Grand Rounds Archives

Note: The following Grand Rounds topics represent only those presentations made by residents in the last 7 years. Guest speakers and faculty presentations at rounds are not included.

2014

  • Surgical Management of low risk endometrial cancer: evaluating the risk
  • Screening for Ovarian Cancer
  • Hepatitis in Pregnancy
  • Interventional Radiology in Obstetrics: A protocol in the making
  • Evidence-based clinical approach to endometrial hyperplasia
  • Updates in hypertensive disorders in pregnancy
  • Amniotomy in Spontaneous Labour
  • Second Trimester termination and complications: What a Gynaecologist should know
  • Intrapartum fetal scalp lactate testing
  • Endometrial Receptivity: The final frontier
  • Quality Care in Gynaecology: What are we measuring and how do we measure up?
  • Grief and Bereavement in Ob/Gyn
  • Clostridium difficile infection in the hospital setting
  • Harm Reduction in Obstetrics & Gynaecology
  • Old Wives' Tales: Science or folklore?
  • Pelvic Hematoma After Hysterectomy
  • Prostitution: Re-thinking the world's oldest profession
  • VTE in Pregnancy: A Clinical Update
  • Symptom management in BRCA patients: a hormone sensitive issue
  • Female Cosmetic Gynecologic Surgery, Extreme Makeover: Gyn Edition
  • Fetal and Maternal Positioning During Labour
  • Breastfeeding
  • Repeat Antenatal Corticosteroids: An examination of the current evidence
  • The Management of Substance Use in Pregnancy
  • Management of vulvar cancer: an evolution in the making
  • History of Hysterectomy
  • Stress and Infertility
  • An Approach to the Second Stage of Labour
  • Debulking the Evidence - Primary Debulking vs Neoadjuvant Chemotherapy in Epithelial Ovarian Cancer
  • Transgender care for the general gynaecologist
  • Cervical Cerclage: A review of current evidence
  • Twice Caesarean, Always Caesarean?

2015

  • The Placenta: Biohazardous Waste or the Key to Adult Health?
  • Hocus Pocus or the Real Deal? An Examination of Point of Care Ultrasound in Gynecology
  • Aboriginal Maternal Health: A Culturally Safe Approach
  • Laparoscopy for Suspicious Adnexal Masse
  • But Doctor, Can't You Stop My Labour? A Review of Tocolytics
  • IUD Uterine Perforation
  • BRCA and uterine serous cancer: rethinking patient care
  • Vaginal estrogen and pelvic floor health: What and how should we teach our patients?
  • Preconceptual Care in Obesity
  • Domperidone as a Galactogogue: Investigating the off-label use in light of the recent Health Canada Advisory
  • Diagnosis and Management of Retained Products of Conception
  • Pertussis Vaccine in Pregnancy: Time for a Change in Practice?
  • Trends in Operative Vaginal Delivery
  • Predicting IVF Success: Art, Experience, or a Scientific Calculation?
  • Is Our Management of Term PROM Really Evidenced-Based?
  • An approach to analgesia in the MIS era
  • Transfusion Practices in Gynecology at LHSC: Room to improve?
  • Enhanced Recovery After Surgery in Obstetrics and Gynecology
  • Pelvic Exams-making the experience rewarding for women and enhancing learning opportunities for future physicians
  • What to do about MRS.A? An update for the Obstetrician
  • Bigger Babies - A review of the risks, diagnosis and management of macrosomia
  • Preimplantation Genetic Screening and Diagnosis: The Next Frontier of Reproductive Medicine
  • Persistent Occiput Posterior
  • Unto the Breech Once More, Dear Friends: Vaginal Breech Delivery 15 Years After the Term Breech Trial
  • Mesh Degradation
  • Misguided or misunderstood? Exploring why resident duty hour restrictions have fallen short of expectations
  • The HPV Vaccine: Mythbusters
  • "How would you like your eggs?" - Salpingo - oophrectomy in non-BRCA patients at the time of benign hysterectomy
  • The elephant in the room: what does a complicated pregnancy mean for adult disease risk
  • Extreme Prematurity - The Age Old Question
  • The therapeutic value of GnRH agonists in benign Gynaecology
  • Early Warning Systems in Obstetrics

2016

  • Patient Positioning in Gynecologic Surgery
  • Cancer in Pregnancy: Fetal exposures and pregnancy related risks
  • Endometrial Ablation - efficient or postponing the inevitable?
  • Enhanced Recovery After Surgery in Obstetrics and Gynecology
  • Advanced Ovarian Cancer - Primary Debulking Surgery vs Neoadjuvant Chemotherapy
  • Universal Screening and Referral to Genetics for Lynch Syndrome in Endometrial Cancers Patients at LHSC - Updates for the Generalist
  • Endometriosis in Pregnancy: A clinical update on theories, effects, and outcomes
  • Zika virus, an emerging teratogen
  • Placental drug transport and its clinical relevance
  • Skin-to-Skin Multidisciplinary Rounds
  • Asking about Intimate Partner Violence and a review of community resources available for abused patients
  • Later, Baby! The current climate of "social" oocyte cryopreservation
  • Management of the Adnexal Mass in Pregnancy for the Generalist
  • Postpartum hemorrhage revisited: a closer look at Carbetocin and Tranexamic Acid
  • “Teen Mom” - Caring for an adolescent pregnancy
  • Triple I - The New Chorio. A fresh perspective on diagnosis, management and complications of chorioamnionitis
  • Let's Pump Some Iron: Anemia in Pregnancy
  • Fluid overload is a polite term for drowning
  • Management of PPROM greater than 34+0 weeks
  • The Role of Cystoscopy in General Gynecology
  • Frailty in the older surgical patient: will it affect your practice?
  • Gynecologic Surgery in the Obese Woman
  • New frontiers in tocolysis: bringing oxytocin antagonists to LHSC
  • Medical Tourism
  • Preventing Preterm Birth in Twins
  • HIV and Pregnancy: A review on current management and monitoring guidelines
  • Heart Problems: Aortic Stenosis in Pregnancy
  • Ectopic Pregnancy - Not so black and white
  • Postpartum contraception - How early is too early?
  • Emergency Contraception-An update
  • Best practices in the post partum preeclamptic patient
  • Things your Pathologist wants you to know
  • Gestational diabetes
  • Minimally Invasive, Maximally Contorted: Ergonomics of Laparoscopic Surgery
  • Public Engagement in Genethics Policy Research: Multi-Directional Multi-Perspective Learning
  • Getting the Scoop on Opportunistic Salpingectomies
  • A Grand Rounds on Grand Rounds - Is there room for improvement?
  • An Update on the Diagnosis and Management of First Trimester Pregnancy Complications
  • Surgical Education: On the Cusp of Excellence
  • When Breast Patients Present to their Gynecologist…Workup, treatment and balancing risk between specialties – are there opportunities for research?

2017

  • From Stone to Silicone: An Audiovisual Journey Through the History of Intravaginal Medical Devices
  • Evaluation of Proteinuria in Pregnancy
  • Updates on the treatment of nausea and vomiting in pregnancy
  • Intrahepatic Cholestasis of Pregnancy: Can We Reach a Consensus?
  • Trauma in Pregnancy
  • Eating Disorders in Pregnancy
  • Endometrial Biopsies - from too little to too much. A review of scant biopsies and a new classification system for hyperplasia
  • Oncofertility
  • Pediatric ovarian torsion: The road to ovarian conservation
  • "Dealing with Demise.
  • Shedding Light on Stillbirths"
  • This Is Your Fetus On Drugs: Cannabis and Pregnancy in 2017
  • A Review of Vaginal Ulcers
  • ERAS Episode IV: A New Hope
  • Complementary & Alternative OB/GYN - The lure of the "natural" in women's health
  • The Opioid Crisis: How we can help in OBGYN
  • A SPRM Story- Current uses of Ulipristal Acetate in Gynecology
  • Oncologic Emergencies (a case based overview)
  • A Modern Approach to the Rh Negative Pregnant Woman: Is there a role for targeted prophylaxis based on routine non-invasive fetal RHD genotyping?
  • Can we 'Crowdfund' a cure? What ALS has taught me about life, medicine, and innovative funding models for scientific research
  • Induction of Labour
  • Hysterectomy Pathway - Q.I. Rounds

2018

  • Management of Endometrial Hyperplasia 
  • The Pregnancy Options Program: Past, Present, and Future 
  • Tranxemic Acid: Everyone Else is Doing It!
  • What About Babies?  Endometriosis and Fertility
  • Beat goes on – delayed cord clamping in preterm infants
  • Invasive Placentas
  • Bariatric surgery in reproductive aged women
  • I Think, Therefore I've Had My Coffee: Caffeine & Pregnancy
  • Antenatal Corticosteroids, where we have come from and where we are going. A review of evidence to inform Practice
  • The evolving path to an OB/GYN residency in Canada
  • Maternal obesity, placental function and fetal growth: Can we intervene?
  • Female Sterilization: The Who in Ligation and Reversal
  • Going Viral: Harnessing Social Media to Improve Patient Care
  • Layer by Layer: Reviewing the Evidence for Caesarean Surgical Techniques
  • Placental Growth Factor: From Down Syndrome to Preeclampsia
  • Female Sexual Dysfunction
  • Gestational Diabetes – Long-term impacts for mother and offspring
  • To Err is Human; To Prevent Medical Errors, Divine
  • What's new in Obstetric Analgesia and Anesthesia
  • Immunization in Pregnancy: Emphasis on Pertussis and Influenza
  • Illicit Substance Use in Pregnancy
  • What Is The Solution to Pollution? An update on preventing surgical site infection after caesarean section. 
  • Eenie Meenie Miney Mo: Choosing the Surgical Approach to Hysterectomy
  •  Healthcare for Transgender Patients
  • Approach to the adnexal mass in children and adolescents
  • Complete the Circuit: Modern Electrosurgery
  • The Story of IVF - 40 years and more than 5 million babies
  • Dietary Supplements in Fertility
  • Maternal mortality in Canada
  • Perinatal Genetics - What the Modern Obstetrician Should Know
  • An Evidence Based Approach to Anti-hypertensives in the Antepartum and Postpartum Period
  • Subtyping FGR and Preeclampsia- Clinical implications of Placental Examination
  • ASA 101: The role of Aspirin in pre-eclampsia
  • Preoperative Anemia: A Story of Postoperative Morbidity and Mortality
  • A review of pelvic inflammatory disease: What is the ideal antibiotic regimen in 2018?
  • There Will Be Some Cramping: Pain and Analgesia for Office IUD Insertions and Endometrial Biopsies

2019

  • Postpartum Care for Women with Preeclampsia
  • HPV Vaccine and Cervical Cancer Screening
  • Influenza in Pregnancy
  • Current standards for oxytocin use during induction & augmentation of labour: Are we UpToDate or are we just washed-out?
  • Fertility preservation in endometrial cancer
  • The Role for Gynaecologic Surgery in Patients with Breast Cancer, or a Hereditary Breast and Ovarian Cancer Syndrome
  • The Opioid Epidemic: How to stop adding fuel to the fire
  • To push, or not to push: that is the question. Second Stage Management: A Review of Delayed versus Immediate Pushing
  • Exploring autophagy as a therapeutic vulnerability in metastatic ovarian cancer
  • When the Time is Right: Risk Stratification and Timing of Induction of Labour
  • VBAC: A review to aid in shared decision making
  • Reduced Fetal Movement and Predicting Stillbirth
  • Diagnosing Threatened Preterm Labour: Utility and Efficacy of Screening Tests
  • At the Broken Places: What I have Learned as Assistant Dean for Resident Wellbeing
  • What’s for dinner Afterbirth? - A review of human placentophagy
  • Blastocyst Formation and Obesity: Not a great combination!
  • An Update on Prevention, Screening and Management of Alloimmunization in Pregnancy
  • Medical Education: Good Game Well Played (GGWP)
  • Cervical Insufficiency: The Ever Changing Cervix
  • Jim Silcox Lecture: “Cultivating exceptional teams: unexpected lessons from Navy SEALs, pilots, and kindergarteners”
  • Magnesium Sulphate for Fetal Neuroprotection: A review of the rationale behind the new 2019 SOGC clinical practice guideline
  • Placenta Previa Redux: how low is too low?
  • Long-term cardiovascular risk in women with pre eclampsia
  • Management of Placenta Accreta Spectrum
  • Prevention & Management of OASIS
  • Obesity in Gynecologic Surgery

2020

  • ERAS for Cesarean Sections
  • "What's in a Name...": Terms Confusing Decision-making in Reproductive Genetics from PGD to NIPT to 2020
  • Obesity and Infertility
  • Hysteroscopic Myomectomy: The Old & the New New
  • Endometrial Hyperplasia: Many Shades of Grey
  • Can we eliminate cancer of the cervix?
  • Mifeprstone: experiences and applications
  • Early Pregnancy Loss: An Update on Diagnosis and Management
  • COVID-19 Grand Rounds Webinar Broadcast from GNYHA: Special Considerations for the Perinatal Patient
  • COVID Rounds
  • When mesh goes wrong, what should we do?
  • Prevention & Recognition of Bladder & Ureteric Injuries in Gynecological Surgery
  • Pregnancy & Bariatric Surgery
  • A Crash Course on Hidradenitis Suppurativa - The why, the what and the How
  • Delayed Cord Clamping in preterm infants
  • Obstetrical Care amid the Opioid Crisis
  • Telemedicine in Urogynecology: Implication for patient centered clinical care and research
  • Indigenous Maternity Care: An introduction to Indigenous midwifery and addressing systemic racism within medicine

2021

  • Supporting of Gender-Based Violence through the universal application of Trauma-Informed Care
  • Viral hepatitis in pregnancy: What do we "C" and what can we "B" doing better?
  • Baby fever: Evidence-based management of chorioamnionitis
  • Fertility Options in Pituitary Insufficiency
  • Elentra Training Refresher
  • Mothers, sign your placenta donor card! Ex vivo modelling of maternal-fetal pharmacokinetics and pharmacodynamics
  • Antibiotic Prophylaxis on Labour and Delivery - Old Bugs, New Tricks
  • Effective Teaching in the Operating Room
  • Misoprostol for induction of labour
  • Sonohysterography: a 3-in-1 infertility work-up test
  • Aspirin for Preeclampsia Prevention
  • Tibolone: an old drug in a new market
  • Approach to constipation assessment: a review of defecatory disorders in women
  • Racism in Medicine
  • Treatment of Iron Deficiency
  • Venous thromboembolism in pregnancy
  • Oxygen signaling in the placenta: from physiology to pathology
  • Trauma-Informed Birth Practices: Guiding principles to a trauma informed approach - Summer Rounds
  • Non-Invasive Preimplantation Genetic Testing
  • Management of Persistent and Recurrent Stress Urinary Incontinence
  • To Close or Not to Close? The Question of Trocar Site Hernia
  • "Vulvar Ulcers – the Why, Where and What?" Continuation of Vulvar series - volume 2
  • Maternal diet/body composition in programming of fetal and placental development and metabolism
  • Hypertensive Disorders of Pregnancy: a Review of Appropriate Investigations
  • Contraceptives in Adolescents
  • Endometriosis and Infertility, an update
  • The Midwifery Model of Care
  • The Impacted Fetal Head and Reverse Breech Extraction
  • Uterine Artery Dopplers and the Future of Preeclampsia Screening
  • Let's phone a friend! Recommendations by a vulvar dermatologist on the management of vulvar lichens

2022


  • Hemostasis, thrombosis, and wound healing are impossible without “Little-plate” or “Clot-Cell"
  • Feel the burn: A review of vulvodynia
  • Intramuscular versus vaginal progesterone for programmed frozen embryo transfers: Which evidence do you trust?"
  • Let's do it Upright (Alternative birthing position) 
  • Recurrent Pregnancy Loss: Navigating Uncertainty
  • Cardiac disease in pregnancy
  • Leiomyoma: Review of the medical, surgical and interventional management
  • "Fertility preservation for medical reasons"
  • "Care of the Critically Ill Obstetrics Patient with COVID-19: Review of Two Cases at LHSC"
  • A Review of Fetal Growth Restriction
  • Sickle Cell Disease in Pregnancy
  • Designer Vaginas: A Review of Female Genital Cosmetic Surgery
  • Dichorionic Diamniotic Twins
  • HPV
  • Progesterone Only Contraception and Bone Mineral Density
  • Webbed Feat: Intrauterine synechiae and Asherman Syndrome
  • Female Sexual Interest/Arousal Disorder
  • Demystifying the sonographic appearance of benign adnexa: Introducing ORADS
  • Endometriosis: A review of the evidence
  • Diagnosis of PPROM
  • Racial inequities and Antiblack Racism in Medicine
  • The Approach to Non-Obstetric Surgery during Pregnancy
  • Cracking the code: Assisted Hatching
  • Intrapartum Fetal Surveillance: A Highlight on Fetal Scalp Lactate Sampling

2023

  • Sexual dysfunction in women: a practical approach
  • Isthmocele: Overview of diagnosis and management
  • "Denial is delay": PPH Guideline Update 2022
  • Management of Breast Cancer in Pregnancy
  • Lactation: Breast Practices
  • Vasomotor Symptoms of Menopause: Non-Hormonal Medical Management
  • Diagnosis and Management of Vasa Previa
  • Antihypertensives
  • Nursing an Old wound: Collaboration on OBCU
  • Perinatal Mental Health
  • Choosing Wisely - Obstetrics
  • A Shoulder Not to Cry on
  • Pelvic Congestion Syndrome and Vulvovaginal Varicosities
  • The code that cried wolf: “Code OB” at LHSC
  • AFE with Anaesthesia
  • The REDUCED Trial: A Cluster Randomised Trial for REDucing the Utilization of CEsarean sections for Dystocia

2024


  • Age-related Fertility Decline
  • Reducing Morbidity in Gynecology Surgery
  • Molecular Classification in Endometrial Cancer
  • The role of hysteroscopy in the treatment of RPOC
  • Harvesting Hope: Fertility Preservation in Focus
  • A Review of Genetic Predisposition to Gynecological Malignancy
  • DIV
  • Cervical cancer screening: HPV testing and self-testing
  • When Families Choose Care Outside of the Standards of Practice
  • Research Panel
  • Pudendal Neuropathy
  • Digging into the evidence: a review of food safety in pregnancy
  • HIV/AIDS In Pregnancy
  • O-RADS Reporting for Adnexal Masses: Joint ObGyn-Radiology Grand Rounds
  • From Delivery Rooms to Digital Feeds: OBGYN Caution in Social Media
  • Let them choose! Caesarean delivery on maternal request.
  • Impact Of Pregnancy And Childbirth After Pelvic Floor Reconstructive Surgery
  • The skin and pregnancy
  • Pregnancy Secrets Revealed: Shocking Facts Every Expecting Mother Needs to Know! - Trending/Controversial Topics in Social Media
  • Artificial Intelligence (AI) In OBGYN
  • Guideline No.453 Endometrial Ablation in the Management of Abnormal Uterine Bleeding
  • Solutions for Patient Safety (SPSS) – Error Prevention Training
  • B MI REI
  • Perineal Repair Best Practices
  • Don't get it twisted - Oophoropexy to prevent Ovarian Torsion
  • Endometriosis
  • Itching for Answers: Cholestasis of Pregnancy
  • Is it the Ancef to your problems? Surgical Antibiotics in Gynecology

2025


  • Chronic Pelvic Pain
  • Systemic Lupus Erythematosus in Pregnancy
  • Endometrial Hyperplasia with Atypia: Non-Surgical Management
  • Brain on Fire: Dermoid Associated Anti- NMDA Encephalitis
  • Failure to Progress?: Ethnocultural Differences in Practices & Perspectives
  • Endometrial Cancer: Review of Current Practices and New Recommendations
  • ERAS for Cesarean Sections
  • Cultivating Self-Compassion in Medicine
  • Decoding the Ovaries: Insights from the New 2024 POI Guideline
  • Clinical Consensus Statement No. 458: Hepatitis C Virus in Pregnancy
  • Measles
  • Preimplantation Genetic Testing for Aneuploidy
  • Uterine Septum, to Cut or Not to Cut?
  • The Sky’s the Limit - Travel Considering in Pregnancy
  • Iron Deficiency Anemia in Obstetrics and Gynaecology
  • Fetal Blood Group Genotyping
  • No Sweat, it’s just Menopause
  • To Pop or Not to Pop? Re-evaluating the Approach to Large Ovarian Cysts
  • Chronic Endometritis
  • Reproductive Considerations of GLP-1 Receptor Agonists
  • Born to Make History
  • Labour Pains and Gains: Misoprostol Versus Oxytocin
  • Adolescent Pregnancy: They Are Not Just Little Adults!
  • Heavy Menstrual Bleeding in Anticoagulated Patients
  • Placenta Accreta Spectrum: Contemporary Management Approaches

2026

  • Onto the Beaten Path: vNOTES
  • Finding the Sweet Spot: Peri-Operative Glucose Management
  • More than Baby Blues: Evidence-Based Management of Perinatal Mood and Anxiety Disorders
  • So Doc, I have a Question About Breastfeeding…
  • Obstetric Implications of Endometrial Preparation: A Comparison of Natural and Medicated FET Cycles
  • Safety Management Systems: Lessons from the Sky to Help Improve Patient Safety
  • Menopause Hormone Therapy in Gynecologic Cancer 
  • Testosterone Therapy in Postmenopausal Patients: A Practical Toolkit
  • Endocrine Disrupting Chemicals and Endometriosis
  • An Update on Recurrent Pregnancy Loss
  • If Walls Could Talk: The Architecture of Medicine
  • How to Boost your Fertility Naturally: A Review of Fertility Supplements
  • Perineal Repair Best Practice
  • Tubo Ovarian Abscesses - Is It Always a Gynae Problem?
  • NSAIDs in Obstetrics and Gynecology
  • Behind Closed Doors: Intimate Partner Violence in Women’s Health