Dalhousie University Department of Obstetrics and Gynaecology

Obstetrics and Gynaecology Rounds

All inquiries regarding Rounds should be directed to: obsgyneducation@iwk.nshealth.ca

Department of Obstetrics and Gynaecology Continuing Professional Development Activities

The Dalhousie Department of Obstetrics and Gynaecology Grand Rounds is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

If you are not a current department member, and would like to receive weekly email notifications of each week's rounds sessions (if any), then you can sign up for those emails on the email subscription page. If you are receiving those emails and do not wish to any longer, there is an unsubscribe link at the bottom of each email. Don't forget to add us to your safe sender's list/filters/whatever applies. Instructions here: https://dalobstetrics.ca/email

JOIN A ROUNDS SESSION
Wednesday, 7:30-8:30 am
Attend this week's rounds session

Rounds Schedule

DateSpeakersTitle
Apr. 22, 2026External Speaker NO ROUNDS - Dept Meeting
Apr. 29, 2026External Speaker Global Health Equity & Advocacy Unit - Bereavement Care: Healing Together with Compassion
May. 6, 2026Katharina Kieser Grand Rounds
May. 13, 2026Danielle Younker Grand Rounds
May. 20, 2026Mark Hewitt Grand Rounds
May. 27, 2026Caitlin Davis Grand Rounds
Jun. 3, 2026Lulwa Alsharekh, Kathleena Sarty Quality Assurance Rounds
Jun. 10, 2026External Speaker NO ROUNDS
Jun. 17, 2026External Speaker NO ROUNDS
Jun. 24, 2026External Speaker NO ROUNDS

Evaluations

Evaluation links are available for fourteen days. Please locate the Rounds presentation you wish to evaluate in the Archived Section below.

Thank you in advance for your feedback!

Recordings and Slides

RECORDINGS:

Presentation materials are not to be captured or recorded by attendees.

Presenters may choose whether the presentations are recorded or not. Note that viewing the recorded Rounds session does not qualify you for Section 1 MOC credit.

SLIDES:

Presentation slides will be linked to the archived session below when the presenter permits.

Archived Entries

  • 2026
  • 2025
DateSpeakersTitleInternal EvaluationExternal Evaluation
Apr. 15, 2026Azar Mehrabadi Methodological Approaches to Studying Periconceptional and Pregnancy Exposures and Maternal–Child Health Outcomes: From Supplements to Obstetric InterventionsOpen SiteEvaluation
Apr. 8, 2026Lana Saciragic Competency Based Medical Education Update – CBD 2.0Open SiteEvaluation
Apr. 1, 2026Caitlin Davis, Reid Rebinsky Quality Assurance Rounds- Urologic injury in obstetricsOpen SiteEvaluation
Mar. 25, 2026Rachael Martin Residents as Teachers: Improving medical student experiences in Obstetrics and Gynaecology
Mar. 18, 2026External Speaker NO ROUNDS
Mar. 11, 2026Shifana Lalani Maternal Immunization in Obstetrics: Evidence, Safety, and Emerging Vaccines
Mar. 4, 2026External Speaker Anesthesia Grand Rounds - M&M Rounds
Feb. 25, 2026Kathleen O'Brien Beyond the Blastocyst: A Review of Ethical Challenges in Preimplantation Genetic Testing 
Feb. 18, 2026Lulwa Alsharekh TeamBirth (introducing new concept in labor and delivery)
Feb. 11, 2026Navi Bal Menopause Management for Hormone Sensitive Cancers
Feb. 4, 2026External Speaker NO ROUNDS - Dept Meeting
Jan. 28, 2026External Speaker When Patients Decline: Navigating Informed Choice and Shared Decision Making in Obstetrics
Jan. 21, 2026Nicole MacEachren Beyond BMI - Obesity and Reproductive Medicine
Jan. 14, 2026Krystal Van den Heuvel A Review of Recurrent Placental Conditions
Jan. 7, 2026Maggie Flemming Proteinuria in Pregnancy
DateSpeakersTitleInternal EvaluationExternal Evaluation
Dec. 31, 2025External Speaker No Rounds
Dec. 24, 2025External Speaker NO Rounds
Dec. 17, 2025Alison Harding, Emma Jeffrey Gyne or Ob? Rethinking the 20-Week Cutoff: Quality Assurance Rounds
Dec. 10, 2025Brigid Nee, Elizabeth Randle Laparoscopic Radiofrequency Fibroid Ablation
Dec. 3, 2025Samantha Kinley A review of cervical length in pregnancy: screening and management
Nov. 26, 2025External Speaker Department Meeting
Nov. 19, 2025Rayan Alyafi Recurrent Pregnancy Loss Canadian and International Guidelines
Nov. 12, 2025External Speaker Women in Leadership – Overcoming Obstacles, and Redefining Success
Nov. 5, 2025External Speaker Maritime Newborn Screening: an overview for perinatal healthcare providers
Oct. 29, 2025Melissa Brooks Between Policy, Autonomy, and Justice: The Ethics of Indication-Based Abortion Care
Oct. 22, 2025Morgan Burgoyne Keeping Up with the Endometrium: Updates on Endometrial Cancer and Local Trends
Oct. 15, 2025External Speaker Toward Equitable Contraceptive Access: Youth Insights on Cost, Care, and Ideal Health Environments
Oct. 8, 2025Chloe Brown The Waiting Game: Understanding The Impact of the Second Stage of Labour
Oct. 1, 2025External Speaker NO ROUNDS
Sep. 24, 2025Emma Jeffrey Reevaluating the Medical Management of Early Pregnancy Loss
Sep. 17, 2025Mark Hewitt, Kathleen O'Brien Quality Assurance Rounds
Sep. 10, 2025External Speaker Myomectomy at the Time of Cesarean Section
Aug. 6, 2025External Speaker NO Rounds
Jun. 11, 2025External Speaker Connecting Genomics to Patient Care: Data-Driven Precision Medicine
May. 28, 2025External Speaker Combined Grand Round Presentation - A TIC Talk for Anesthesia Providers: New Insights on trauma-informed care
May. 21, 2025External Speaker Climate change and sustainability in medicine and surgery
May. 14, 2025External Speaker CANCELLED - Grand Rounds
May. 7, 2025Alison Harding, Michael Ripley Comedic Relief: Using Humour to Connect, Cope, and Care in Medicine
Apr. 30, 2025External Speaker Book blurb: A scathing critique of the colonial legal system's denial of children's rights
Apr. 23, 2025Lucie Menard Navigating Care for Out of Country Obstetrical Patients
Apr. 16, 2025Nancy Van Eyk Progestin Contraceptives: How Do We Chose?
Apr. 9, 2025External Speaker NO ROUNDS - Department Meeting
Apr. 2, 2025External Speaker Dr. H.B Atlee Lectureship - 'Clitoral Anatomy and Surgery: A Piece of the Sexual Pain Puzzle'
Mar. 26, 2025External Speaker Combined Global Health Grand Round on Anti-Black Racism in Healthcare
Mar. 19, 2025Anita Smith Maritime Centre for Pelvic Floor Health: A winding path forward in patient care
Mar. 5, 2025Emily Gray, Alison Harding Quality Assurance Rounds- An OB Case Presentation and Discussion 
Feb. 26, 2025David Rittenberg The Comfort Promise:  New frontiers in Pain Care for Gynecologic procedures
Feb. 19, 2025External Speaker CANCELLED - Book blurb: A scathing critique of the colonial legal system's denial of children's rights
Feb. 12, 2025Kaylee Jabbour Beyond the "Baby Blues": Identifying, Treating, and Caring for Perinatal Mental Illness
Jan. 29, 2025Jocelyn Stairs Beyond the OASIS: Long-term Management of Patients with Obstetrical Anal Sphincter Injury
Jan. 22, 2025Heidi Bentley Hot Topics in Menopause: What's new and review of challenging cases
Jan. 15, 2025Anushka Nair 'Beyond the Bedside: Exploring Alternative Medicine Therapies in Labour and Delivery'
Jan. 8, 2025Jillian Coolen Positive or Inconclusive NIPS… Now what?

 

NO ROUNDS - Dept Meeting

NO ROUNDS

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Global Health Equity & Advocacy Unit - Bereavement Care: Healing Together with Compassion

global-health
Grand Round Presentation via MS Teams/Parker reception room G2066
 
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Discover the wonderful work being done in Ghana and hear directly from “Team Ghana” as they share their heartfelt stories, insights, and lessons from the field.

This promises to be more than just a session but an opportunity to connect, reflect, and be inspired. One that brings together compassion, global impact, and lived experiences.

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Grand Rounds

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Grand Rounds

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Grand Rounds

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Grand Rounds

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Quality Assurance Rounds

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NO ROUNDS

Department Meeting 

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NO ROUNDS

SOGC & ACSC

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NO ROUNDS

NO ROUNDS

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Methodological Approaches to Studying Periconceptional and Pregnancy Exposures and Maternal–Child Health Outcomes: From Supplements to Obstetric Interventions

Grand Round Presentation via MS Teams/Parker reception room G2066
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Dial in by phone
+1 902-800-0740,,565403817# Canada, Halifax
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Phone conference ID: 565 403 817#
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Tenant key: 20014895@t.plcm.vc
Video ID: 113 602 125 5
OBJECTIVES:
  1. To define key methodological challenges in our field
  2. To review several methodological approaches to studying periconceptional and pregnancy exposures and maternal-child health outcomes
  3. To apply the concepts covered to several examples from my work on high-dose folic acid use for neural tube defect prevention, influenza vaccine use in pregnancy, and the safety and effectiveness of labour induction
  4. To identify future opportunities for research

PRESENTER:  

Azar Mehrabadi,

PhD. Assistant Professor,

 Perinatal Epidemiology Research Unit,

Departments of Obstetrics & Gynaecology and Pediatrics,

Dalhousie University

2026-04-15_Azar Mehrabadi_Methodological Approaches to Studying Periconceptional and Pregnancy Exposures
(Video)

Competency Based Medical Education Update – CBD 2.0

Grand Round Presentation via MS Teams/Parker reception room G2066
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OBJECTIVES :
  • Understanding the CBME model and latest update (i.e. CBME 2.0)
  • To review literature on effectiveness of CBME implementation 
  • To gain practical resources for day to day CBME implementation, including practicing meaningfully completing EPAs, easily accessing One45, how to initiate an assessment as faculty 
 

2026-04-08_Lana Saciragic_Competency Based Medical Education Update–CBD2-0
(Video)

Quality Assurance Rounds- Urologic injury in obstetrics

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES :
                       1.  Review a case of urological injury in the intrapartum period
                       2. Review relevant anatomy
                       3. Discuss common obstetrical-associated urological injuries and an approach to their management

Residents as Teachers: Improving medical student experiences in Obstetrics and Gynaecology

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES :
  1. Explore student experiences in Ob Gyn clerkship and how this influences career decisions
  2. Define the role of residents in teaching medical students
  3. Identify barriers to teaching within Ob/Gyn as a specialty
  4. Review practical teaching frameworks for residents and staff
  5. Discuss potential departmental supports and solutions

2026-03-25_Dr.Rachael Martin-Residents as Teachers_Improving medical student experiences in Obs
(Video)

NO ROUNDS

March Break

Maternal Immunization in Obstetrics: Evidence, Safety, and Emerging Vaccines

Grand Round Presentation via MS Teams/Parker reception room G2066

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Meeting ID: 245 739 169 711 8
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OBJECTIVES:
  1. Critically appraise the safety and efficacy data supporting recommended vaccines in pregnancy.
  2. Analyze drivers of vaccine hesitancy in obstetric populations.
  3. Interpret maternal and neonatal outcome data from randomized trials, registries, and large cohort studies.
  4. Discuss emerging vaccines and the importance to the obstetric population.

2026-03-11_Shifana Lalani_Maternal Immunization in Obstetrics-Evidence, Safety, and Emerging Vaccines
(Video)

Anesthesia Grand Rounds - M&M Rounds

Anesthesia Grand Rounds is inviting you to a scheduled Zoom meeting.

Topic: M&M ROunds
Time: Mar 4, 2026 07:15 AM Halifax
Join Zoom Meeting

 

 M&Ms are a closed session, so instructions will be emailed to doctors and residents.

Beyond the Blastocyst: A Review of Ethical Challenges in Preimplantation Genetic Testing 

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES :
1. Review the key elements of preimplantation genetic testing (PGT)
2.Establish foundational ethical principles relevant to fertility care
3.Discuss ethical challenges related to PGT-A, PGT-M and PGT-SR
4.Focus on the ethical considerations of transferring aneuploid embryos with PGT-A, as well as screening for carrier embryos with PGT-SR

2026-02-25_Kathleen O'Brien_Beyond the Blastocyst-A Review of Ethical Challenges in Preimplantation Genetic Testing
(Video)

TeamBirth (introducing new concept in labor and delivery)

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:
  • What is Ariadne Labs and Unravel healthcare.
  • What is TEAMBIRTH and WHY do we care about it ?
  • Review Data related to TEAMBIRTH.
  • Components of TEAMBIRTH.
  • Why IWK interested in implementing TEAMBIRTH concept?

 

2026-02-18_Lulwa Alsharekh_TeamBirth-introducing new concept in labor and delivery
(Video)

Menopause Management for Hormone Sensitive Cancers

Grand Round Presentation via MS Teams/Parker reception room G2066

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Meeting ID: 245 739 169 711 8
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OBJECTIVES :
  • Review the impact of medically induced menopause on symptoms and quality of life​
  • Discuss management options with patients with hormone sensitive cancers​
    • Breast Cancer​
    • Gynecological Cancers​
  • Discuss non hormonal management options including the role of neurokinin receptor antagonists

2026-02-11_Navi Bal_Menopause Management for Hormone Sensitive Cancers
(Video)

NO ROUNDS - Dept Meeting

Department Meeting 

When Patients Decline: Navigating Informed Choice and Shared Decision Making in Obstetrics

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:
 

By the end of this session, participants will be able to:

  • Examine how informed choice and shared decision making align with ethical principles, legal standards, and high-quality obstetric care.
  • Identify common tensions between clinical guidelines, risk management, and patient autonomy in obstetric practice.
  • Integrate interdisciplinary approaches to support informed, values-based decision making across obstetric teams.
  • Apply practical strategies for supporting shared decision making in complex clinical scenarios while maintaining professional, ethical, and legal accountability.
 
 
 
Presenters: CJ Blennerhassett
                     RM, MHA, CHE at  IWK Health
 
                    Noelle England
                    Associate General Counsel at IWK Health
 
                    Christy Simson
                   Associate Professor, Department of Bioethics, Faculty of Medicine, Dalhousie University
 
 

2026-01-28_CJ Blennerhassett_When Patients Decline-Navigating Informed Choice and Shared Decision Making in Obstetrics
(Video)

Beyond BMI - Obesity and Reproductive Medicine

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES :
  • Review the definitions of obesity in the context of anthropometrics. 
  • Describe the pathophysiology of adiposity and review its impact on fertility.
  • Describe the implications of obesity on pregnancy and the peripartum.
  • Briefly review the current literature on the reproductive safety of GLP-1 agonists used for medical management of obesity.
  • Review recommendations for management of obesity in pregnancy and special considerations for labour and delivery.
 
 

2026-01-21_Nicole MacEachren_Beyond BMI-Obesity and Reproductive Medicine
(Video)

A Review of Recurrent Placental Conditions

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:
  • Discuss common and rare placental conditions with risk of recurrence
  • Review management plan in subsequent pregnancies, including preconception counseling
  • Review indications for placental pathology

2026-01-14_Krystal Van den Heuvel_A Review of Recurrent Placental Conditions
(Video)

Proteinuria in Pregnancy

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OBJECTIVES :
1. Define proteinuria in pregnancy
2. Understand the physiology and pathophysiology of proteinuria in pregnancy 
3. Compare methods of proteinuria assessment
4. Recognize non-preeclamptic causes of proteinuria

2026-01-07_Maggie Flemming_Proteinuria in Pregnancy
(Video)

No Rounds

Holiday Break

NO Rounds

Holiday Break

Gyne or Ob? Rethinking the 20-Week Cutoff: Quality Assurance Rounds

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

1. Review a small series of related cases.
2. Discuss the care provided in the cases and teaching points.
3. Highlight possible biases and other contributing factors.
4. Facilitate group discussion and present recommendations.

 

Laparoscopic Radiofrequency Fibroid Ablation

Grand Round Presentation via MS Teams/IWK -RM -Cineplex Theatre

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Meeting ID: 274 679 050 562 09
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OBJECTIVES:

  1. Briefly discuss the new SOGC “Management of Uterine Fibroids”  guideline
  2. Describe laparoscopic RFA in the management of fibroids
  3. Review the indications and outcomes for laparoscopic RFA
  4. Select the ideal candidate for laparoscopic RFA

 

 

2025-12-10_Drs Nee and Randle_Laparoscopic Radiofrequency Fibroid Ablation
(Video)

A review of cervical length in pregnancy: screening and management

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

  1. Review etiologies of spontaneous preterm birth (sPTB)
  2. Discuss assessment of cervical length (CL) by ultrasound + approach to CL screening
  3. Review evidence for management of cervical insufficiency, including vaginal progesterone + cerclage
  4. Explore other risk factors for sPTB + cervical insufficiency, including second stage cesarean section
  5. Summarize recommendations for screening + management of short CL

 

2025-12-03_Samantha Kinley_A review of cervical length in pregnancy-screening and management
(Video)

Department Meeting

NO ROUNDS

Recurrent Pregnancy Loss Canadian and International Guidelines

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OBJECTIVES:

1-Review SOGC's RPL guideline (2025) and its evidence-grading methodology [GRADE: Strong/Conditional; High/Moderate/Low.

2-Define RPL according to SOGC (≥2 pregnancy losses including non-consecutive and biochemical)

3-Outline SOGC's comprehensive workup: environmental, endocrine, infectious, thrombophilia, immune, anatomic, and genetic factors

4-Discuss SOGC management recommendations, especially controversial areas (progesterone, chronic endometritis, septum resection)

5-Compare SOGC positions with international guidelines (ACOG, ESHRE, ASRM, RCOG) on key diagnostic and treatment approaches

6-Highlight SOGC's emphasis on trauma-informed compassionate care for RPL patients

7-Identify practice gaps and Canadian context considerations for implementation

 
 

 

2025-11-19_Rayan Alyafi_Recurrent Pregnancy Loss Canadian and International Guidelines
(Video)

Women in Leadership – Overcoming Obstacles, and Redefining Success

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

1. Facilitate reflection on the concept of leadership, and its operationalization.
2. Analyze and evaluate how gender stereotypes and systemic sexism impact the wants, desires, and behaviours of women in professional settings.
3. Emphasize psychology and health science that offers leaders strategies to navigate today’s workplace in support of psychological safety.
4. Explore techniques to navigate difficult, but necessary conversations, related to women’s experiences in the workplace.
 
Presenters:
Shannan Grant, RD, MSc, PhD and Dayna Lee-Baggley, Clinical Psychologist, PhD

 

Medical Education GR -Nov 12 2025.pdf
Medical Education GR -Nov 12 2025.pdf

2025-11-12_Drs Grant and Lee-Baggley_Women in Leadership-Overcoming Obstacles and Redefining Success
(Video)

Maritime Newborn Screening: an overview for perinatal healthcare providers

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

  • Summarize the history and context of newborn screening (NBS) and the Maritime Newborn Screening (MNBS) service
  • Evaluate interesting cases and other special considerations in NBS
  • Illustrate informed consent in NBS and the role of perinatal healthcare providers

Presenter: 

Corey Filiaggi | MSc, MSc, CGC, CCGC

Genetic Counsellor and Clinical Coordinator

Maritime Newborn Screening

IWK Health

Corey is a genetic counsellor, certified with the Canadian and American boards of genetic counselling. She previously earned a Master of Science in Pathology from Dalhousie University and then a Master of Science in Genetic counselling from the University of Toronto. She has served as the Clinical Coordinator for Maritime Newborn Screening for the past five years.

2025-11-05_Corey Filiaggi_Maritime Newborn Screening-an overview for perinatal healthcare providers
(Video)

Between Policy, Autonomy, and Justice: The Ethics of Indication-Based Abortion Care

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OBJECTIVES:

  1. Describe the historical and current context that has influenced abortion delivery in Nova Scotia
  2. Analyze common ethical tensions that arise when abortion decisions are framed around “indications,” including issues of paternalism, stigma, disability rights, and reproductive justice.
  3. Apply core bioethical principles to real-world abortion care scenarios with diagnostic, social, or emergent clinical complexity.
  4. Critically evaluate whether an indication-based framework supports or undermines equitable access to abortion care, particularly for structurally oppressed populations.
  5. Identify opportunities to shift toward more patient-centered and ethically defensible models for guiding clinical decision-making in abortion care.

Co-presenter:

Ruby Shanker, MBBS, MHSc (Bioethics), PhD(C) ​

Clinical & Organizational Ethicist​

University Health Network & Women’s College Hospital, Toronto​

University of Toronto

2025-10-29_Melissa Brooks_Between Policy, Autonomy, and Justice-The Ethics of Indication-Based Abortion Care
(Video)

Keeping Up with the Endometrium: Updates on Endometrial Cancer and Local Trends

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

  1. To understand key differences in FIGO 2009 and 2023 staging systems and how this impacts patient care and prognosis
  2. Review immunohistochemistry and the impact on disease prognosis
  3. An overview of treatment options and their impact on survivorship
  4. To review data on endometrial cancer rates, interventions and surgical wait times in a local context

 

2025-10-22_Morgan Burgoyne_Keeping Up with the Endometrium-Updates on Endometrial Cancer and Local Trends
(Video)

Toward Equitable Contraceptive Access: Youth Insights on Cost, Care, and Ideal Health Environments

Grand Round Presentation via MS Teams/Parker reception room G2066

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Meeting ID: 268 701 033 53
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OBJECTIVES: 

1. Identify key system-level barriers experienced by youth in Canada when seeking or considering contraception care, including the cost, confidentiality, and inclusiveness of services
2. Describe the impacts of free prescription contraception on youth access to care and method choice
3. Reflect on the use of creative youth-driven methods to engage young people and policy makers in collaborative research on contraception access, The ‘Ask Us’ Project

Presenter:  Sarah Munroe PhD

Dr. Sarah Munro is the Director of the Reproductive Choices Lab (www.reprochoiceslab.org) and an Assistant Professor in the Department of Health Systems and Population Health School of Public Health University of Washington. Prior to joining UW in 2024, she was a Michael Smith Health Research BC Scholar and Assistant Professor in the Department of Obstetrics & Gynaecology at the University of British Columbia. Dr. Munro conducts health services research with a focus on knowledge mobilization and implementation science to improve equitable access to contraception and abortion care. She currently leads collaborative community-based investigations on youth preferences for contraception access (www.askusproject.ca), Indigenous peoples’ experiences accessing family planning care (www.storyproject.ca), preferences for traveling to access abortion care among people in Texas, and development and implementation of shared decision making interventions that promote person-centred family planning (www.sexandu.ca/its-my-choice). These projects are funded by diverse sources, including the Canadian Institutes of Health Research, Society of Family Planning, and Health Canada.

2025-10-15_Sarah Munroe_Toward Equitable Contraceptive Access-Youth Insights on Cost, Care, and Ideal Health Environments
(Video)

The Waiting Game: Understanding The Impact of the Second Stage of Labour

Grand Round Presentation via MS Teams/Parker reception room G2066

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OBJECTIVES:

  • Define the prolonged second stage and review its historical context
  • Discuss new research and guidelines on the prolonged and passive second stage
  • Review the immediate and long term impacts of a prolonged second stage
  • Summarize clinical implications and future directions

 

2025-10-08_Chloe Brown_The Waiting Game-Understanding The Impact of the Second Stage of Labour
(Video)

NO ROUNDS

Department Meeting

Reevaluating the Medical Management of Early Pregnancy Loss

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OBJECTIVES:

1. Discuss the management of early pregnancy loss, with a focus on medical options.

2. Review the pharmacology of mifepristone and misoprostol.

3. Summarize recommendations as outlined in clinical practice guidelines.

4. Examine current practices at the IWK Early Pregnancy Complications Clinic.

5. Discuss suggestions for best practice and barriers to change moving forward.

 

2025-09-24_Emma Jeffrey_Reevaluating the Medical Management of Early Pregnancy Loss
(Video)

Quality Assurance Rounds

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OBJECTIVES:

 

 

Myomectomy at the Time of Cesarean Section

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OBJECTIVES:  

  1. Describe the current evidence that exists for performing cesarean section myomectomy
  2. Outline the results of a recent retrospective review at Sunnybrook Health Sciences for our local outcomes of cesarean myomectomy
  3. Demonstrate techniques/tips for a safer and more hemostatic cesarean section myomectomy

Presenter: Dr. Jamie Kroft

Bio:

Dr. Kroft is the Deputy Chief of the Department of Obstetrics and Gynaecology at  Sunnybrook Health Sciences Centre and an Associate Professor at the University of Toronto. She specializes in minimally invasive gynaecologic surgery. She completed her residency at the University of Toronto and her fellowship at Sunnybrook, certified through the American Association of Gynaecologic Laparoscopists. She is part of the AAGL fellowship training program for gynaecologic laparoscopy at Sunnybrook. She completed her Masters in Clinical Epidemiology at McMaster University and she is the current President of CanSAGE (the Canadian Society for the Advancement of Gynaecologic Excellence).

2025-09-10_Jamie Kroft_Myomectomy at the Time of Cesarean Section
(Video)

NO Rounds

Holiday Break

Connecting Genomics to Patient Care: Data-Driven Precision Medicine

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OBJECTIVES:

  1. Explain the principles of precision medicine and their relevance to obstetrics and gynaecology.
  2. Discuss the importance of integrating genomic and clinical data, and how these data inform diagnostic and treatment decisions.
  3. Evaluate real-world case studies demonstrating the benefits of data-driven precision medicine.
Presented by :
 Dr. Jo-Ann Brock (Head of the IWK Health Department of Pathology and Laboratory Medicine and Division Head of Clinical Genomics and  Professor, Departments of Pathology & Laboratory Medicine and Obstetrics & Gynaecology, Dalhousie University)
 Dr. Victor Martinez (Assistant professor, Department of Pathology and Laboratory Medicine, Dalhousie University)

2025-06-11_Brock and Martinez_Connecting Genomics to Patient Care-Data-Driven Precision Medicine
(Video)

Combined Grand Round Presentation - A TIC Talk for Anesthesia Providers: New Insights on trauma-informed care

Combined Grand Round Presentation via Zoom (Anesthesia & Obstetrics)

7:15AM-8:15AM

Zoom Meeting link : https://nsanesthesia.ca/s/join-rounds 

This session will ONLY be available via Zoom/Parker reception room G2066
Meeting ID: 722 293 3848, Passcode: rounds
https://nsanesthesia.ca/s/join-rounds | https://nsanesthesia.ca/s/zoom-instructions
+12042727920,,7222933848# or +14388097799,,7222933848#

This event is an accredited group learning activity as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada.

Reminder to get CME credits for attending Grand Rounds you must complete the evaluation ideally within 1 week; Record Attendance - Your Account - Dalhousie Anesthesia IIS (nsanesthesia.ca)  Failure to do so within 5 weeks results in no credit being earned.

 

Objectives:

  1. Identify the six pillars of trauma-informed care and how they apply to obstetric anesthesia practice
  2. Realize the dynamic evolution of trauma-informed care implementation from trauma-aware to trauma-informed/healing-centered systems
  3. Identify various ways that obstetric and general anesthesia providers contribute to traumatic birth and perioperative experiences and integrate strategies for primary, secondary, and tertiary prevention

 

Presenter:  Dr. Tracey Vogel

2025-05-28_Tracey Vogel_A TIC Talk for Anesthesia Providers-New Insights on trauma-informed care
(Video)

Climate change and sustainability in medicine and surgery

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OBJECTIVES:

 

Presenter : 

 

Christie, Sean

Professor and Head

Division of Neurosurgery

 

2025-05-21_Sean Christie_Climate change and sustainability in medicine and surgery
(Video)

CANCELLED - Grand Rounds

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Please note that the Grand Rounds scheduled for May 14th, 2025, has been cancelled

 

 

Comedic Relief: Using Humour to Connect, Cope, and Care in Medicine

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OBJECTIVES:

  1. Examine the benefits, pitfalls and evidence behind the use of humour with patients and medical trainees.
  2. Discuss gallows humour in medicine, including its role as both an adaptive and maladaptive coping strategy for healthcare providers.
  3. Explore the use of swearing in clinical settings with special guest Dr. Mike Ripley!
  4. Learn practical strategies for incorporating more healthy humour into your workday.

 

2025-05-07_Alison Harding_Comedic Relief-Using Humour to Connect, Cope, and Care in Medicine
(Video)

Book blurb: A scathing critique of the colonial legal system's denial of children's rights

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Bio:

Robin Hansen spRobin Hansen is an Associate Professor at the College of Law, University of Saskatchewan. She is the author of Prison Born, an analysis of childbirth and incarceration in Canada. An international law specialist, her primary research interest is on how legal personhood is constructed within legal systems, and particularly how this construction frames accountability. Her examination of legal personhood has led Professor Hansen to study systemic biases in law. Her current scholarship examines the rights of newborn children not to be separated from their mothers by the state without due process.

Book blurb:

A scathing critique of the colonial legal system’s denial of children’s rights

One afternoon in 2016, law professor Robin Hansen receives a call. On the other end of the line is “Jacquie”—a pregnant Indigenous woman, nine weeks from her due date and terrified for the welfare of her unborn son. Jacquie has been sentenced to a custodial prison sentence and her son will be automatically separated from her immediately after his birth.

As Hansen works to help Jacquie with her appeal, she uncovers the legal system’s inherent discrimination against mothers in custody and the children born to them. Using Access to Information requests along with extensive research, Hansen examines the legal rights of these women—the majority of whom are Indigenous—and finds that Jacquie and her son are by no means alone: automatic mother-infant separation without due process remains the norm in most jurisdictions in Canada.

Prison Born calls attention to the colonial and gendered assumptions that continue to underpin the legal system—assumptions that so frequently lead to the violation of the rights and denial of personhood for children and their mothers.

(from: https://uofrpress.ca/Books/P/Prison-Born)

2025-04-30_Robin Hansen_Book blurb-A scathing critique of the colonial legal system's denial of children's rights
(Video)

Navigating Care for Out of Country Obstetrical Patients

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OBJECTIVES:

  1. Define Out of Country Patients & "Birth Tourism"
  2. Explore Economical & Healthcare System Implications 
  3. Recognize Legal & Ethical Considerations
  4. Examine Policy Responses & Potential Solutions

 

2025-04-23_Lucie Menard_Navigating Care for Out of Country Obstetrical Patients
(Video)

Progestin Contraceptives: How Do We Chose?

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OBJECTIVES:

  1. Review the history of progestin contraceptives available in Canada
  2. Discuss how they differ regarding their mechanism of action, mode of administration and duration of efficacy
  3. Individualize patient choice to minimize side effects and maximize contraceptive and non-contraceptive benefits

 

2025-04-16_Nancy Van Eyk_Progestin Contraceptives-How Do We Chose
(Video)

NO ROUNDS - Department Meeting

Department Meeting

 

Dr. H.B Atlee Lectureship - 'Clitoral Anatomy and Surgery: A Piece of the Sexual Pain Puzzle'

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Objectives:

1) Understand why the clitoris has been omitted from medical education
2) Understand the anatomy of the clitoris
3) Be empowered to examine the clitoral structures in patients with vulvar pain and/or sexual concerns
4) Be interested in offering 'Clitoral lysis of adhesion' procedures in their practice

Atlee Brochure - 2025 .pdf
Atlee Brochure - 2025 .pdf

Presenter:

 May S. Sanaee, MD, FRCSC, MHScEd
Female Pelvic Medicine and Reconstructive Surgeon
Clinical Assistant Professor, Obstetrics and Gynaecology, 
University of Alberta
Lois Hole Hospital for Women Urogynaecology Clinic
Edmonton, Alberta

 

2025-04-02_May Sanaee_HB Atlee Lectureship_Clitoral Anatomy and Surgery-A Piece of the Sexual Pain Puzzle
(Video)

Combined Global Health Grand Round on Anti-Black Racism in Healthcare

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OBJECTIVES:

 

Presenters:

Dr. Gaynor Watson-Creed, Associate Dean, Serving and Engaging Society

Dr. Leah Jones,  Academic Director, Black Health, at Dalhousie Medical School

2025-03-26_Watson-Creed and Jones_Combined Global Health Grand Rounds on Anti-Black Racism in Healthcare
(Video)

Maritime Centre for Pelvic Floor Health: A winding path forward in patient care

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OBJECTIVES:

  1. Review the inefficiencies of the former clinical model and the proposed 2022 clinical pathway.
  2. Outline the current clinic pathway – Highlighting the key changes made to accommodate identified obstacles.
  3. Assess the impact of changes on patient flow and wait times with a focus on the current model’s successes and areas still needing improvement.

 

 

2025-03-19_Anita Smith_Maritime Centre for Pelvic Floor Health-A winding path forward in patient care
(Video)

Quality Assurance Rounds- An OB Case Presentation and Discussion 

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OBJECTIVES:

1. Review a recent OB case. 
2. Discuss the care provided in the case and teaching points related to it.
3. Identify cognitive biases and how they may have affected management in this case.
4. Facilitate a group discussion about the case. 

The Comfort Promise:  New frontiers in Pain Care for Gynecologic procedures

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OBJECTIVES:

  1. Rationale for the availability of analgesia and comfort measures for gynecologic procedures
  2. Review the “Comfort Promise” at the IWK
  3. Identify analgesia options available for gynecologic procedures – both pharmacologic and non pharmacologic
  4. Introduce a novel inhalational anaesthetic for gynecologic procedures – Penthrox “the Green Whistle”
  5. Review our new ambulatory procedure room and policy
  6. ASA classification and airway assessment for ambulatory procedures

 

2025-02-26_David Rittenberg_The Comfort Promise-New frontiers in Pain Care for Gynecologic procedures
(Video)

CANCELLED - Book blurb: A scathing critique of the colonial legal system's denial of children's rights

Event Cancellation Notice for Grand Rounds on February 19, 2025 (Wednesday, 7:30 A.M.)

We regret to inform you that the Grand Rounds event featuring our guest speaker, Robin Hansen (Associate Professor at the College of Law, University of Saskatchewan), has been cancelled due to a travel disruption caused by the incident on February 17, 2025, at Toronto Pearson Airport.

We are currently working to reschedule the event, and it is more likely to be postponed for April 2025. We appreciate your understanding and apologize for the inconvenience caused.

Thank you!

Beyond the "Baby Blues": Identifying, Treating, and Caring for Perinatal Mental Illness

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OBJECTIVES:

  1. Review key recommendations from the SOGC Guideline No. 454: Identification and Treatment of Perinatal Mood and Anxiety Disorders
  2. Provide an overview of the classification, prevalence, and key risk factors for perinatal mental illness 
  3. Evaluate our current screening, diagnosis, and treatment approaches for perinatal mood and anxiety disorders against guideline recommendations
  4. Identify barriers to care and strategies for local improvement
 

 

2025-02-12_Kaylee Jabbour_Beyond the Baby Blues-Identifying, Treating, and Caring for Perinatal Mental Illness
(Video)

Beyond the OASIS: Long-term Management of Patients with Obstetrical Anal Sphincter Injury

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OBJECTIVES:

  1. To outline the long-term consequences of OASIS
  2. To review the epidemiology of OASIS recurrence
  3. To describe best practice for evaluation following OASIS
  4. To review the current evidence regarding mode of delivery for prevention of anorectal dysfunction following OASIS

 

2025-01-29_Jocelyn Stairs_Beyond the OASIS-Long-term Management of Patients with Obstetrical Anal Sphincter Injury
(Video)

Hot Topics in Menopause: What's new and review of challenging cases

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OBJECTIVES:

  1. Review new menopausal hormone therapies
  2. Explore new non-hormonal option for management of vasomotor symptoms
  3. Review challenging cases in menopause and develop approach for prescribing menopausal hormone therapy

 

2025-01-22_Heidi Bentley_Hot Topics in Menopause-What's new and review of challenging cases
(Video)

'Beyond the Bedside: Exploring Alternative Medicine Therapies in Labour and Delivery'

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OBJECTIVES:

1. Learn about different types of alternative medicine therapies studied for labour pain 
2. Explore the evidence behind alternative medicine therapies and their effectiveness in labour 
3. Develop an appreciation for alternative medicine therapies as an adjunct in labour 
4. Discuss future directions and research in this area

 

2025-01-15_Anushka Nair_Beyond the Bedside-Exploring Alternative Medicine Therapies in Labour and Delivery
(Video)

Positive or Inconclusive NIPS… Now what?

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OBJECTIVES:

  1. Implement the new SOGC guidelines on prenatal screening for fetal chromosomal anomalies
  2. Counsel their patients regarding prenatal screening options, including NIPS
  3. Develop a plan for abnormal or inconclusive NIPS results

 

 

2025-01-08_Jillian Coolen_Positive or Inconclusive NIP-Now what
(Video)