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D&E Workshop for Surgical Abortion after the 1st Trimester

Fee: £150 incl VAT
Sunday 16 June 1400–1800
Max capacity 30

Second trimester fetal demise, inevitable miscarriage, and abnormal or undesired pregnancy are common problems for the obstetricians and gynaecologists. Dilation and evacuation (D&E) is the safest method of uterine evacuation in the second trimester for any of these conditions. In addition to its safety and effectiveness, advantages of D&E for both the woman and provider are that the procedure can be scheduled as a day case and operating times are short (about 10-15 minutes).   The efficiency and predictability of D&E are also beneficial where a woman requires an abortion for maternal medical conditions or complications of pregnancy, such as preterm premature rupture of membranes, which could deteriorate during the course of a lengthy medical induction.   Lastly, D&E is a critical back-up for failed second trimester medical abortion.

This workshop will provide a comparison of D&E vs medical abortion, an overview of the practical requirements of D&E including pre-operative assessment and planning, instruments, cervical preparation, pain control, procedural steps, immediate post-abortion care, and identification and management of complications.   We will also discuss developing a D&E service and explore participants concerns and perceived barriers to D&E provision in their settings.



D & E Course Lead: Laura MacIsaac MD, MPH, FACOG
Associate Professor, Mount Sinai Health Systems, New York, USA

Patricia Lohr FRCOG, FACOG
Medical Director, British Pregnancy Advisory Service, London, UK

Jonathan Lord FRCOG
Consultant gynaecologist & co-chair BSACP, Cornwall, UK

Consultant Obstetrician & Gynaecologist, London, UK

Vinita Nair MRCOG
Consultant Gynaecologist, London, UK

Dr Richard Lyus
Doctoral Student/Specialty Doctor, Homerton University Hospital, St Albans, UK

  Welcome and Introductions
14:15-14:45  Introduction to Second Trimester Abortion

  • Medical and surgical methods
  • Comparative outcomes including pain management
  • Helping patients choose

14:45-15:30  D&E Procedure

  • Pre-operative assessment
  • Cervical preparation
  • Surgical technique, including use of ultrasound

15:30-16:00  Refreshments
16:00-16:30  Diagnosis and Management of Complications

  • Haemorrhage
  • Infection/sepsis
  • Perforation/laceration

16:30-17:00  Difficult cases
17:00:17:20  Aftercare

  • Recovery room/discharge expectations
  • Contraception/return to fertility
  • Psychosocial support

17:20-18:00  How to Develop a D&E Service within a Hospital Setting


For all enquiries regarding RCOG World Congress 2019 contact Hampton Medical:

Tel: + 44 (0)1920 88 5171