Day 1 :
University of Pennsylvania, USA
Keynote: Evening Induction of Labor Trial
Jessica Sember completed her BSN in 2007, at the age of 22 from Mansfield University of Pennsylvania (USA). She is furthering her education with American Sentinel University of Colorado (USA), planning to obtain an MSN with a specialization of Leadership and Organizational Development. Jessica’s nursing career has always been in women’s health, but she has held various roles in labor and delivery, lactation consultant and currently as the perinatal education coordinator, where she facilitates childbirth classes for her health system. Jessica has worked on research projects and has spoken at 2 conferences in the past about breastfeeding.
The Childbirth Center at Geisinger Medical Center in Danville, PA is a busy unit with 1864 births in 2016. Most women labor and delivery spontaneously, but for some an induction of labor is required for either a medical indication or because they are past their due dates. Between July-December 2016, 79% of our 91 inductions of labor were delayed. The average length of time from admission until the start of the induction was 217 minutes. The purpose of the process improvement project is to develop a best practice process to increase patient and family satisfaction. This project is being piloted on 1 unit with the potential to effect 6 hospitals within the Geisinger Health System. During the months of February and March 2017, inductions of labor will be scheduled to arrive at 7 pm instead of 7 am. Results will be presented with monthly data reports to show time improvement during the trial. The data will compare the percentage of inductions of labor that were delayed before the evening induction trial with the percentage of delayed inductions of labor during the evening trial. The goals of this project are to improve the experience of the patient and their families by decreasing the incidence of delayed inductions of labor as well as decreasing the time from admission to the start of the induction. Changing the time of admission for inductions of labor help to better utilize all staff members including obstetrics, pediatrics, and nursing; optimizing safety for the patients.
Huazhong University of Science and Technology, China
Xunbin Huang was educated at the Medical College of Wuhan University (China), Tongji Medical College,Huazhong University of Science and Technology (China). His education has a background in clinical medicine, reproductive medicine and Andrology.
Non-invasive laboratory tests that can predict sperm recovery in patients with non-obstructive azoospermia (NOA) has aroused an increasing interest toandrologists in recent years. The aim of this study was to evaluate the predictive value of sperm retrieval performed by FNA in NOA.
We conducted a retrospective study that 306 patients with NOA were performed with the fine needle aspiration (FNA) procedure at the clinic of the Centre for Reproductive Medicine,Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Inhibin B, FSH and LH plasma levels were analyzed and 67 out of 306 cases has successfully retrieved sperm with FNA. Depending on the result of FNA procedure, we classified the whole NOA patients into two groups, successfully retrieved sperm group (SRS) and unsuccessfully retrieved sperm group (USRS).There were statistically signiﬁcant differences between them in terms of mean serum Inhibin B, FSH and LH levels. The areas under the curve (AUC) of inhibin B, FSH and LH were 0.696, 0.729 and 0.747 respectively, and the AUC for the joint assessment of the three hormones is 0.832. The cut-off points were 27.31 pg/ml, 11.68IU/L and 4.04IU/L for inhibin B, FSH and LH respectively. This study suggests that the joint assessment of inhibin B, FSH and LH is a more effective predictor for successful sperm retrieval in patients with NOA before decision making of an invasive procedure than any single hormonal factors