B A OOK OF BSTRACTS INSTITUTE OF OBSTETRICIANS & GYNAECOLOGISTS, RCPI FOUR PROVINCES MEETING JUNIOR OBSTETRICS & GYNAECOLOGY SOCIETY ANNUAL SCIENTIFIC MEETING ROYAL ACADEMY OF MEDICINE IN IRELAND ANNUAL CLINICAL REPORTS FRIDAY, 28 NOVEMBER 2014 TH ROYAL COLLEGE OF PHYSICIANS OF IRELAND NO 6 KILDARE STREET, DUBLIN 2 The Institute Four Province, JOGS & RAMI Meeting WELCOME Dear friends and colleagues, On behalf of the Institute of Obstetricians and Gynaecologists in Ireland, The Junior Obstetrics and Gynaecology Society (JOGS) and the Royal Academy of Medicine in Ireland (RAMI) welcome to this year’s scientific meeting. This year we had the highest number of abstract submissions since the JOGS meetings began 26 years ago. We would like to thank everyone who submitted their work for consideration and acknowledge the quality of research taking place in Irish hospitals. We would also like to thank the reviewers for taking the time to judge the abstracts and presentations here today. The afternoon session will commence with a focus on safety and quality assurance issues. We welcome Dr Tim Hillard, Consultant Obstetrician & Gynaecologist in Poole Hospital Foundation Trust who will present on the importance of surgical audit. This is followed by a presentation by Dr Kim Hinshaw a Consultant Obstetrician & Gynaecologist at Sunderland Royal Hospital and Director of Research & Innovation for the Trust. As the past- Chairman of the ALSO UK Board, and a member of the MOET UK Working Group, he is well placed to talk on human factors training in the labour ward. Following this, will be a multidisciplinary presentation on management of HIV and HSV in pregnancy, launch of new guidelines on these topics and a case-based discussion on challenging aspects of perinatal infectious disease management. The panel will include Obstetrics, Dr Nicola Maher, Paediatrics, Dr Wendy Ferguson and Prof Karina Butler and Dr Fiona Lyons, GU/HIV Medicine. The RAMI Reports meeting welcomes Professor Patricia Crowley and Professor Tom Matthews who will present their review of the 2013 maternity reports followed by an opportunity for each of the Masters and Clinical Director to present on the outcomes and challenges detailed in the reports. As always, we are expecting an informative review of the high quality of obstetric and neonatal care provided in our maternity hospitals. We look forward to seeing as many of you as possible at this year’s Annual Dinner and Awards ceremony. This meeting could not happen without the financial assistance of ours sponsors and we would like to take the opportunity to thank them for their ongoing support. Kind regards, Dr Jennifer Donnelly Dr Vicky O’Dwyer Dr Aoife Mullally Convenor of Meetings Chair of JOGS RAMI The Institute Four Province, JOGS & RAMI Meeting T C ABLE OF ONTENTS The Institute Four Province, JOGS & RAMI Meeting ORAL PRESENTATIONS CUSTOMISATION OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME CRITERIA FOR THE DIAGNOSIS OF MATERNAL SEPSIS Lead Presenter: Patrick J Maguire p. 1 Bladder and bowel function post vaginal surgery: how are we doing? Lead Presenter: Azriny Khalid p. 2 COMPARING THE TRIAGING OF GYNECOLOGY REFERRALS BY DIFFERENT GYNECOLOGIST Lead Presenter: Somaia Elsayed p. 3 ENDOMETRIAL CANCER IN A TERTIARY REFERRAL CENTRE - A FIVE YEAR REVIEW Lead Presenter: Zara Fonseca-Kelly p. 4 ENVIRONMENTAL AWARENESS: EVALUATION OF A PROCESS-BASED INDUCTION PROGRAMME FOR OBSTETRIC EMERGENCIES Lead Presenter: Aoife McTiernan p. 5 A REVIEW OF INTRA-PARTUM PYREXIA AT THE NATIONAL MATERNITY HOSPITAL (NMH), DUBLIN Lead Presenter: Ogugua Iloabachie p. 6 TISSUE FACTOR INHIBITOR 2 (TFPI-2) IN CLEAR CELL CANCER AND BENIGN OVARIAN TUMOURS Lead Presenter: Audris Wong p. 7 ENDOMETRIAL CANCER IN OLDEST AGE: CHALLENGES AND TREATMENT APPROACHES Lead Presenter: naomi burke p. 8 MMPS AND IL-6 AS POTENTIAL BIOMARKERS FOR ENDOMETRIOSIS Lead Presenter: Katie Field p. 9 The Institute Four Province, JOGS & RAMI Meeting HUMAN EPIDIDYMIS PROTEIN 4 (HE4) COULD DISCRIMINATE COMPLEX ATYPICAL HYPERPLASIA FROM ENDOMETRIAL CARCINOMA Lead Presenter: Rizmee Shireen p. 10 MID-TRIMESTER RUPTURE OF MEMBRANES: A CLINICAL REVIEW Lead Presenter: Amy Claire O'Higgins p. 11 DRILLING IN A MINEFIELD ! - ELECTROMECHANICAL MORCELLATION - AN IRISH PERSPECTIVE Lead Presenter: Edward Corry p. 12 Perinatal outcomes for couples who suffer from recurrent miscarriage: A high risk pregnancy group Lead Presenter: Katie Field p. 13 WHAT'S TO BLAME FOR THE PAIN? A RARE CASE OF LOWER ABDOMINAL PAIN IN PREGNANCY Lead Presenter: Sarah Marie Nicholson p. 14 THE RELATIONSHIP BETWEEN GESTATIONAL WEIGHT GAIN AND GESTATIONAL DIABETES MELLITUS Lead Presenter: Lisa O'Higgins p. 15 PLACENTAL CAUSES OF PERINATAL DEATH AND THEIR CONTRIBUTION TO THE INSTITUTIONAL PERINATAL MORTALITY RATE Lead Presenter: Eibhlín Healy p. 16 KNOWLEDGE OF, ATTITUDES TOWARD, BEHAVIOURS RELATING TO VITAMIN D IN A COHORT ATTENDING FOR SUBFERTILITY TREATMENT IN DUBLIN, IRELAND Lead Presenter: Grace Neville p. 17 PERINATAL OUTCOMES OF REDUCED FETAL MOVEMENTS: A PROSPECTIVE COHORT STUDY Lead Presenter: Claire M McCarthy p. 18 The Institute Four Province, JOGS & RAMI Meeting TRENDS IN VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) IN TWO LARGE IRISH MATERNITY HOSPITALS Lead Presenter: Éanna Ryan p. 19 LEARNING FROM EXPERIENCE: DEVELOPMENT OF A COGNITIVE TASK LIST TO PERFORM A CAESAREAN SECTION IN THE SECOND STAGE OF LABOUR Lead Presenter: Sorca O' Brien p. 20 MODE OF DELIVERY OPTIONS IN TWIN GESTATIONS WITH A PREVIOUS CAESAREAN SECTION Lead Presenter: Niamh Joyce p. 21 The Impact of Preanalytic Glucose Sample Handling when Screening Obese Women for Gestational Diabetes Mellitus Lead Presenter: Niamh Daly p. 22 The Cost Of Screening For Diabetes Is Just The Tip of The Iceberg... Lead Presenter: niamh maher p. 23 POSTERS A single centre experience of "Elevate" transvaginal mesh for vaginal prolapse Lead Presenter: Hala Abu Subeih p. 24 PRETERM PLACENTAL ABRUPTION: INCIDENCE, RISK FACTORS AND CLINICAL IMPLICATIONS Lead Presenter: sahar ahmed p. 25 AUDIT OF ANTENATAL CORTICOSTEROIDS ADMINISTRATION IN PRETERM DELIVERED PREGNANCIES Lead Presenter: Sara Ahmed p. 26 CATEGORY OF CAESAREAN VERSUS MODE OF ANAESTHESIA Lead Presenter: Sara Ahmed p. 27 The Institute Four Province, JOGS & RAMI Meeting The positive association between sleep and behaviour on maternal health Lead Presenter: Kate Ainscough p. 28 AN AUDIT OF MANAGEMENT OF HYSTEROSCOPIC DISTENDING MEDIA Lead Presenter: Breffini Anglim p. 29 SUBMUCOSAL UTERINE FIBROID PROLAPSE Lead Presenter: Breffini Anglim p. 30 RIGHT OVARIAN CYST AUTOAMPUTATION Lead Presenter: Breffini Anglim p. 31 Screening for Gestational Diabetes – The patient's perspective Lead Presenter: Sami Backley p. 32 AN AUDIT OF PREGNANT PATIENTS ADMITTED TO BEAUMONT HOSPITAL IN 2013 PRIOR TO THE INTRODUCTION OF THE IRISH MATERNAL EARLY WARNING SCORE (IMEWS) Lead Presenter: Helena Bartels p. 33 FOLLOW UP OF WOMEN UNDERGOING MEDICAL MANAGEMENT OF MISCARRIAGE Lead Presenter: katie beauchamp p. 34 DIAGNOSIS OF SEVERE FETOMATERNAL HEMORRHAGE: PERSONAL EXPERIENCE AND SYSTEMATIC REVIEW Lead Presenter: Federica Bellussi p. 35 AN EXAMINATION OF INDUCTION PROTOCOL AND TIME OF DELIVERY Lead Presenter: Dr Marie Bourke p. 36 THE RELATIONSHIP BETWEEN NEONATAL ADIPOSITY AND HYPOGLYCAEMIA Lead Presenter: Anthony Breen p. 37 ACUTE ONSET HORNER'S SYNDROME POSTNATALLY Lead Presenter: Michael Carey p. 38 The Institute Four Province, JOGS & RAMI Meeting AN UNUSUAL CERVICAL TOMOUR :RELAPSE OF ACUTE MYELOID LEUKAEMIA (AML) Lead Presenter: Vicki Collins p. 39 ENDOMETRIAL CARCINOMA 14 YEARS AFTER HYSTERECTOMY Lead Presenter: Vicki Collins p. 40 PERINEAL TEAR AND EPISIOTOMY INFECTION STUDY Lead Presenter: Laura Corkery p. 41 PROTECTING THE PROFESSIONAL - AN AUDIT OF CONSENT IN A TERTIARY CENTRE Lead Presenter: Edward Corry p. 42 SEX AFTER VAGINAL SURGERY: FOR BETTER OR FOR WORSE? Lead Presenter: Simon Craven p. 43 ANTENATAL DISCUSSION OF THE RISKS AND BENEFITS OF VBAC AND ERCS Lead Presenter: David Crosby p. 44 OBSTETRIC AND NEONATAL CHARACTERISTICS OF PREGNANCY AND DELIVERY FOR INFANT BIRTHWEIGHT ≥5.0kg Lead Presenter: David Crosby p. 45 WCC IN FIRST TRIMESTER AND RISK OF HYPERTENSIVE DISORDERS Lead Presenter: Genevieve Crudden p. 46 Is there a place for pre-pregnancy cervical length scanning? Lead Presenter: Nikita Deegan p. 47 A CASE OF PYOMYOMA: A RARE SOURCE OF POSTPARTUM SEPSIS Lead Presenter: Alison DeMaio p. 48 AN UNUSUAL CAUSE OF INTRAUTERINE DEMISE: A CASE FOR ROUTINE ANOMALY SCREENING? Lead Presenter: Alison DeMaio p. 49