Pre-Congress Workshops

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Half Day

Stuck At The Finish Line: Mastering The Second Stage Caesarean Delivery

Intrapartum Obstetrics – Caesarean Section

Facilitators: F Khan, L de Waard, W van der Westhuizen
Faculty: Dr F. Khan, Dr L de Waard

Registration Category	Workshop Fee
SASOG Member Specialist	R2500.00
Non Member Specialist	R3125.00
Registrars, GP’s & Pensioners	R2250.00

Summary

Globally, a spotlight is being placed on difficult caesarean deliveries and particularly caesareans complicated by an impacted fetal head. When the fetal head is low and wedged in the maternal pelvis, the risk of maternal and fetal complications increase. During this hands-on workshop, we will be discussing evidence based techniques to assist with disimpaction as well as running practical drills to familiarise the participants with these techniques.

A practical.

Objectives:

Recognise early when a second-stage caesarean section is likely to be complex, and demonstrate appropriate preparation, team communication, and choice of delivery strategy to optimise maternal and neonatal safety.
Safely perform and assist with key techniques for delivery of the impacted fetal head at second-stage caesarean section (including push, reverse breech extraction, and alternative manoeuvres), using correct hand placement and force vectors on simulation models.
Identify and minimise common maternal and neonatal complications associated with second-stage caesarean delivery, including uterine extensions, haemorrhage, and neonatal trauma, and outline immediate management steps when complications occur.

Programme

Time	Session
08:00–08:30	Registration
08:30–08:40	Welcome
08:40–09:20	Main Lecture
09:20–09:30	Video Demonstration
09:30–11:00	Practical Hands-On Simulation (3x30min stations)
11:00–11:15	Tea Break
11:15–11:45	Integrated Scenario, Including WHO Checklist with Anaesthetist and Midwife
11:45–12:20	Debrief and Questions
12:20–12:30	Thanks and Closing

Individual Registration Group Registration