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The FOGSI-FIGO Connection

&

International Federation of
Gynecology & Obstetrics

The Federation of Obstetric &
Gynecological Societies of India

www.figo.org;www.fogsi.org;facebook page

Building her confidence at
Every age, Every stage

NEWSLETTER

Jan - 2014

Dear Colleagues,

For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory.

The Federation of
Obstetric and
Gynaecological Societies
of India (FOGSI) is one of
FIGO's most prominent
member societies, with
27,000 obstetriciangynecologists from all
over India.
Ferrous Ascorbate 100mg & Folic Acid 1.5mg.

IT

RIGHT

Dear Fogsians,
Greetings to one and all and warm regards.
This newsletter comes to you as news from FIGO related to FOGSI
and will come to you every 4 months. FOGSI is now a very active
branch of FIGO and with so many Indians on the FIGO committee
we have a good say. We are all looking forward to VANCOUVER
FIGO Congress where Prof. C. N. Purandare will take over as the
President of FIGO.

FOGSI's educational programmes for healthcare professionals
and ob-gyns continue to flourish. The recent FOGSI-FIGO
International Conference on 'Recent Advances in Obstetrics &
Gynaecology', held in Hyderabad International Convention Centre
from 13-15 September 2013, was an extremely successful and
well attended event, and a prime example of close professional
collaboration between FIGO and its member societies.

Do give your feedback and do let us know what you want FIGO to
do in India with FOGSI.

FOGSI is also a highly effective organisation in its influencing of
policies for the promotion of women's health at the central and
state levels.

Happy reading.

1314:SPL10NL0231

SET

The activities of FOGSI
with regard to women's health in India have been, and continue to
be, an excellent example to all other associations in low- and
middle-resource countries.

In addition, FOGSI actively liaises with FIGO for the dissemination
of information via 'The FOGSI-FIGO Connection', a newsletter
providing a superb overview of our joint collaborative work.
FIGO very much values its robust relationship with FOGSI, and
hopes that this will continue for many years to come.
Kind regards,

Dr. Narendra Malhotra
FOGSI Rep to FIGO
Past President FOGSI

16

Professor Hamid Rushwan,
FIGO Chief Executive.

1
MESSAGE FROM FIGO PRESIDENT

The FOGSI-FIGO Connection Jan-Apr 2014

‘The value of volunteerism’: FIGO President
encourages global action in 2014
President Dr. Hema Divakar
speaks on FOGSI 'Vision 2022',

Professor Sir Sabaratnam Arulkumaran, FIGO President,
addressing the first FIGO African Regional Conference
(Addis Ababa, October 2013)

Dear Colleagues,

The Federation of Obstetric & Gynaecological Societies
of India (FOGSI), the apex body for all the Obstetricians &
Gynaecologists in the country, announced its landmark
'Vision 2022', to promote a healthy generation next. The
programme incorporating several long-term initiatives, in
association with government agencies and international welfare
organizations, is aimed at building a healthy future generation
and overall wellbeing of women folk, including better
healthcare services and societal perception.
We are bringing into practice a Primary Prevention Model, that
is, address the root cause of all these problems and tackle
them at the elementary level through innovations. It also
involves capacity building of the medical and paramedical staff
to tackle these issues. We have already intensified training for
obstetricians, gynaecologists, and medical officers, primary
health care centre staff and ANMs / Staff Nurses across the
nation through various programs. Improving health services for
women is also part of the 'Vision 2022'. As a first step in this
direction, the FOGSI in association with the Johns Hopkins
Program for International Education in Gynecology and
Obstetrics (JHPIEGO), launched “Helping Mothers
Survive” (HMS) aimed at reducing the Maternal Mortality
Ratio (MMR), empowering and task shifting to the frontline
healthcare providers.Very few progressive states have kept the
MMR under control. This initiative will help reduce the MMR
from a long term perspective.
The FOGSI has adopted a four pronged approach to tackle 4
different issues – ABCD – Anaemia among adolescent and
pregnant women; Building Contraceptive choices; Cancer
Cervix and Diabetes. For instance, while 56% of adolescent
girls are Anaemic, tackling the health issue can also reduce the
Maternal Mortality Ratio. Cancer cervix has reached an
alarming proportion among the Indian population while
Diabetes has assumed an epidemic proportion in the country.
As part of 'Vision 2022', FOGSI aims to emphasise how
program and technology innovations can be rapidly adopted
and Implemented at scale. FOGSI will discuss the best

We are living in a world of economic, environmental and civic
turmoil. Women and children are particularly vulnerable at such
times, and require extra specialist help and support. FIGO offers
condolences to those affected – even though our resources are
naturally limited, we urge those who can to help in any way they
can.

practices that allow unprecedented impact on women's health
care in INDIA. Several such initiatives have already been
launched by the FOGSI and 'Vision 2022' strengthens them
through long term plans.

The challenges of NCDs, Climate Change and Health as
well as natural catastrophes, there are two silent ‘cyclones’ or
‘tsunamis’ that will undoubtedly affect current and future
generations: non-communicable diseases (NCDs) and climate
change and health. FIGO is working with the World Diabetes
Foundation (WDF) and regional and national societies to look at
the issue of the diabetic and obesity epidemics. Our aim is to
halt them through influencing adolescent and young women’s
nutrition so that the epigenetic influences of foetal origins of
adult disease can be curtailed to some degree. Recently, FIGO
and WDF held well-received workshops on these important
topics at conferences in Addis Ababa, Mexico and Shanghai, with
the assistance of Professor Luis Cabero-Roura, Professor Moshe
Hod, Dr. Anil Kapur (former WDF Managing Director) and
Dr. Anders Dejgaard (current WDF Managing Director). A human
rights-based approach in my capacity as President of the
British Medical Association (BMA) I am working – with its
valuable help – on the issues of NCDs, climate change and
health, to help increase volunteerism by doctors and training
students from all UK medical schools on a human rights-based
approach to women’s health. Professor Lesley Regan, Chair of the
FIGO Committee for Women’s Sexual and Reproductive Rights

At the same time, FOGSI envisions to foster a paradigm shift to
ensure that the perception towards women changes. For,
without a change in perception towards women and girl child,
addressing the macro health problems will remain a challenge.
FOGSI is working towards the VISION and hopes that:
(a) Saving the Girl child should become a non-issue by the
year 2022.
(b) Education and empowerment of women is a continuous
effort.
© Ensure that adolescent healthcare is in place as 360
million youth in India journey towards wellness through
anaemia eradication, sex education, vaccinations,
contraception, and HIV/AIDS care
(d) Tackling the tsunami of gestational diabetes and cancer
cervix and reduce the burden of non-communicable
diseases
For any developing nation it is imperative to have healthy
population, which in turn, will reduce the economic burden in
the long term. It is a fact that whichever country had a healthy
population prospered on all the fronts. A healthy population is
vital for the economic health of the nation. We need to go a
long way in ensuring a healthy population by offering the right
kind of services. About 30% of India's population is in the
adolescent age group of 10-19 years. It is estimated that there
are almost 331 million adolescents in India. They represent a
resource for the future whose potential has to be nurtured.
FOGSI has resolved to address major health issues affecting
the population of the nation, particularly the womenfolk. The
Vision 2022 captures our aspirations and goals to make India a
vibrant and healthy nation.

(WSRR), is spearheading this particular initiative – for example,
FIGO held a very successful workshop on this topic, with Dr.
Diane Magrane (Committee Co-chair) and Professor Pak Chung
Ho (Committee member), at the recent Asian & Oceanic
Congress of Obstetrics and Gynaecology. I would therefore make
a plea to national societies, and individuals, to be active in these
areas via voluntary activity to help those in need, as well as
teaching and training in a rights-based approach to care. Further
i n f o r m a t i o n c a n b e f o u n d a t : w w w. g l o w m . c o m /
womens_health_rights. The urgent need for contraceptionWomen in this world are dying because of a lack of
contraception. It is estimated that there could be a 30 percent
reduction in maternal deaths by expanding contraceptive
services. Many multidonor agencies are working in this area but
more help is needed, especially through professional societies,
so FIGO is keen to engage with societies to see how matters can
be improved. FIGO’s new project in this area – ‘Institutionalising
Post-Partum Intrauterine Device (IUD) Services and Increasing
Access to Information and Education on Contraception and Safe
Abortion Services’ – is underway, with many activities planned.
As a background, in several countries young women undergo
tubal occlusion because of the unavailability of other methods of
contraception. Long acting reversible contraceptives (LARCs)
with IUD or implants may be suitable alternatives, and the best
time for action for many women may be immediately postdelivery. After women leave the hospital after birth, they may
encounter difficulties in returning to health facilities to receive
suitable contraceptive advice.
I also attended an important meeting in September in the UK on
this subject, facilitated by the Population Council and the London
School of Hygiene & Tropical Medicine. This may indeed be an
opportune time for national societies and regional federations to
plan how best they can work with government, NGOs and donors
to improve the contraceptive situation in their own countries.

L–R: Ms Miriam Maluwa, UNAIDS Senior Adviser, Policy & Programmes; Professor Sir Sabaratnam Arulkumaran, FIGO President; Dr Luiz Loures, UNAIDS Deputy
Executive Director, Programme; Professor CN Purandare, FIGO President Elect; Professor Hamid Rushwan, FIGO Chief Executive; Dr Hani W Fawzi, Chair of Scientific
Committee; Ms Rosemary Museminali, UNAIDS Representative to the AU and UNECA; Mr Warren Naamara, UNAIDS Country Coordinator for Ethiopia (FIGO Africa
Regional Conference, Addis Ababa, October 2013)

2

3
The FOGSI-FIGO Connection Jan-Apr 2014

FIGO - the International Federation of
Gynecology and Obstetrics - is the only
organisation that brings together
professional societies of obstetricians
and gynecologists on a global basis.
Currently it has member societies in
125 countries or territories.

FIGO presence at high-profile
national and regional meetings
As FIGO President, I attended the excellent FOGSI Southern Zone,
Tamil Nadu meeting in August, with special sessions devoted to
school children and the public. Shortly afterwards, the President
of the Royal Australian and New Zealand College of Obstetricians
and Gynaecologists, Professor Michael Permezel, invited me to
attend its excellent annual meeting, where evidence-based
medicine and guidelines were robustly challenged in every
session.
Following this, the FOGSI-FIGO ‘International Conference on
Recent Advances in Obstetrics and Gynecology’, organised by
the energetic Professor Shantha Kumari, was held in Hyderabad,
India, in late September. There was a record attendance of over
1,000 participants and the scientific programme was enhanced
with a number of excellent pre-congress workshops. Attending
the Singaporean and Swedish societies’ meetings also enriched
my knowledge - they, too, are trying to see how best they can
interact and help less well-resourced countries.
Most high-profile of all recent meetings was the first FIGO Africa
Conference of Gynecology and Obstetrics, held in early October
in Addis Ababa, Ethiopia, expertly presided over by Conference
President Dr. Yirgu Gebrehiwot (also President of the African
Federation of Obstetrics and Gynaecology; AFOG). The
Conference attracted an attendance of over 800 delegates from
70 countries, and the scientific programme, ably overseen by
Chair Dr. Hani Fawzi, was excellent. We also met with the
Ministers of Health and Foreign Affairs who pledged their full
support for AFOG and FIGO activities in general.
All those involved in preparations for
this ground-breaking regional
conference deserve our sincere
thanks. We hope there will be more
interaction between African national
societies to help improve women’s
health on this great continent.
One African highlight was a visit to the Hamlin Fistula Hospital in
Addis Ababa (www.hamlinfistula.org) – an amazing
organisation. Dr. Catherine Hamlin and her staff deserve every
recognition for the outstanding work they have performed over
several decades. FIGO is proud to be associated with Catherine
and the hospital – it is now the main training centre for FIGO
Fellows.

In mid-October, I attended – together with Professor Rushwan the World Congress of Surgery, Obstetrics, Trauma and
Anesthesia (WCSOTA) in Trinidad and Tobago, supported by
several prestigious organisations, including Johns Hopkins
University School of Medicine, the International College of
S u rg e o n s , t h e Wo r l d F e d e r a t i o n o f S o c i e t i e s o f
Anaesthesiologists, and the Ministry of Health of Trinidad.
Special thanks goes to Professor Jean Anderson from Johns
Hopkins and Professor Samuel Ramsewak, Dean of Medical
Sciences at the University of the West Indies, for enabling our
participation at this superb event.
In late October, I attended the 64th Congreso Mexicano de
GinecologĂ­a y Obstetricia, in Mexico, participating both in the
pre-congress workshop sponsored by WDF and in the main
conference. My congress plenary focused on ‘Knowledge
Transfer’, and incorporated a mention of The Global Library of
Women’s Medicine (www.glowm.com) , the educational
platform supported by FIGO (see page four for an interview with
David Bloomer, its founder). I was pleased to be given the
chance to promote the excellence of the GLOWM website, and to
be able to give an indication of its breadth: e.g. hundreds of
ultrasound pictures; tens of videos and master class lectures; and
hundreds of textbook chapters, etc. Professor Ernesto Castelazo,
FIGO’s Vice President, and his team, looked after us well – we
owe congratulations to Ernesto on his being elected the new
President of the Mexican national federation.
After Mexico, I visited Cordoba with Professor Luis Cabero-Roura
to attend the conference of the Argentinian Federation, superbly
overseen by its President (and FIGO Executive Board member)
Professor NĂ©stor Garello. Simultaneous translation enabled full
participation by the audience. Professor Luis Cabero-Roura and I
were honoured to receive recognition from Cordoba University
(one of the oldest universities in the world) – a doctorate and
professorship respectively. We were delighted and grateful for
their kind gesture. More importantly, this gave us an opportunity
to meet with seven FIGO Executive Board members and members
of the Federation of Latin American Societies of Gynecology and
Obstetrics (FLASOG) to discuss matters of mutual interest and
concern.
In November, I participated in the International Annual Meeting of
the Lebanese Society of Obstetrics and Gynecology. The theme,
‘Integrated Care in Acute Emergencies’, was certainly an
appropriate focus with regard to their current situation. Lebanon’s
population is 4.2 million – already there are more than a million
refugees arriving from Syria and they are expecting a further
million. They are planning how best to deal with the health needs
of women and children. FIGO Executive Board member, and Coordinator of the Congress, Professor Faysal El-Kak, is working
closely with the Lebanese national society, and is partially
seconded to the Ministry of Public Health. FIGO encourages
everyone involved to give their best, and we look forward to
learning from their experiences in future meetings. One
observation I would make is that our hosts are all busy with their
clinical practices, teaching and research, but yet give us time and
look after us well – splendid hospitality for which I and my fellow
colleagues are most grateful.

4

As a final word, I would like to stress that advocacy as a tool has
never been more important. Our standard practice (alongside
other organisations) is to issue statements of support on
important global days – for example, World Prematurity Day – to
help galvanise organisations to work together. Ms Alexandra
Gilpin, our Communications Officer, together with the FIGO
leadership, produces these statements, and posts them on
www.figo.org. We now email these important messages to
national societies for them to disseminate and to encourage them
to produce their own.
FIGO and I are most grateful to all of you for improving the health
of women both as individuals, and through your respective
organisations. I would like to take this opportunity to thank you
for the tremendous support that you provide, for which I and my

fellow colleagues are most grateful. I would also like to thank the
hardworking FIGO staff for their efforts. This final Newsletter of
2013 comes to you with our very best wishes for a 'Happy New
Year', and a positive beginning to 2014!

With kind regards,

Professor Sir Sabaratnam Arulkumaran
FIGO President

Message from P .FIGO Prof. Dr. Shirish Sheth
.P
What each of 223 Ob-Gyn. society means to FOGSI nationally, FOGSI means to FIGO
Internationally with 125 member societies of Obstetricians and Gynecologists globally.
It is a vital link to progress for the betterment of women's health.

Diary Dates
1–5 February 2014
57th All India Congress of Obstetrics and Gynaecology 2014
(Patna, India)
www.aicog2014patna.com/
20–23 February 2014
19th World Congress on Controversies in
Obstetrics, Gynecology & Infertility
(COGI) (Macau, China)
www.congressmed.com/cogimacau
20–23 February 2014
3rd International Congress on Cardiac
Problems in Pregnancy (Venice, Italy)
www.cppcongress.com
5–8 March 2014
16th World Congress of Gynecological
Endocrinology (Florence, Italy)
http://isge2014.isgesociety.com/

28–30 March 2014
RCOG World Congress 2014 (Hyderabad, India)
www.rcog.org.uk/rcog2014
4–6 April 2014
5th Congress of the Asia Pacific Initiative on
Reproduction (Brisbane, Australia)
www.aspirecongress.org/

30 October–2 November 2014
FIGO-SAFOG-SLCOG Conference
(Colombo, Sri Lanka)
www.figo-safog2014
colombo.org/index.html

24–26 April 2014
XII Annual Meeting of the
Mediterranean Society for Reproductive
Medicine (MSRM) & COGI-BCGIP
(Barcelona, Spain)
www.comtecmed.com/MSRM/2014/

FIGO accepts no responsibility for the
accuracy of the external event information.
Inclusion of any event does not necessarily mean that
FIGO either endorses or supports it.

5
The FOGSI-FIGO Connection Jan-Apr 2014

Past Issues of F.I.G.O Newsletters

INDIANS IN F.I.G.O

C.N. Purandare
(President Elect FIGO)

ETHICS COMMITTEE REPORT
by Dr.

Duru Shah

Dear Fogsians, as a member of the Ethics Committee of FIGO, I
have interacted with the most wonderful group of people –
people who are truly big in their own fields, in their own
organizations and in their personal lives, yet are so humble, with
their feet on the ground.
I have learnt a lot from them. I have learnt how to create
Recommendations and Guidelines for Ethical practice, have
assisted in creating them and have propagated them through
various means, starting with “FIGO Connect” i.e. this Newsletter,
which I initiated 4 years ago during my tenure as the
Representative of FOGSI to FIGO.
These Recommendations are regularly updated and have been
published by FIGO since 1985. All of them are available online at
www.figo.org. If any of you are in a moral dilemma any time in
your clinical practice, please refer to the relevant guidelines, I am
confident they will show you the correct and ethical way to
proceed.
I am enjoying my tenure with this Committee which has given me
much more than I have given to it, and I thank all of you for
making this happen in my life.

P K. Shah
.
(Member Ultrasound
Committee)

Available at : ‱ FIGO : www.figo.com

‱ FOGSI : www.fogsi.org

‱ FIGO Connect-India on facebook page

Joseph Kurian
FOGSI-FIGO SESSION AT PATNA AICOG-2014

(President AOFOG) Conference
Advisory Committee

Tuesday, 4th February from 2 to 3 pm at Hall Ashoka,AICOG convention centre.
02:00 - 03:00 pm
FOGSI FIGO Session
FIGO Guidance for clinical practice
Chairpersons : Suchitra Pandit, CN Purandare, Nozer Sheriar

Nozer Sheriar
(Member Scientific
Programme Committee)

Time

Topic

Speaker

02:00 - 02:15 pm
02:15 - 02:30 pm
02:30 - 02.45 pm
02:45 - 03.00 pm

Fetal Testing
Evaluation of modern contraceptive methods
Abnormal uterine bleeding
Audience interaction

Gian Carlo Di Renzo
Narendra Malhotra
John J Sciarra

Duru Shah
(Member Ethics Committee)

FIGO ONCOLOGY COMMITTEE REPORT

Wishing you a Happy Diwali and a Bright New Year !!!

The focus of the FIGO Gyn Oncology Committee has been on education.

With warm regards,

Neerja Bhatla
I remain yours sincerely,

The following tasks have been
completed in the last year:

(Gynae onco Committee
Member)

1. Gyn Oncology Committee Position
Statem ent on Safety of HPV
Vaccines
2. Gyn Oncology Committee Position
Statem ent on Hereditary Cancers

Narendra Malhotra
‱ FOGSI's Representative to FIGO
‱ Member Fetal Medicine
Committee

3. The revised FIGO Staging of
Ovarian Cancers 2012.

Ongoing projects include:
1. Development of an international database for collection
of data on management and treatm ent outcom es of
various gynaecological cancers.
2. Colposcopy training programs across Africa.
If there is any further information that you require, please do not hesitate to let me know.

With regards,
Neerja Bhatla

Duru Shah

6

7
The FOGSI-FIGO Connection Jan-Apr 2014

Bellagio Consensus

FIGO collaborates on
‘Helping Mothers Survive Bleeding After Birth’
In 2013, FIGO secured funding
from the Laerdal Foundation to
run a master training course on
‘Helping Mothers Sur vive
Bleeding After Birth’. The course,
conducted in collaboration with
Jhpiego and the Laerdal Foundation,
was held prior to the first FIGO
Africa Regional Conference in Addis
Ababa.

Recommendations for action to increase access to highly
effective long-acting reversible contraception. More than 200
million women in the developing world want to prevent
pregnancy but are not using modern contraception. Highly
effective, long acting, reversible contraceptives (LARCs) such as
the intrauterine contraceptive device and contraceptive implants
often are out of reach for women in developing countries.

‘This excellent and highly practical
workshop is a good example of an
interactive learning methodology
which will no doubt contribute to
improving the quality of care in
delivery services. ‘FIGO hopes to
institutionalise similar training
programmes at its national and
regional Congresses.’

In May 2012, the Population Council, the International Federation
of Gynecology and Obstetrics (FIGO), and the Reproductive
Health Supplies Coalition (RHSC) hosted a meeting at the
Rockefeller Foundation's Bellagio Center to discuss opportunities
to increase access to LARCs to accelerate progress toward
meeting the Millenium Development Goal of universal access to
reproductive health services. Participants including service
providers, donor representatives, policymakers, procurement
specialists, manufacturers and public health officials, reached a
consensus on the following analysis and recommendations.

Representatives from seven African
countries were trained by Jhpiego using
the Laerdal Foundation’s MamaNatalie¼
Birthing Simulators. Professor Hamid
Rushwan, FIGO Chief Executive, said: ‘A
pivotal aim of FIGO is to ensure the
availability of appropriately trained and
equipped healthcare providers who are
able to implement life-saving techniques
for the benefit of mothers and babies on
the day of birth.

Access to all contraceptives, including LARCs, must be based
upon the right of women and men to the full range of
reproductive health services. The compelling public health and
economic benefits of expanding women's access to LARCs
require new policies and perspectives. The group called for the
action points to ensure such increased access.

MEMORIES OF LONDON MEETING (AT R.C.O.G) WORKING GROUP FIGO FETAL MEDICINE COMMITTEE 10-11 JAN 2014

Recommendations included
‱ Changing policies
‱ Reducing cost
‱ Integrating LARCs into health systems
‱ Ensuring availability and access

invitation enabling me to attend the same from FOGSI.
In recognition of the theme of the 2013 International Conference
on Family Planning, Full Access, Full Choice, the Bellagio Group
on Long-Acting Reversible Contraception reaffirmed its
commitment to expanding women's access to highly effective,
long-acting, reversible contraception within the full range of
contraceptive choices.
The international experts discussed ways to expand contraceptive
choice and accelerate progress towards the Millennium
Development Goal of universal access to reproductive health
services by increasing the availability of highly effective long
acting reversible contraception.
Participants in the Bellagio Group varied by organization
affiliation and professional expertise but shared a commitment to
leadership in encouraging access and choice in contraceptive
services.
The draft is in preparation and will be ready by the end of the
year.
Participants in the meeting included – Peter Donaldson, Ian
Askew, John Townsend (Population Council), Pam Barnes, Roy
Jacobstein, Harriet Stanley (EngenderHealth), Jeff Spieler
(USAID), Scott Radloff (Gates Institute), Campbell Bright
(UNFPA), Paul Blumenthal (Stanford University), Aron Betru
(Pledge Guarantee for Health), Jill Sheffield (Woman Deliver),
Nomi Fuchs-Montgomery (MSI), Baker Maggwa (FHI 360), Karl
Hoffman (PSI), Chastain Fitzgerald (WomanCare Global) Julia
Bunting (IPPF), John Skibiak (RHSC), C N Purandare (FIGO),
Basab Mukherjee (FOGSI), Sally Stephens (Medicines360),
Beatrice Mutali, Kshama Roberts, Koen Kruytbosch (Merck),
Klaus Brill (Bayer)

‱ Training and supervising qualified providers
‱ Engaging the support of professional associations
‱ Gathering and using data to ensure product quality and
improved care
‱ Develop a strategic plan to accomplish these goals
The details of the recommendations may be reviewed at
http://www.popcouncil.org/mediacenter/newsreleases/2012_Bell
agioRecommendations.asp
On 13th November 2013 the third meeting of the Bellagio Working
Group took place at the Sheraton, Addis Ababa on the backdrop
of the International Conference on Family Planning.
From India, Dr. C N Purandare attended the meeting on behalf of
FIGO. He was gracious to request the organizers to extend an

8

9
The FOGSI-FIGO Connection Jan-Apr 2014

FOGSI-FIGO International Conference
on “Recent Advances on Obstetrics & Gynaecology”, on 13

th

Report by Dr. Narendra Malhotra and Dr. Shanta Kumari

- 15th September 2013, at HICC, Hyderabad
n.malhotra@rainbowhospitals.org

The FOGSI-FIGO International Conference on “Recent
Advances on Obstetrics & Gynaecology”, which was held at
the Hyderabad International Convention Centre, Hyderabad
from 13th to 15th of September 2013 was organized by the
FIGO, FOGSI & OGSH. The Conference was a grand
success, with many eminent International and National
personalities representing FIGO and FOGSI as faculty and it
attracted a huge
number of delegates
from all over India.

About 25 eminent International faculty including Prof. Sir
Sabaratnam Arulkumaran (UK), Prof. Gian Carlo Di Renzo
(Italy), Prof. Ernesto Castelazo-Moralesis (Mexico), Prof.
Hamid Rushwan (UK), Prof. Dov Feldberg, MD (Israel), Prof.
Luis Cabero (Spain), Dr. Carlos FĂŒchtner (Bolivia), Prof.
Robert F. Harrison (Ireland), Prof. Giuseppe Benagiano
(Switzerland), Dr. Rohana Nalin Haththotuwa (SriLanka),
Prof. Tsung-Hsien Su (Taiwan) participated. More than 150
National & Local faculty from across the country took part in
the scientific deliberations.

“INVEST IN ME - I
AM THE FUTURE”the girl child on the
ICRAOG Brochure
declares confidently
and joyfully. The
conference could
successfully highlight and focus on the GIRL CHILD and the need
to save, protect and nurture her for our own future.
“A Woman is the full circle. Within her is the power to Create,
Nurture and Transform”
- Diane Marie Child.
The girl child who is nurtured carefully blossoms into a complete
woman – an asset to the nation!

On the 13th, there were four important workshops 1. Fetal Surveillance - For Intact Survival 2. Innovations &
Implementation - Quest through the years 3. Safe
Motherhood - All time need 4. Non-communicable
diseases - High alert in the new millennium, at various halls
at HICC, Hyderabad.
On 13th September, a HMS Workshop at the Continental
Hospital, Gachibowli was organized with over 150 nurses as
trainees and the faculty included – Prof. Sir Sabaratnam
Arulkumaran, Dr. C. N. Purandare, Dr. Hema Divakar, Dr. S.
Shantha Kumari, Dr. Jayam Kannan, Dr. Sheela V. Mane,
Dr. G. Jamuna Devi, Dr. A. Mahita Reddy, Dr. B. V. Shobha,
Dr. Srilatha & Dr. Sarada. The workshop was very successful

10

and all the trainees were happy and expressed their satisfaction.
A FOGSI - FIGO - GOI meeting - FIGO's partnership with
FOGSI and GOI to reduce Maternal Mortality was organized
on 13th September 2013 at HICC, Hyderabad.
The inaugural function on 14th September celebrated
“Girl Child and Woman Power” with an inauguration by
Shri K. Chiranjeevi Garu, Hon'ble Minister of State (IC) of
Tourism, Govt. of India, special guest and brand ambassador for
“Save the Girl Child” campaign Ms. P V. Sindhu - Indian
.
Badminton player, Prof. Sir Sabaratnam Arulkumaran–
Patron-ICRAOG, President FIGO, Dr. C. N. Purandare – Org.
Chairman-ICRAOG, FIGO President elect, Dr. Hema Diwakar –
President-ICRAOG & FOGSI, Dr. S. Shanta Kumari – Org.
Secretary-ICRAOG, Vice President FOGSI, Dr. Nozer Sheriar –
Org. Jt. Secretary-ICRAOG, Secretary General FOGSI and Dr.
Hrishikesh D. Pai, Org. Jt. Secretary-ICRAOG, Deputy Secretary
General FOGSI and little Manasvi representing the girl child. A
“Save the girl child flag' was hoisted and a pledge to save the
girl child was taken. The FOGSI girl child song stole many a
heart.
The GOI sessions were on implementing “Maternal Death
Review in India” by Dr. Himanshu Bhushan & Dr. Manisha
Malhotra, Deputy, Commissioners, Maternal Health, MOHFW,

New Delhi and “Maternal Mortality Reduction: Think globally, act
locally!” by Dr. Arvind Mathur, Medical Officer-Making
Pregnancy Safer WHO South East Asia Regional Office, New
Delhi. On the 14th evening, there was a Keynote Address on
FIGO-FOGSI initiatives in Womens Health - making a
difference by Prof. Sir Sabaratnam Arulkumaran President FIGO and Dr. Hema Diwakar - President FOGSI,
followed by the Cultural programme titled “Dances of India”
and Dinner at the Trident Hotel, Hyderabad. This event again
witnessed a huge gathering of delegates.
On the 15th morning, there were Meet the Experts - Breakfast
sessions on - 1. Recurrent Pregnancy Loss 2. Infertility 3.
Endometriosis etc.
On the 15th there were important sessions on FIGO guidelines,
Oration on Women's Health in 21st Century by Dr. C. N.
Purandare, President Elect, FIGO.
On 15th evening, there was a Valedictory Function with a vote
of thanks and prize distribution for best Papers & Poster.
The conference has provided an excellent opportunity to forge
new relationships and to exchange views & opinions with
professionals from across the country and the world on critical
issues of Women's Health.

11
The FOGSI-FIGO Connection Jan-Apr 2014

Countdown to Vancouver 2015:
preparations in full swing

Cipla’s Partnership in Practice

The preparation for the next FIGO World Congress in Vancouver
(4–9 October 2015) is well in hand, under the leadership of our
various Congress Committees. The conference facilities are
second to none, and the hotel accommodation exceptionally well
appointed, and all well within walking distance. The Congress
‘First Announcement’ has now been released (see
www.figo2015.org and www.figo.org), so I urge you to reserve
the dates and join us for what will be a truly memorable event. I
have no doubt it will be a great success and I want you, FIGO’s
valued colleagues, to play an integral part in that success.

FIGO Group tour to Vancouver,
CANADA
Those interested can please contact

Mr. Arvind Sharma
JV Travelz
Suite No 301, Aggarwal Square, Plot No 10,
Pocket 4, Sector 11, Dwarka,
New Delhi – 110075
Phone: +9 999 108577/ +9 555 108577
Email: arvind@jvtravelz.com
This FOGSI-FIGO connection newsletter is printed and published by
Cipla for FOGSI only for private circulation among FOGSI Members.
Edited by
Dr. Narendra Malhotra
mnmhagra3@gmail.com
We are on Facebook pages (FIGO Connect-India).

To know more please mail us at Specialities@cipla.com
12

13
9
The FOGSI-FIGO Connection Jan-Apr 2014

Note

Note

14

15

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FOGSI-FIGO CONNECTION ; news letter is out

  • 1. You The FOGSI-FIGO Connection & International Federation of Gynecology & Obstetrics The Federation of Obstetric & Gynecological Societies of India www.figo.org;www.fogsi.org;facebook page Building her confidence at Every age, Every stage NEWSLETTER Jan - 2014 Dear Colleagues, For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory. The Federation of Obstetric and Gynaecological Societies of India (FOGSI) is one of FIGO's most prominent member societies, with 27,000 obstetriciangynecologists from all over India. Ferrous Ascorbate 100mg & Folic Acid 1.5mg. IT RIGHT Dear Fogsians, Greetings to one and all and warm regards. This newsletter comes to you as news from FIGO related to FOGSI and will come to you every 4 months. FOGSI is now a very active branch of FIGO and with so many Indians on the FIGO committee we have a good say. We are all looking forward to VANCOUVER FIGO Congress where Prof. C. N. Purandare will take over as the President of FIGO. FOGSI's educational programmes for healthcare professionals and ob-gyns continue to flourish. The recent FOGSI-FIGO International Conference on 'Recent Advances in Obstetrics & Gynaecology', held in Hyderabad International Convention Centre from 13-15 September 2013, was an extremely successful and well attended event, and a prime example of close professional collaboration between FIGO and its member societies. Do give your feedback and do let us know what you want FIGO to do in India with FOGSI. FOGSI is also a highly effective organisation in its influencing of policies for the promotion of women's health at the central and state levels. Happy reading. 1314:SPL10NL0231 SET The activities of FOGSI with regard to women's health in India have been, and continue to be, an excellent example to all other associations in low- and middle-resource countries. In addition, FOGSI actively liaises with FIGO for the dissemination of information via 'The FOGSI-FIGO Connection', a newsletter providing a superb overview of our joint collaborative work. FIGO very much values its robust relationship with FOGSI, and hopes that this will continue for many years to come. Kind regards, Dr. Narendra Malhotra FOGSI Rep to FIGO Past President FOGSI 16 Professor Hamid Rushwan, FIGO Chief Executive. 1
  • 2. MESSAGE FROM FIGO PRESIDENT The FOGSI-FIGO Connection Jan-Apr 2014 ‘The value of volunteerism’: FIGO President encourages global action in 2014 President Dr. Hema Divakar speaks on FOGSI 'Vision 2022', Professor Sir Sabaratnam Arulkumaran, FIGO President, addressing the first FIGO African Regional Conference (Addis Ababa, October 2013) Dear Colleagues, The Federation of Obstetric & Gynaecological Societies of India (FOGSI), the apex body for all the Obstetricians & Gynaecologists in the country, announced its landmark 'Vision 2022', to promote a healthy generation next. The programme incorporating several long-term initiatives, in association with government agencies and international welfare organizations, is aimed at building a healthy future generation and overall wellbeing of women folk, including better healthcare services and societal perception. We are bringing into practice a Primary Prevention Model, that is, address the root cause of all these problems and tackle them at the elementary level through innovations. It also involves capacity building of the medical and paramedical staff to tackle these issues. We have already intensified training for obstetricians, gynaecologists, and medical officers, primary health care centre staff and ANMs / Staff Nurses across the nation through various programs. Improving health services for women is also part of the 'Vision 2022'. As a first step in this direction, the FOGSI in association with the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO), launched “Helping Mothers Survive” (HMS) aimed at reducing the Maternal Mortality Ratio (MMR), empowering and task shifting to the frontline healthcare providers.Very few progressive states have kept the MMR under control. This initiative will help reduce the MMR from a long term perspective. The FOGSI has adopted a four pronged approach to tackle 4 different issues – ABCD – Anaemia among adolescent and pregnant women; Building Contraceptive choices; Cancer Cervix and Diabetes. For instance, while 56% of adolescent girls are Anaemic, tackling the health issue can also reduce the Maternal Mortality Ratio. Cancer cervix has reached an alarming proportion among the Indian population while Diabetes has assumed an epidemic proportion in the country. As part of 'Vision 2022', FOGSI aims to emphasise how program and technology innovations can be rapidly adopted and Implemented at scale. FOGSI will discuss the best We are living in a world of economic, environmental and civic turmoil. Women and children are particularly vulnerable at such times, and require extra specialist help and support. FIGO offers condolences to those affected – even though our resources are naturally limited, we urge those who can to help in any way they can. practices that allow unprecedented impact on women's health care in INDIA. Several such initiatives have already been launched by the FOGSI and 'Vision 2022' strengthens them through long term plans. The challenges of NCDs, Climate Change and Health as well as natural catastrophes, there are two silent ‘cyclones’ or ‘tsunamis’ that will undoubtedly affect current and future generations: non-communicable diseases (NCDs) and climate change and health. FIGO is working with the World Diabetes Foundation (WDF) and regional and national societies to look at the issue of the diabetic and obesity epidemics. Our aim is to halt them through influencing adolescent and young women’s nutrition so that the epigenetic influences of foetal origins of adult disease can be curtailed to some degree. Recently, FIGO and WDF held well-received workshops on these important topics at conferences in Addis Ababa, Mexico and Shanghai, with the assistance of Professor Luis Cabero-Roura, Professor Moshe Hod, Dr. Anil Kapur (former WDF Managing Director) and Dr. Anders Dejgaard (current WDF Managing Director). A human rights-based approach in my capacity as President of the British Medical Association (BMA) I am working – with its valuable help – on the issues of NCDs, climate change and health, to help increase volunteerism by doctors and training students from all UK medical schools on a human rights-based approach to women’s health. Professor Lesley Regan, Chair of the FIGO Committee for Women’s Sexual and Reproductive Rights At the same time, FOGSI envisions to foster a paradigm shift to ensure that the perception towards women changes. For, without a change in perception towards women and girl child, addressing the macro health problems will remain a challenge. FOGSI is working towards the VISION and hopes that: (a) Saving the Girl child should become a non-issue by the year 2022. (b) Education and empowerment of women is a continuous effort. © Ensure that adolescent healthcare is in place as 360 million youth in India journey towards wellness through anaemia eradication, sex education, vaccinations, contraception, and HIV/AIDS care (d) Tackling the tsunami of gestational diabetes and cancer cervix and reduce the burden of non-communicable diseases For any developing nation it is imperative to have healthy population, which in turn, will reduce the economic burden in the long term. It is a fact that whichever country had a healthy population prospered on all the fronts. A healthy population is vital for the economic health of the nation. We need to go a long way in ensuring a healthy population by offering the right kind of services. About 30% of India's population is in the adolescent age group of 10-19 years. It is estimated that there are almost 331 million adolescents in India. They represent a resource for the future whose potential has to be nurtured. FOGSI has resolved to address major health issues affecting the population of the nation, particularly the womenfolk. The Vision 2022 captures our aspirations and goals to make India a vibrant and healthy nation. (WSRR), is spearheading this particular initiative – for example, FIGO held a very successful workshop on this topic, with Dr. Diane Magrane (Committee Co-chair) and Professor Pak Chung Ho (Committee member), at the recent Asian & Oceanic Congress of Obstetrics and Gynaecology. I would therefore make a plea to national societies, and individuals, to be active in these areas via voluntary activity to help those in need, as well as teaching and training in a rights-based approach to care. Further i n f o r m a t i o n c a n b e f o u n d a t : w w w. g l o w m . c o m / womens_health_rights. The urgent need for contraceptionWomen in this world are dying because of a lack of contraception. It is estimated that there could be a 30 percent reduction in maternal deaths by expanding contraceptive services. Many multidonor agencies are working in this area but more help is needed, especially through professional societies, so FIGO is keen to engage with societies to see how matters can be improved. FIGO’s new project in this area – ‘Institutionalising Post-Partum Intrauterine Device (IUD) Services and Increasing Access to Information and Education on Contraception and Safe Abortion Services’ – is underway, with many activities planned. As a background, in several countries young women undergo tubal occlusion because of the unavailability of other methods of contraception. Long acting reversible contraceptives (LARCs) with IUD or implants may be suitable alternatives, and the best time for action for many women may be immediately postdelivery. After women leave the hospital after birth, they may encounter difficulties in returning to health facilities to receive suitable contraceptive advice. I also attended an important meeting in September in the UK on this subject, facilitated by the Population Council and the London School of Hygiene & Tropical Medicine. This may indeed be an opportune time for national societies and regional federations to plan how best they can work with government, NGOs and donors to improve the contraceptive situation in their own countries. L–R: Ms Miriam Maluwa, UNAIDS Senior Adviser, Policy & Programmes; Professor Sir Sabaratnam Arulkumaran, FIGO President; Dr Luiz Loures, UNAIDS Deputy Executive Director, Programme; Professor CN Purandare, FIGO President Elect; Professor Hamid Rushwan, FIGO Chief Executive; Dr Hani W Fawzi, Chair of Scientific Committee; Ms Rosemary Museminali, UNAIDS Representative to the AU and UNECA; Mr Warren Naamara, UNAIDS Country Coordinator for Ethiopia (FIGO Africa Regional Conference, Addis Ababa, October 2013) 2 3
  • 3. The FOGSI-FIGO Connection Jan-Apr 2014 FIGO - the International Federation of Gynecology and Obstetrics - is the only organisation that brings together professional societies of obstetricians and gynecologists on a global basis. Currently it has member societies in 125 countries or territories. FIGO presence at high-profile national and regional meetings As FIGO President, I attended the excellent FOGSI Southern Zone, Tamil Nadu meeting in August, with special sessions devoted to school children and the public. Shortly afterwards, the President of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, Professor Michael Permezel, invited me to attend its excellent annual meeting, where evidence-based medicine and guidelines were robustly challenged in every session. Following this, the FOGSI-FIGO ‘International Conference on Recent Advances in Obstetrics and Gynecology’, organised by the energetic Professor Shantha Kumari, was held in Hyderabad, India, in late September. There was a record attendance of over 1,000 participants and the scientific programme was enhanced with a number of excellent pre-congress workshops. Attending the Singaporean and Swedish societies’ meetings also enriched my knowledge - they, too, are trying to see how best they can interact and help less well-resourced countries. Most high-profile of all recent meetings was the first FIGO Africa Conference of Gynecology and Obstetrics, held in early October in Addis Ababa, Ethiopia, expertly presided over by Conference President Dr. Yirgu Gebrehiwot (also President of the African Federation of Obstetrics and Gynaecology; AFOG). The Conference attracted an attendance of over 800 delegates from 70 countries, and the scientific programme, ably overseen by Chair Dr. Hani Fawzi, was excellent. We also met with the Ministers of Health and Foreign Affairs who pledged their full support for AFOG and FIGO activities in general. All those involved in preparations for this ground-breaking regional conference deserve our sincere thanks. We hope there will be more interaction between African national societies to help improve women’s health on this great continent. One African highlight was a visit to the Hamlin Fistula Hospital in Addis Ababa (www.hamlinfistula.org) – an amazing organisation. Dr. Catherine Hamlin and her staff deserve every recognition for the outstanding work they have performed over several decades. FIGO is proud to be associated with Catherine and the hospital – it is now the main training centre for FIGO Fellows. In mid-October, I attended – together with Professor Rushwan the World Congress of Surgery, Obstetrics, Trauma and Anesthesia (WCSOTA) in Trinidad and Tobago, supported by several prestigious organisations, including Johns Hopkins University School of Medicine, the International College of S u rg e o n s , t h e Wo r l d F e d e r a t i o n o f S o c i e t i e s o f Anaesthesiologists, and the Ministry of Health of Trinidad. Special thanks goes to Professor Jean Anderson from Johns Hopkins and Professor Samuel Ramsewak, Dean of Medical Sciences at the University of the West Indies, for enabling our participation at this superb event. In late October, I attended the 64th Congreso Mexicano de GinecologĂ­a y Obstetricia, in Mexico, participating both in the pre-congress workshop sponsored by WDF and in the main conference. My congress plenary focused on ‘Knowledge Transfer’, and incorporated a mention of The Global Library of Women’s Medicine (www.glowm.com) , the educational platform supported by FIGO (see page four for an interview with David Bloomer, its founder). I was pleased to be given the chance to promote the excellence of the GLOWM website, and to be able to give an indication of its breadth: e.g. hundreds of ultrasound pictures; tens of videos and master class lectures; and hundreds of textbook chapters, etc. Professor Ernesto Castelazo, FIGO’s Vice President, and his team, looked after us well – we owe congratulations to Ernesto on his being elected the new President of the Mexican national federation. After Mexico, I visited Cordoba with Professor Luis Cabero-Roura to attend the conference of the Argentinian Federation, superbly overseen by its President (and FIGO Executive Board member) Professor NĂ©stor Garello. Simultaneous translation enabled full participation by the audience. Professor Luis Cabero-Roura and I were honoured to receive recognition from Cordoba University (one of the oldest universities in the world) – a doctorate and professorship respectively. We were delighted and grateful for their kind gesture. More importantly, this gave us an opportunity to meet with seven FIGO Executive Board members and members of the Federation of Latin American Societies of Gynecology and Obstetrics (FLASOG) to discuss matters of mutual interest and concern. In November, I participated in the International Annual Meeting of the Lebanese Society of Obstetrics and Gynecology. The theme, ‘Integrated Care in Acute Emergencies’, was certainly an appropriate focus with regard to their current situation. Lebanon’s population is 4.2 million – already there are more than a million refugees arriving from Syria and they are expecting a further million. They are planning how best to deal with the health needs of women and children. FIGO Executive Board member, and Coordinator of the Congress, Professor Faysal El-Kak, is working closely with the Lebanese national society, and is partially seconded to the Ministry of Public Health. FIGO encourages everyone involved to give their best, and we look forward to learning from their experiences in future meetings. One observation I would make is that our hosts are all busy with their clinical practices, teaching and research, but yet give us time and look after us well – splendid hospitality for which I and my fellow colleagues are most grateful. 4 As a final word, I would like to stress that advocacy as a tool has never been more important. Our standard practice (alongside other organisations) is to issue statements of support on important global days – for example, World Prematurity Day – to help galvanise organisations to work together. Ms Alexandra Gilpin, our Communications Officer, together with the FIGO leadership, produces these statements, and posts them on www.figo.org. We now email these important messages to national societies for them to disseminate and to encourage them to produce their own. FIGO and I are most grateful to all of you for improving the health of women both as individuals, and through your respective organisations. I would like to take this opportunity to thank you for the tremendous support that you provide, for which I and my fellow colleagues are most grateful. I would also like to thank the hardworking FIGO staff for their efforts. This final Newsletter of 2013 comes to you with our very best wishes for a 'Happy New Year', and a positive beginning to 2014! With kind regards, Professor Sir Sabaratnam Arulkumaran FIGO President Message from P .FIGO Prof. Dr. Shirish Sheth .P What each of 223 Ob-Gyn. society means to FOGSI nationally, FOGSI means to FIGO Internationally with 125 member societies of Obstetricians and Gynecologists globally. It is a vital link to progress for the betterment of women's health. Diary Dates 1–5 February 2014 57th All India Congress of Obstetrics and Gynaecology 2014 (Patna, India) www.aicog2014patna.com/ 20–23 February 2014 19th World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI) (Macau, China) www.congressmed.com/cogimacau 20–23 February 2014 3rd International Congress on Cardiac Problems in Pregnancy (Venice, Italy) www.cppcongress.com 5–8 March 2014 16th World Congress of Gynecological Endocrinology (Florence, Italy) http://isge2014.isgesociety.com/ 28–30 March 2014 RCOG World Congress 2014 (Hyderabad, India) www.rcog.org.uk/rcog2014 4–6 April 2014 5th Congress of the Asia Pacific Initiative on Reproduction (Brisbane, Australia) www.aspirecongress.org/ 30 October–2 November 2014 FIGO-SAFOG-SLCOG Conference (Colombo, Sri Lanka) www.figo-safog2014 colombo.org/index.html 24–26 April 2014 XII Annual Meeting of the Mediterranean Society for Reproductive Medicine (MSRM) & COGI-BCGIP (Barcelona, Spain) www.comtecmed.com/MSRM/2014/ FIGO accepts no responsibility for the accuracy of the external event information. Inclusion of any event does not necessarily mean that FIGO either endorses or supports it. 5
  • 4. The FOGSI-FIGO Connection Jan-Apr 2014 Past Issues of F.I.G.O Newsletters INDIANS IN F.I.G.O C.N. Purandare (President Elect FIGO) ETHICS COMMITTEE REPORT by Dr. Duru Shah Dear Fogsians, as a member of the Ethics Committee of FIGO, I have interacted with the most wonderful group of people – people who are truly big in their own fields, in their own organizations and in their personal lives, yet are so humble, with their feet on the ground. I have learnt a lot from them. I have learnt how to create Recommendations and Guidelines for Ethical practice, have assisted in creating them and have propagated them through various means, starting with “FIGO Connect” i.e. this Newsletter, which I initiated 4 years ago during my tenure as the Representative of FOGSI to FIGO. These Recommendations are regularly updated and have been published by FIGO since 1985. All of them are available online at www.figo.org. If any of you are in a moral dilemma any time in your clinical practice, please refer to the relevant guidelines, I am confident they will show you the correct and ethical way to proceed. I am enjoying my tenure with this Committee which has given me much more than I have given to it, and I thank all of you for making this happen in my life. P K. Shah . (Member Ultrasound Committee) Available at : ‱ FIGO : www.figo.com ‱ FOGSI : www.fogsi.org ‱ FIGO Connect-India on facebook page Joseph Kurian FOGSI-FIGO SESSION AT PATNA AICOG-2014 (President AOFOG) Conference Advisory Committee Tuesday, 4th February from 2 to 3 pm at Hall Ashoka,AICOG convention centre. 02:00 - 03:00 pm FOGSI FIGO Session FIGO Guidance for clinical practice Chairpersons : Suchitra Pandit, CN Purandare, Nozer Sheriar Nozer Sheriar (Member Scientific Programme Committee) Time Topic Speaker 02:00 - 02:15 pm 02:15 - 02:30 pm 02:30 - 02.45 pm 02:45 - 03.00 pm Fetal Testing Evaluation of modern contraceptive methods Abnormal uterine bleeding Audience interaction Gian Carlo Di Renzo Narendra Malhotra John J Sciarra Duru Shah (Member Ethics Committee) FIGO ONCOLOGY COMMITTEE REPORT Wishing you a Happy Diwali and a Bright New Year !!! The focus of the FIGO Gyn Oncology Committee has been on education. With warm regards, Neerja Bhatla I remain yours sincerely, The following tasks have been completed in the last year: (Gynae onco Committee Member) 1. Gyn Oncology Committee Position Statem ent on Safety of HPV Vaccines 2. Gyn Oncology Committee Position Statem ent on Hereditary Cancers Narendra Malhotra ‱ FOGSI's Representative to FIGO ‱ Member Fetal Medicine Committee 3. The revised FIGO Staging of Ovarian Cancers 2012. Ongoing projects include: 1. Development of an international database for collection of data on management and treatm ent outcom es of various gynaecological cancers. 2. Colposcopy training programs across Africa. If there is any further information that you require, please do not hesitate to let me know. With regards, Neerja Bhatla Duru Shah 6 7
  • 5. The FOGSI-FIGO Connection Jan-Apr 2014 Bellagio Consensus FIGO collaborates on ‘Helping Mothers Survive Bleeding After Birth’ In 2013, FIGO secured funding from the Laerdal Foundation to run a master training course on ‘Helping Mothers Sur vive Bleeding After Birth’. The course, conducted in collaboration with Jhpiego and the Laerdal Foundation, was held prior to the first FIGO Africa Regional Conference in Addis Ababa. Recommendations for action to increase access to highly effective long-acting reversible contraception. More than 200 million women in the developing world want to prevent pregnancy but are not using modern contraception. Highly effective, long acting, reversible contraceptives (LARCs) such as the intrauterine contraceptive device and contraceptive implants often are out of reach for women in developing countries. ‘This excellent and highly practical workshop is a good example of an interactive learning methodology which will no doubt contribute to improving the quality of care in delivery services. ‘FIGO hopes to institutionalise similar training programmes at its national and regional Congresses.’ In May 2012, the Population Council, the International Federation of Gynecology and Obstetrics (FIGO), and the Reproductive Health Supplies Coalition (RHSC) hosted a meeting at the Rockefeller Foundation's Bellagio Center to discuss opportunities to increase access to LARCs to accelerate progress toward meeting the Millenium Development Goal of universal access to reproductive health services. Participants including service providers, donor representatives, policymakers, procurement specialists, manufacturers and public health officials, reached a consensus on the following analysis and recommendations. Representatives from seven African countries were trained by Jhpiego using the Laerdal Foundation’s MamaNatalieÂź Birthing Simulators. Professor Hamid Rushwan, FIGO Chief Executive, said: ‘A pivotal aim of FIGO is to ensure the availability of appropriately trained and equipped healthcare providers who are able to implement life-saving techniques for the benefit of mothers and babies on the day of birth. Access to all contraceptives, including LARCs, must be based upon the right of women and men to the full range of reproductive health services. The compelling public health and economic benefits of expanding women's access to LARCs require new policies and perspectives. The group called for the action points to ensure such increased access. MEMORIES OF LONDON MEETING (AT R.C.O.G) WORKING GROUP FIGO FETAL MEDICINE COMMITTEE 10-11 JAN 2014 Recommendations included ‱ Changing policies ‱ Reducing cost ‱ Integrating LARCs into health systems ‱ Ensuring availability and access invitation enabling me to attend the same from FOGSI. In recognition of the theme of the 2013 International Conference on Family Planning, Full Access, Full Choice, the Bellagio Group on Long-Acting Reversible Contraception reaffirmed its commitment to expanding women's access to highly effective, long-acting, reversible contraception within the full range of contraceptive choices. The international experts discussed ways to expand contraceptive choice and accelerate progress towards the Millennium Development Goal of universal access to reproductive health services by increasing the availability of highly effective long acting reversible contraception. Participants in the Bellagio Group varied by organization affiliation and professional expertise but shared a commitment to leadership in encouraging access and choice in contraceptive services. The draft is in preparation and will be ready by the end of the year. Participants in the meeting included – Peter Donaldson, Ian Askew, John Townsend (Population Council), Pam Barnes, Roy Jacobstein, Harriet Stanley (EngenderHealth), Jeff Spieler (USAID), Scott Radloff (Gates Institute), Campbell Bright (UNFPA), Paul Blumenthal (Stanford University), Aron Betru (Pledge Guarantee for Health), Jill Sheffield (Woman Deliver), Nomi Fuchs-Montgomery (MSI), Baker Maggwa (FHI 360), Karl Hoffman (PSI), Chastain Fitzgerald (WomanCare Global) Julia Bunting (IPPF), John Skibiak (RHSC), C N Purandare (FIGO), Basab Mukherjee (FOGSI), Sally Stephens (Medicines360), Beatrice Mutali, Kshama Roberts, Koen Kruytbosch (Merck), Klaus Brill (Bayer) ‱ Training and supervising qualified providers ‱ Engaging the support of professional associations ‱ Gathering and using data to ensure product quality and improved care ‱ Develop a strategic plan to accomplish these goals The details of the recommendations may be reviewed at http://www.popcouncil.org/mediacenter/newsreleases/2012_Bell agioRecommendations.asp On 13th November 2013 the third meeting of the Bellagio Working Group took place at the Sheraton, Addis Ababa on the backdrop of the International Conference on Family Planning. From India, Dr. C N Purandare attended the meeting on behalf of FIGO. He was gracious to request the organizers to extend an 8 9
  • 6. The FOGSI-FIGO Connection Jan-Apr 2014 FOGSI-FIGO International Conference on “Recent Advances on Obstetrics & Gynaecology”, on 13 th Report by Dr. Narendra Malhotra and Dr. Shanta Kumari - 15th September 2013, at HICC, Hyderabad n.malhotra@rainbowhospitals.org The FOGSI-FIGO International Conference on “Recent Advances on Obstetrics & Gynaecology”, which was held at the Hyderabad International Convention Centre, Hyderabad from 13th to 15th of September 2013 was organized by the FIGO, FOGSI & OGSH. The Conference was a grand success, with many eminent International and National personalities representing FIGO and FOGSI as faculty and it attracted a huge number of delegates from all over India. About 25 eminent International faculty including Prof. Sir Sabaratnam Arulkumaran (UK), Prof. Gian Carlo Di Renzo (Italy), Prof. Ernesto Castelazo-Moralesis (Mexico), Prof. Hamid Rushwan (UK), Prof. Dov Feldberg, MD (Israel), Prof. Luis Cabero (Spain), Dr. Carlos FĂŒchtner (Bolivia), Prof. Robert F. Harrison (Ireland), Prof. Giuseppe Benagiano (Switzerland), Dr. Rohana Nalin Haththotuwa (SriLanka), Prof. Tsung-Hsien Su (Taiwan) participated. More than 150 National & Local faculty from across the country took part in the scientific deliberations. “INVEST IN ME - I AM THE FUTURE”the girl child on the ICRAOG Brochure declares confidently and joyfully. The conference could successfully highlight and focus on the GIRL CHILD and the need to save, protect and nurture her for our own future. “A Woman is the full circle. Within her is the power to Create, Nurture and Transform” - Diane Marie Child. The girl child who is nurtured carefully blossoms into a complete woman – an asset to the nation! On the 13th, there were four important workshops 1. Fetal Surveillance - For Intact Survival 2. Innovations & Implementation - Quest through the years 3. Safe Motherhood - All time need 4. Non-communicable diseases - High alert in the new millennium, at various halls at HICC, Hyderabad. On 13th September, a HMS Workshop at the Continental Hospital, Gachibowli was organized with over 150 nurses as trainees and the faculty included – Prof. Sir Sabaratnam Arulkumaran, Dr. C. N. Purandare, Dr. Hema Divakar, Dr. S. Shantha Kumari, Dr. Jayam Kannan, Dr. Sheela V. Mane, Dr. G. Jamuna Devi, Dr. A. Mahita Reddy, Dr. B. V. Shobha, Dr. Srilatha & Dr. Sarada. The workshop was very successful 10 and all the trainees were happy and expressed their satisfaction. A FOGSI - FIGO - GOI meeting - FIGO's partnership with FOGSI and GOI to reduce Maternal Mortality was organized on 13th September 2013 at HICC, Hyderabad. The inaugural function on 14th September celebrated “Girl Child and Woman Power” with an inauguration by Shri K. Chiranjeevi Garu, Hon'ble Minister of State (IC) of Tourism, Govt. of India, special guest and brand ambassador for “Save the Girl Child” campaign Ms. P V. Sindhu - Indian . Badminton player, Prof. Sir Sabaratnam Arulkumaran– Patron-ICRAOG, President FIGO, Dr. C. N. Purandare – Org. Chairman-ICRAOG, FIGO President elect, Dr. Hema Diwakar – President-ICRAOG & FOGSI, Dr. S. Shanta Kumari – Org. Secretary-ICRAOG, Vice President FOGSI, Dr. Nozer Sheriar – Org. Jt. Secretary-ICRAOG, Secretary General FOGSI and Dr. Hrishikesh D. Pai, Org. Jt. Secretary-ICRAOG, Deputy Secretary General FOGSI and little Manasvi representing the girl child. A “Save the girl child flag' was hoisted and a pledge to save the girl child was taken. The FOGSI girl child song stole many a heart. The GOI sessions were on implementing “Maternal Death Review in India” by Dr. Himanshu Bhushan & Dr. Manisha Malhotra, Deputy, Commissioners, Maternal Health, MOHFW, New Delhi and “Maternal Mortality Reduction: Think globally, act locally!” by Dr. Arvind Mathur, Medical Officer-Making Pregnancy Safer WHO South East Asia Regional Office, New Delhi. On the 14th evening, there was a Keynote Address on FIGO-FOGSI initiatives in Womens Health - making a difference by Prof. Sir Sabaratnam Arulkumaran President FIGO and Dr. Hema Diwakar - President FOGSI, followed by the Cultural programme titled “Dances of India” and Dinner at the Trident Hotel, Hyderabad. This event again witnessed a huge gathering of delegates. On the 15th morning, there were Meet the Experts - Breakfast sessions on - 1. Recurrent Pregnancy Loss 2. Infertility 3. Endometriosis etc. On the 15th there were important sessions on FIGO guidelines, Oration on Women's Health in 21st Century by Dr. C. N. Purandare, President Elect, FIGO. On 15th evening, there was a Valedictory Function with a vote of thanks and prize distribution for best Papers & Poster. The conference has provided an excellent opportunity to forge new relationships and to exchange views & opinions with professionals from across the country and the world on critical issues of Women's Health. 11
  • 7. The FOGSI-FIGO Connection Jan-Apr 2014 Countdown to Vancouver 2015: preparations in full swing Cipla’s Partnership in Practice The preparation for the next FIGO World Congress in Vancouver (4–9 October 2015) is well in hand, under the leadership of our various Congress Committees. The conference facilities are second to none, and the hotel accommodation exceptionally well appointed, and all well within walking distance. The Congress ‘First Announcement’ has now been released (see www.figo2015.org and www.figo.org), so I urge you to reserve the dates and join us for what will be a truly memorable event. I have no doubt it will be a great success and I want you, FIGO’s valued colleagues, to play an integral part in that success. FIGO Group tour to Vancouver, CANADA Those interested can please contact Mr. Arvind Sharma JV Travelz Suite No 301, Aggarwal Square, Plot No 10, Pocket 4, Sector 11, Dwarka, New Delhi – 110075 Phone: +9 999 108577/ +9 555 108577 Email: arvind@jvtravelz.com This FOGSI-FIGO connection newsletter is printed and published by Cipla for FOGSI only for private circulation among FOGSI Members. Edited by Dr. Narendra Malhotra mnmhagra3@gmail.com We are on Facebook pages (FIGO Connect-India). To know more please mail us at Specialities@cipla.com 12 13 9
  • 8. The FOGSI-FIGO Connection Jan-Apr 2014 Note Note 14 15