NFOG 2008 XXXVI Congress of the Nordic Federation of Societies of Obstetrics and Gynecology June 14th–17th 2008, Reykjavík Iceland PROGRAMME AND ABSTRACTS www.nfog2008.is Dear colleagues, welcome to Reykjavík! The 36th NFOG congress has commenced and many people deserve thanks for making this possible. Our federation, NFOG, plays an important role in bringing us together in events such as this congress and in helping us keep up our professional standards. During the next three days we are offered a great variety of lectures in all fields of Obstetrics and Gynecology. We are honoured by the outstanding speakers from the Nordic Societies and from both sides of the Atlantic. In addition to six plenary lectures, the NFOG symposium is a plenary on the global perspective of women´s health. At all other times, four concurrent symposia will be ongoing so everyone should find something of interest. It is a special pleasure to welcome our keynote speaker Dr. Dorothy Shaw, President of FIGO (Fédération Internationale de Gynécologie et Obstétrique). This gives us a valuable opportunity to listen to the leading voice of FIGO, whose mission is to promote women´s health and safe motherhood and to raise the standards of practice in Obstetrics and Gynecology around the world. On behalf of the local organizing committee and the NFOG Board, I warmly welcome you to this congress in Reykjavík, the capital city of Iceland, and hope that you will enjoy the scientific programme of the congress as well as the social events. Hopefully you will also have an opportunity to experience Icelandic culture and nature. Yours sincerely, Þóra Steingrímsdóttir Congress president Picture on cover: Artist: Eggert Pétursson (b.1956). Untitled 2004–2005. Oil on canvas. The picture is a small part of the painting which shows the national flower “Holtasóley” (e; mountain avens, latin; dryas octopetala). The real size is 170x170cm. This piece of art is owned by Landsbanki who kindly gave permission to have the painting on display at Háskólabíó during the NFOG congress. The NFOG congress committee would like to express their gratitude to Landsbanki for their generous support. About the artist: Eggert Petursson’s sole subject is the Icelandic flora. Conceptual rather than decorative, his unique paintings of the minute tundra flowers of Iceland’s seemingly barren landscape reveal, with dizzying effect, the universe within. Abstract at a distance, at close inspection his canvases are hyper-realistic – an infinite regression of painstaking brush detail creating each petal, stem and leaf. PRENTSNIÐ – LETURPRENT Index Welcome .................................................................. 1 Scientific committee.................................................. 4 Local organizing committee ...................................... 4 Summary of NFYOGs activities 2007 ......................... 5 NFOG National Societies ........................................... 5 Programme overview ................................................ 6 Social programme ..................................................... 13 General information.................................................. 15 Programme ............................................................... 17 Map of the congress venue Háskólabíó..................... 44 Abstracts invited speakers ......................................... 47 Free communications ................................................ 85 Posters ...................................................................... 111 Author index............................................................. 153 Scientific committee Thue Bryndorf, Denmark Oskari Heikinheimo, Finland Alexander Smárason, Iceland Knut Hordnes, Norway Lars-Åke Mattsson (chairperson), Sweden Local organizing committee Þóra Steingrímsdóttir, president Ósk Ingvarsdóttir, secretary general Alexander Smárason, scientific secretary Ólafur M Håkansson, treasurer Arnar Hauksson, industry – sponsors Ragnheiður Ingibjörg Bjarnadóttir Reynir Tómas Geirsson Dögg Hauksdóttir, NFYOG member Hildur Harðardóttir Jens A Guðmundsson 4 NFOG 2008 Summary of NFYOGs activities 2007 The NFYOG board 2007 consisted of 10 members, 2 from each of the Nordic countries Denmark, Sweden, Finland, Iceland and Norway. Three board meetings were held. The spring meeting was held in Helsinki where the final touches to the Copenhagen seminar 2007 “Is there a future for obstetrics?” were made. The Copenhagen seminar “Is there a future for obstetrics?” was held in the Novonordisk conference facilities in Copenhagen on June 1st and 2nd. The seminar was evaluated by the participants and NFYOG board and viewed a success. A short board meeting was held immediately after the seminar. In the fall of 2007 a board meeting was held in Stockholm. Susanne Hesselman resigned as President when she went on maternity leave. Stig Hill was elected new President of NFYOG. Both the Swedish board members (Åsa and Susanne) resigned. Planning of the precongress seminar in Reykjavik and commencement of planning of the NFYOG seminar in 2009 was begun. Current NFYOG board NFYOG President Stig Hill, Norway Treasurer Dögg Hauksdóttir, Iceland Members Paivi K Rahkola, Finland Jatta Rautkorpi, Finland Jens Fuglsang, Denmark NN, Denmark Vilde Lehland, Norway Malin Strand, Sweden NN, Sweden Ágúst Ingi Ágústsson, Iceland Regards Stig Hill President of NFYOG NFOG National Societies Country Society Chairmen Active members (n) Abstracts at NFOG Congress 2008 (n) Denmark DSOG Morten Lebech 763 in DK, 33 abroad 62 Finland SGY Juha Tapanainen 845 34 Iceland FIFK Arnar Hauksson 37 19 Norway NGF Rolf Kirschner 715 38 Sweden SFOG Charlotta Grunewald 1747 57 Total 4140 210 In addition to the Chairmen of the National Societies, the NFOG board consist of the following members President: Seija Grénman, Finland Secretary General: Ragnheidur I. Bjarnadóttir, Iceland Treasurer: Martin Stjernquist, Sweden Congress President of NFOG 2008: Thóra Steingrímsdóttir, Iceland Chairman of Scientific Committee: Lars-Åke Mattsson, Sweden Chairman of Educational Committee: Anders Atke, Denmark Chairman of NFYOG: Stig Hill, Norway Chief Editor of Acta: Reynir T. Geirsson, Iceland Webmaster (www.nfog.org): Peter Secher, Denmark NFOG 2008 5 PROGRAMME OVERVIEW Saturday June 14th 09:00 Precourse: Clinical Andrology. Physical examination and use of laboratory tests (CME points 8) 15:00 NFYOG Symposium: Nordic Federation of Young Obstetricians and Gynecologists. Obstetrics, a threatened speciality. Britt-Ingjerd Nesheim NO 16:00–18:00 Congress Registration 18:00 Welcome – Get together Sunday June 15th Main Hall Hall 1 08:00 Congress Registration 09:00 Opening ceremony Thóra Steingrímsdóttir; Seija Grénman; Alexander Smárason; Reynir Tómas Geirsson Young Scientist Award; Best Acta Article Award; Lillehammer Stipendium; Artists: Fífilbrekkuhópurinn 09:30 Opening lecture Addressing barriers to access to sexual and reproductive health care Dorothy Shaw, FIGO president, CAN 10:30 Coffee Break / Exhibition 11:00 NFOG Symposium: Women’s health in a global perspective Introduction; Women´s Health in a Global Perspective; Peter Hornnes DK Maternal mortality with emphasis on post partum hemorrhage; Roland Strand SE HIV/AIDS and sexual and reproductive health and rights – what are the links? Jerker Liljestrand SE How can ob-gyn societies be useful partners in twinning? Charlotta Grunewald SE 12:30 Lunch Break 13:30 Plenary lecture Congential Anomalies of the Reproductive Tract; Marc Laufer US 14:15 Human Papilloma Virus Skills training, simulation and assessment I Efficacy of vaccines. Who should get them? Nubia Munoz FR Implementation and evaluation of multiprofessional skills Short and long term consequences of vaccination; training in obstetrics; Jette Led Sørensen DK Jorma Paavonen FI The SaFE Study: a randomised controlled trial of obstetric Should HPV testing be the primary test in screening programmes? simulation training; Johanna Crofts UK Philip Davies FR Research into Obstetric Training – ‘What are the Active Other indications for HPV testing; Joakim Dillner SE Ingredients of Effective Training ?’ Tim Draycott UK Hands on test of obstetric and gynecological simulators and assessment bench stations available all days 15:45 Coffee Break / Exhibition 16:15 Ovarian cancer Hormones and wellbeing: Testosterone, Cytoreduction for Ovarian Cancer – Are Advanced Techniques Progesterone, Estrogens of Any Use for the Patients? William Cliby US Estrogen and Cognition; Päivi Polo FI Ovarian cancer – Centralization of surgical treatment; Progesterone and progestagens influence on memory Björn Hagen NO and learning; Torbjörn Bäckström SE Prognostic markers, has anything happened during the last Testosterone treatment in women; 25 years? Claes Högdall DK Angelique Flöter Rådestad SE New treatment modalities; Mark Baekelandt NO 17:30–18:30 Poster session: Authors are present by their posters and ready for discussion. Refreshments 6 NFOG 2008 Hall 2 Hall 3 Women’s health. Free communications I Ultrasound for fun Introduction; Ove Axelsson SE Epidemiological studies on safety; Helle Kieler SE Animal studies on ultrasound bioeffects; Kjell Å Salvesen NO Safety recommendations; Ove Axelsson SE Possible advantages of 3 and 4 D ultrasound in obstetrics; Elisabeth Epstein SE Prenatal diagnosis. Free communications II Obesity Morbid obesity-a silent killer? Jøran Sture Hjelmesæth NO Obesity and reproduction; Tom Tanbo NO Overweight and pregnancy; Tore Henriksen NO NFOG 2008 7 Monday June 16th Main Hall Hall 1 08:15 Plenary