM Network
Box Lunch Meeting
11:30am–1:00pm
Luncheon Roundtables
12:00pm – 1:00pm
Oral Concurrent Sessions I, 2
and 3
1:15pm–3:30pm
Poster Session II and Exhibits
3:30pm–5:30pm
ISPO Scientific Presentations
5:30pm–7:30pm
Fellows Forum
5:30pm–6:00pm
Associate Members Meeting
6:00pm–6:30pm
Meet the Fellows Reception
Invitation only
6:30pm–7:30pm
The Pregnancy Foundation’s
40th Anniversary MFM
Quilligan Scholars Dinner
Ticketed Event
7:30pm–10:30pm
Friday, February 15
REGIStratION
7:00am–5:00pm
Members Forum with SMFM
Board and Committee Chairs
with Continental Breakfast
7:15am–8:00am
Oral Plenary Session II
Fellows
8:00am–10:00am
Poster Session III
10:00am–Noon
& Exhibits
10:00am–1:00pm
Luncheon Roundtables
12:00pm – 1:00pm
Oral Concurrent Sessions 4, 5
and 6
1:15pm–3:30pm
Poster Session IV and Exhibits
3:30pm–5:30pm
Late Breaking Research
Presentations
5:15pm–5:45pm
Honorary Member Presentation
5:45pm–6:30pm
President’s Awards Ceremony
6:30pm–7:00pm
Saturday, February 16
REGIStratION
7:00am–Noon
Oral Concurrent Sessions
7 and 8
8:00am–10:00am
Poster Session V
10:00am–Noon
Future Meeting Dates
34 th Annual Meeting
The Pregnancy Meeting
February 1 – 8, 2014
Hilton New Orleans
New Orleans, LA
36 th Annual Meeting
The Pregnancy Meeting
February 1 – 6, 2016
Hilton Atlanta
Atlanta, GA
Society for
Maternal-Fetal Medicine
409 12 th Street, SW
Washington, DC 20024
www.SMFM.org
35 th Annual Meeting
The Pregnancy Meeting
February 2 – 7, 2015
Hilton San Diego Bayfront
San Diego, CA