EAPM COURSE

ANTENATAL AND POSTNATAL MANAGEMENT AND OUTCOME IN MONOCHORIONIC TWINS

Coordinator: Enrico Lopriore (the Netherlands)

Thursday, 22nd September 2022

14:00-14:10 Introduction and objectives – Enrico Lopriore (The Netherlands)

Antenatal management and outcome
14:10-14:30 Management of MC twins: general overview – Mariano Lanna (Italy)
14:30-14:50 TTS – Femke Slaghekke (The Netherlands)
14:50-15:10 TAPS – Lisanne Tollenaar (The Netherlands)
15:10-15:30 SFGR – Liesbeth Lewi (Belgium)
15:30-15:40 Short break

Postnatal management and outcome
15:40-16:00 How/why to inject MC placentas – Sophie Groene (The Netherlands)
16:00-16:20 Postnatal management – Enrico Lopriore (The Netherlands)
16:20-16:40 Long term outcome – Jeanine van Klink (The Netherlands)
16:40-17:15 Discussion with participants – Enrico Lopriore (The Netherlands)

Enrolments are limited to 50 people per course

Enrico Lopriore

, MD, PhD

Leiden, The Netherlands

is a professor of neonatology and fetal medicine and head of the Neonatal Intensive Care Unit at the Leiden University Medical Center (LUMC).

Neonatology and fetal medicine
His research focuses mainly on the origin, management and outcome in various fetal disorders, including complicated monochorionic twins (with TTS, TAPS or sIUGR) and fetal hematologic diseases (anemia or thrombocytopenia). The ultimate goal of his research is to improve perinatal survival and in particular the long-term outcome in these vulnerable babies.

Academic career
Enrico Lopriore absolved Medical School and his doctoral research at Leiden University. The title of his doctoral thesis (2006) reads ‘Twin-to-twin transfusion syndrome: from placental anastomoses to long-term outcome’. He was appointed Professor in Neonatology of the Leiden University Medical Center in July 2016. The title of his inaugural lecture was ‘Blood brothers‘.

Mariano M Lanna

born on April 12th 1974 in Afragola, Naples (Italy). Graduated in Medicine in Naples University (Italy) in 1998, specialized in Gynecology and Obstetrics in Parma University (Italy) in 2003; one year of stage in 2003 in Fetal Medicine at Hospital Clinic, University of Barcelona (Catalonia, Spain).
Since 2005, obstetrician in Vittore Buzzi Children Hospital, Milan, now responsible of Fetal Therapy Unit “U Nicolini”.
First operator in:

500 fetoscopic laser treatment for twin twin transfusion syndrome in monochorionic twin pregnancies
150 fetal surgery procedures as thoraco-amniotic shunt for pleural effusion, vesico-amniotic shunt for lower urinary tract obstruction, bipolar cord coagulation for selective feticide in monochorionic twin pregnancy, laser coagulation of chorioangioma.
50 intrauterine blood transfusion for fetal anemia
500 chorionic villous sampling , almost 1000 amniocentesis From 2013 to 2015, board member in SIEOG (Italian society for Ultrasound in Obstetrics and Gynecology), now coordinator of Multiple pregnancy study gruoup of SIEOG.

Liesbeth Lewi

is a fetal medicine specialist and staff member of the Department of Obstetrics and Gynecology (UZ Leuven, Belgium) and a part-time associate professor at the Department of Development and Regeneration, Faculty of Medicine (KU Leuven, Belgium).
Her clinical work and research focus on complications in monochorionic twin pregnancies and fetal medicine.
In 2008-2009, she worked in the Harris Birthright Center for Fetal Medicine of King’s College Hospital with Prof. Dr. Kypros Nicolaides.

In 2014-2015, she completed the Global Clinical Scholars Research Fellowship of Harvard University.
In 2020-2021, she worked for six months in the Ontario Fetal Center of the University of Toronto with Dr. Greg Ryan.
She published more than 170 peer-reviewed papers.