This online self-paced comprehensive course explores the systematic approach to the ultrasound evaluation of uncomplicated multiple pregnancies and is tailored for medical professionals seeking in-depth knowledge and expertise in managing multiple gestations.

Overview

Course name: ATC6 Complications of monochorionicity
Duration of course: 8 hours (+ supplementary materials)
Length of access for each course: 12 months
Certificates: 8 CME credits and ISUOG Certificate of Completion
Access: Online learning, learn at your own pace.  
Education level: Advanced 
Program language: English

Suitable for: Practicing obstetricians, trainees, fellows, residents, radiographers, sonographers, GPs and healthcare professionals performing ultrasound scans. 

Purchase this course as a member

Members receive a discounted price for this course.

Purchase this course as a non-member

If you are not a member you can purchase this course if you subscribe to our newsletter.

 

Why do this course?

Understanding the systematic approach to ultrasound evaluation of uncomplicated multiple pregnancies is essential because it ensures consistent, thorough monitoring and early detection of potential issues, even in seemingly low-risk situations. A structured approach helps clinicians accurately assess fetal growth, amniotic fluid levels, and placental function, which are critical for identifying early signs of complications that may arise as the pregnancy progresses. Regular, systematic ultrasound evaluations enable timely interventions and appropriate management strategies, enhancing maternal and fetal outcomes. Moreover, it provides a reliable framework for comparing results over time, facilitating better communication among healthcare providers and ensuring comprehensive prenatal care for both the mother and the fetuses.

Course description

This comprehensive course on Ultrasound in twin pregnancy is tailored for medical professionals seeking in-depth knowledge and expertise in managing multiple gestations. Throughout this program, participants will delve into crucial facets of multiple pregnancies, covering prevalence rates, zygosity, embryology, and pertinent risk factors. With a focus on ultrasound techniques, attendees will grasp the optimal timing for dating, and gain proficiency in determining chorionicity and amnionicity in twins, triplets, and higher-order multiple pregnancies. 

Emphasis is placed on screening methodologies for aneuploidy, structural abnormalities, preterm birth risk assessment, and identifying fetal growth restriction in multiples. Additionally, the significance of precise fetus labeling in multiple pregnancies will be underscored, enhancing diagnostic accuracy and clinical management. The course will also equip learners with the skills necessary for routine monitoring and management of uncomplicated multiple pregnancies, ensuring a comprehensive understanding of ultrasound applications in this specialized field.

Contributors to this course

Online course contributors: Andrew Cowling, Angela Ranzini, Lucas Trigo, Lina Youssef
Course materials: Professor Katia Bilardo, Professor Asma Khalil, Professor Liesbeth Lewi, Dr. Joanne Stone, Professor Jon Hyett, Professor Laurent Salomon, Professor Yves Ville, Professor Roberto Romero, Professor Lorraine Dugoff, Professor. Fabrico Silva da Costa, Professor Tuangsit Wataganara, Professor Hyun-Joo Seol, Dr. Conrado Coutinho, Miranda, J., M. Moussa, A. Christmas, K. Huebner, M. Cordoba, VC. Romero, ISUOG Practice Guidelines: role of ultrasound in twin pregnancy, ISUOG Practice Guidelines: role of ultrasound in screening for and follow-up of pre-eclampsia

Learning objectives

  • Grasp the prevalence, zygosity, embryological intricacies, and pertinent risk factors associated with multiple pregnancies.
  • Familiarize oneself with the optimal timing for accurate dating and proficiently determine chorionicity and amnionicity in twins, triplets, and higher-order multiple gestations utilizing ultrasound techniques.
  • Gain comprehensive insight into the screening processes for aneuploidy, structural anomalies, preterm labor risk, and fetal growth restrictions in multifetal pregnancies.
  • Recognize the significance of fetal labeling protocols in effectively managing multiple pregnancies.
  • Appreciate the necessity of routine monitoring protocols for uncomplicated multiple gestations, ensuring optimal maternal and fetal well-being throughout the course of pregnancy.

Key questions

  • What are the risk factors of multiple pregnancy? 
  • Why is it important to determine chorionicity and how does it differ from zygosity?
  • When should we date multiple pregnancies?
  • What are the types of twin, triplet, and quadruplet pregnancies and how should they be labelled?
  • How effective are we at screening for aneuploidy, structural abnormalities, preterm birth, and risk for fetal growth restriction in multiple pregnancies?
  • How should we monitor uncomplicated multiple pregnancies?

 

 

Prices

Prices for ISUOG members

ISUOG member  £75     
ISUOG member - with trainee/sonographer discount  £40
ISUOG member in middle-income setting  £40
ISUOG member in lower-resource setting  £10
 

Purchase this course as a member

Members receive a discounted price for this course.


Prices for ISUOG non-members*

Non-member £85     
Non-member - with trainee/sonographer discount  £50
Non-member in middle-income setting  £50
Non-member in lower-resource setting  £15

* Prices for non-members does NOT include ISUOG membership. Join as an ISUOG member first for discounted prices to our online training courses (allow 24 hours for systems to update).

Purchase this course as a non-member

If you are not a member you can purchase this course if you subscribe to our newsletter.


Trainees/residents and sonographers/radiographers

Proof of status: All trainees, residents, sonographers and radiographers will need to submit proof of their trainee, resident, sonographer or radiographer status by way of a letter from their Department or Institution. The letter must be in English and dated within the last 3 months and submitted by email to [email protected] along with the name of the course you wish to purchase.

Sonographer definition: A sonographer is a non-physician medical imaging professional who performs diagnostic medical sonography, or diagnostic ultrasound.

Trainee/resident definition: A trainee is a medical professional who is not yet fully qualified or practicing without supervision within their chosen specialty and in accordance with the relevant national regulatory authorities; a resident is in residency training which leads to specially or subspecialty) certification.

Low resource country discount

ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from low resource countries have the lowest purchase costs. ISUOG's low resource country list can be viewed here https://www.research4life.org/access/eligibility/.

No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.

Middle income country discount

ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from middle income countries have access to reduced purchase costs. ISUOG has identified the following countries whose economies fall within the middle income category as defined by the World Bank: American Samoa, Argentina, Brazil, Bulgaria, China, Costa Rica, Dominican Republic , India, Indonesia, Iran, Kazakhstan, Malaysia, Mexico, Philippines, Russia, Serbia, South Africa, Thailand, Turkey, Turkmenistan.

No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.

 

Further information

Accreditation and CME Credits

CME credits
The European Accreditation Council (EACCME) accredits this online course for Continuing Medical Education (CME). European CME credits (ECMEC®) will be awarded on successful completion of this course. Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.

CME Subcommittee
The CME Subcommittee oversees the CME requirements for our CME accredited courses.

Conflict of Interest
No commercial support has been accepted related to the development or publication of this course. This course underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the International Society of Ultrasound in Obstetrics & Gynecology (ISUOG). Conflicts of interest have been identified and resolved in accordance with EACCME guidelines.

You can find out how we adhere to the essential criteria for EACCME accreditation requirements here.

Technical Requirements

You can study on your phone, tablet or laptop. To participate and access this activity you will need a good internet connection and an up to date browser:

  • MS Internet Explorer 11 (Not including compatibility modes)
  • MS Edge
  • Mozilla Firefox version 60 Extended Support Release (ESR)
  • Google Chrome 73
  • Safari 10 auf OS X
  • Mobile Browser Android >4 and iOS > 9
  • Current versions of Adobe Reader plugin

 

Obstetrics multiple pregnancy curriculum course list

Other courses in this series that are currently available:

ATC6 Complications of Monochorionicity
ATC6 Management of Complicated Multiples

 


 

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