From the Secretary desk

Dear POGSians,
Season’s Greetings!
With the 71st Independence Day celebrations and monsoon resurfacing we started off the month well although heavy rains in Mumbai with tragic loss of one of our own fraternity dampened the spirits and faith in our civic amenities.

On the academic front, we had a one day lactation and contraception workshop which was hugely appreciated. This workshop was ably convened by Dr Mangala Wani with 2 MMC credit points. It was a program by POGS and was totally free. The response was so huge that though unwilling we had to stop the registration one day prior due to the limitation of hall size.

As we are a socially committed organization, we also had 2 community programs which were public programs, oordinated and conducted by Dr Aruna Oza. These were held at Lohiya nagar and Ganesh Nagar with aanganwadi workers and ended on a good note with a satisfying feel of something giving back to the society selflessly.

We also witnessed another very successful program under the leadership of dynamic Dr Bharati Dhorepatil, “Fertitech” at Hotel Hyatt on 2 nd /3 rd of September. This national conference of Indian Fertility Society in association with POGS was hugely appreciated for its content and comprehensive presentation and was attended by more than 400
registered delegates.

Moving on to our future programs, the rotating trophy event will be held on 20 th of September 2017 at Hotel Grand Sheraton. This is an interesting event where all the PG students vying for this coveted trophy put in their best. I hope to see you all in large numbers to cheer up our young battalion.

We are all set to come out with our first look brochure of 26 th Annual Conference scheduled on 11/12 November 2017 at hotel Westin. There will also be a pre- conference workshop on ultrasound and a live surgical workshop on endoscopy. The details will be displayed on POGS website closer to the date. Please go on to www.pogs.in for updated
information.

We are privileged to host AMOGS 2018 at Pune, Hotel Westin on 10 th /11 th /12 th of February 2018. Our website for this program is under process and will be announced soon.

The annual General Body meeting of Pune Obstetrics and Gynecological society will be held on 22 nd of Sept at our POGS office, IMA house, Tilak Road between 9.30-10.30 pm. Please find it convenient to attend. The agenda is enclosed for your reference.

Before I finish, there is some more information to share. There are two awards for our own POGS members which will be presented during the annual conference to the deserving members.
1. Dr Smita Jog award for having worked in ‘adolescent health’.
2. Dr Shirish Daftary award for having published a scientific paper.

The interested POGS members can submit their scientific publication or information about adolescent health activities no later than 15th Oct ‘2017 to be eligible for these prestigious awards.

Last but not the least, I am getting excellent feedback for the quiz in the monthly mailing. Thank you for appreciating the efforts .This month’s quiz is on ectopic pregnancy. Enjoy solving!

So Long!!
Yours
Meenu Agarwal
Hon Gen Sec POGS


Notice

for

Annual General Body Meeting of the Pune Obstetrics and Gynecological Society 2017

The Annual General Body Meeting 2017 of the Pune Obstetrics and Gynecological Society will be held on Friday, September 22, 2017 between 9:30pm and 10:30pm at POGS office, Dr Neetu Mandke IMA House, 992 Shukrawar Peth, Tilak Road, Pune.


QUIZ TIME

Mark the statement true or false
There can be more than one right answer. Mark true and false from all options.

With regards to the surgical management of ectopic pregnancy:
  • The RCOG recommends salpingectomy on the side of the ectopic pregnancy if the contralateral tube is healthy.
  • Future pregnancy rates are higher when salpingotomy is performed compared to salpingectomy.
  • The RCOG recommends sapingotomy on the side of the ectopic pregnancy if the contralateral tube is diseased.
  • The risk of recurrent ectopic pregnancy is more with salpingectomy compared to salpingotomy.
Answer

Correct answers:

A. True.
B. False. The pregnancy rates are similar for both salpingectomy and salpingotomy.
C. True.
D. False. The risk of recurrent ectopic pregnancy is greater with salpingotomy than
with salpingectomy. The general risk of recurrent ectopic pregnancies following an
ectopic pregnancy is around 10%. The risk of recurrent ectopic following
salpingotomy is 20%.
RCOG Green top guideline no 21. Management of tubal pregnancy : RCOG Press,
2004.

With regards to methotrexate in the treatment of ectopic pregnancy:
  • It is highly effective in treating ectopic pregnancy because proliferating trophoblastic tissue is very sensitive to the action of this drug.
  • Single dose regimens are as effective as multiple regimens with fewer side effects.
  • There is an increase in the rate of miscarriage following treatment with methotrexate for ectopic pregnancy.
  • It can be safely used in women with hepatic dysfunction.
Answer

Correct Answers:

A. True. The indications include small (<3.5cm) unruptured ectopic pregnancy in an
asymptomatic , hemodynamically stable woman and persistent trophoblastic
disesase.
B. True. The success rate after a single dose is upto 94%. When resolution is not
attained with a single dose, a second dose may be administered which increases the
success rate to almost 98%.

C. False. There is no increase in either rate of miscarriage or congenital anomalies
following treatment with methotrexate for ectopic pregnancy. However, women
should be advised to avoid pregnancy for 3 months and use reliable form of
contraception as methotrexate is an antifolate.
D.False. Methotrexate is hepatotoxic and nephrotoxic. It can cause
myelosuppression leading to neutropenia and thrombocytopenia. Therefore, baseline
blood tests in the form of full blood count, liver and renal function tests should be
done before initiating treatment with this drug. The patient should be reliable and
compliant in order to monitor during therapy with repeat blood tests and symptom
review . Anti D immunoglobulin should be given for Rh negative women.
RCOG Green top guideline no 21. Management of tubal pregnancy : RCOG Press,
2004.