SOPHIE Course

SOPHIE Course – Safe Obstetric Practice for High risk and Emergency Course

‘SOPHIE’ stands for Safe Obstetric Practice for High risk & Emergency.

SOPHIE is not simply a training course on practical skills, but it also emphasizes on the wisdom (the meaning of ‘sophie’ in Greek) in applying those skills in real emergent situation, e.g.:

Pitfalls in interpreting CTG
Does HELPPER mnemonic help?
Which is the most suitable maneuver for different scenarios of cord prolapse
Tips on improving the success rate and safety of ECV
Tips on improving the success rate and safety in vaginal breech delivery
Tips on improving the success rate and safety in vaginal twin delivery
Why do uterotonic agents work, and how to combine the drugs and mechanical method in controlling PPH?
Is timing a critical factor for crash Caesarean?
Tips on safe instrumental delivery and second stage Caesarean section

The course is based on the experience and publication of Prof TY LEUNG and his perinatal team, especially in the following areas:

Intrauterine fetal death followed by shoulder dystocia and birth by modified posterior axillary sling method: a case report

Leung TY, Kwan AHW, Hui ASY, Lee JHS.

BMC Pregnancy Childbirth. 2021 Oct 3;21(1):672. doi: 10.1186/s12884-021-04126-4.

Predictive factors for the success of McRoberts' manoeuvre and suprapubic pressure in relieving shoulder dystocia: a cross-sectional study

Lok ZLZ, Cheng YKY, Leung TY

BMC Pregnancy Childbirth. 2016 Oct 29;16(1):334

Use of Birth Weight Threshold for Macrosomia to Identify Fetuses at Risk of Shoulder Dystocia among Chinese Populations.

Cheng YKY, Lao TTH, Sahota DS, Leung VKT, Leung TY

Int J Gynecol Obstet 2013;120(3): 249 - 253

Comparison of Perinatal Outcomes of Shoulder Dystocia Alleviated by Different Type and Sequence of Manoeuvres: a Retrospective Review.

Leung TY, Stuart O, Suen SSH, Sahota DS, Lau TK, Lao TTH

BJOG 2011;118(8): 985 - 990

Head-To-Body Delivery Interval And Risk of Fetal Acidosis and Hypoxic Ischaemic Encephalopathy in Shoulder Dystocia: A Retrospective Review.

Leung TY, Stuart O, Sahota DS, Suen SSH, Lau TK, Lao TTH

BJOG 2011;118(4): 474 - 479

Deterioration in cord blood gas status during the second stage of labour is more rapid in the second twin than in the first twin.

Leung TY, Lok IH, Tam WH, Leung TN, Lau TK

BJOG 2004;111(6): 546 - 549

Effect of twin-to-twin delivery interval on umbilical cord blood gas in the second twins.

Leung TY, Tam WH, Leung TN, Lok IH, Lau TK

BJOG 2002;109(1): 63 - 67

Transperineal ultrasound assessment of fetal head elevation by maneuvers used for managing umbilical cord prolapse

Leung TY, Kwan AHW, Chaemsaithong P, Wong L, Tse WT, Hui ASY, Poon LC.

Ultrasound Obstet Gynecol. 2021 Oct;58(4):603-608. doi: 10.1002/uog.23544.

Umbilical cord prolapse: revisiting its definition and management

Wong L, Kwan AHW, Lau SL, Sin WTA, Leung TY

Am J Obstet Gynecol. 2021 Oct;225(4):357-366

Randomized Trial of Anaesthetic Interventions in External Cephalic Version for Breech Presentation.

Khaw KS, Lee SWY, Ngan Kee WD, Law LW, Lau TK, Ng F, Leung TY

Br J Anaesth 2015;114(6): 944 - 950

External Cephalic Version Does Not Increase the Risk of Intra-uterine Death: a 17-year Experience and Literature Review.

Leung VKT, Suen SSH, Sahota DS, Lau TK, Leung TY

J Matern Fetal Neonatal Med 2012;25(9): 1774 - 1778

The Force Applied to Successfully Turn a Foetus during Reattempts of External Cephalic Version is Substantially Reduced When Performed under Spinal Analgesia.

Suen SSH, Khaw KS, Law LW, Sahota DS, Lee SWY, Lau TK, Leung TY

J Matern Fetal Neonatal Med 2012;25(6): 719 - 722

Prediction of intrapartum Cesarean delivery for non-reassuring fetal status after a successful external cephalic version by a low pre-version pulsatility index of the fetal middle cerebral artery.

Leung TY, Fok AWY, Chan LW, Law LW, Lau TK

Ultrasound Obst Gyn 2006;27(4): 416 - 419

Variation of force applied during external cephalic version with different patients' characteristic and outcome of version.

Leung TY, Sahota DS, Chan LW, Fok AWY, Law LW, Lau TK

Acta Obstet Gyn Scan 2006;85(2): 182 - 187

Maternal experience of pain during external cephalic version at term.

Fok AWY, Chan LW,Â Leung TY, Lau TK

Acta Obstet Gyn Scan 2005;84(8): 748 - 751

Cord blood acid-base status at delivery after successful external cephalic version.

Chan Louis YS,Â Leung TY, Fok AWY, Chan LW, Lau TK

Acta Obstet Gyn Scan 2004;83(5): 436 - 439

External cephalic version induced fetal cerebral and umbilical blood flow changes are related to the amount of pressure exerted.

Leung TY, Sahota DS, Fok AWY, Chan LW, Lau TK

BJOG 2004;111(5): 430 - 435

Prediction of successful vaginal delivery in women undergoing external cephalic version at term for breech presentation.

Chan Louis YS,Â Leung TY, Fok AWY, Chan LW, Lau TK

Eur J Obstet Gyn R B 2004;116(1): 39 - 42

Quantification of contact surface pressure exerted during external cephalic version.

Leung TY, Sahota DS, Fok AWY, Chan LW, Lau TK

Acta Obstet Gyn Scan 2003;82(11): 1017 - 1022

High incidence of obstetric interventions after successful external cephalic version.

Chan Louis YS,Â Leung TY, Fok AWY, Chan LW, Lau TK

BJOG 2002;109(6): 627 - 631

A survey of pregnant women's attitude towards breech delivery and external cephalic version.

Leung TY, Lau TK, Lo KWK, Rogers MS

Aust NZ J Obstet Gyn 2000;40(3): 253 - 259

Cell-free deoxyribonucleic acid in matrnal circulation as a marker of fetal-maternal heorrhage in patients undergoing external cephalic version near term.

Lau TK, Lo KWK, Chan LYS,Â Leung TY, Lo DYM

Am J Obstet Gynecol 2000;183(3): 712 - 716

Outcome of labour after successful external cephalic version at term complicated by isolated transient fetal bradycardia.

Lau TK, Lo KWK,Â Leung TY, Fok AWY, Rogers MS

BJOG 2000;107(3): 401 - 405

Perioperative prophylactic internal iliac artery balloon occlusion in the prevention of postpartum hemorrhage in placenta previa: a randomized controlled trial

Yu SCH, Cheng YKY, Tse WT, Sahota DS, Chung MY, Wong SSM, Chan OK, Leung TY

Am J Obstet Gynecol. 2020 Jul;223(1):117.e1-117.e13

Uses of FloSeal in obstetric hemorrhage: Case series and literature review

Chung JPW, Leung TY

Taiwan J Obstet Gynecol. 2017 Dec;56(6):827-830

Nonremoval of an Abnormally Invasive Placenta at Cesarean Section with Postoperative Uterine Artery Embolization.

Chung MY, Cheng YKY, Yu SCH, Sahota DS, Leung TY

Acta Obstet Gyn Scan 2014;92(11): 1250 - 1255

Prenatal Diagnosis of Morbidly Adherent Placenta.

Lau TK, Leung TY

Int J Obstet Anesth 2011;20(2): 107 - 109

Use of Hemostatic Gel in Postpartum Hemorrhage Due to Placenta Previa.

Law LW, Chor MCM, Leung TY

Obstet Gynecol 2010;116(12): 528 - 530

Prelabor short-term variability in fetal heart rate by computerized cardiotocogram and maternal fetal Doppler indices for the prediction of labor outcomes

Lam MSN, Chaemsaithong P, Kwan AHW, Wong STK, Tse AWT, Sahota DS, Leung TY, Poon LC

J Matern Fetal Neonatal Med. 2022 Apr;35(7):1318-1327

Shear-wave sonoelastographic assessment of cervix in pregnancy

Duan H, Chaemsaithong P, Ju X, Ho SYS, Sun Q, Tai Y, Leung TY, Poon LC

Acta Obstet Gynecol Scand. 2020 Nov;99(11):1458-1468

Feasibility, Reliability and Agreement of Transperineal Ultrasound Measurement: Results from a Longitudinal Cohort Study

Kwan AHW, Chaemsaithong P, Tse WT, Appiah K, Chong KC, Leung TY, Poon LC

Fetal Diagn Ther 2020 Oct;47(10):721-730

The predictive value of cervical shear wave elastography in the outcome of labor induction

Lu J, Cheng YKY, Ho SYS, Sahota DS, Hui LL, Poon LC, Leung TY

Acta Obstet Gynecol Scand. 2020 Jan;99(1):59-68

Factors that affect ultrasound-determined labor progress in women undergoing induction of labor

Chaemsaithong P, Kwan AHW, Tse WT, Lim WT, Chan WYW, Chong KC, Leung TY, Poon LC

Am J Obstet Gynecol. 2019 Jun;220(6):592.e1-592.e15

Pre-induction transperineal ultrasound assessment for the prediction of labor outcome

Chan WWY, Chaemsaithong P, Lim WT, Tse WT, Kwan AHW, Leung TY, Sahota DS, Poon LC

Fetal Diagn Ther. 2019 Apr;45(4):256-267

Prediction of labor outcome using serial transperineal ultrasound in the first stage of labor

Chor CM, Poon LC, Leung TY

J Matern Fetal Neonatal Med. 2019 Jan;32(1):31-37

Measuring the Angle of the Subpubic Arch Using Three-dimensional Transperineal Ultrasound Scan: Intraoperator Repeatability and Interoperator Reproducibility.

Choi PS, Chan SSC, Sahota DS, Leung TY

AM J Perinatol 2013;30(3): 191 - 195

Outcome of Induction of Labour Using Maternal Characteristics, Ultrasound Assessment and Biochemical State of the Cervix.

Cheung ECW, Leung TY, Sahota DS, Chan OK, Chan LW, Fung TY, Lau TK

J Matern Fetal Neonatal Med 2010;23(12): 1406 - 1412

Fetal hemodynamic changes after amniotomy.

Fok AWY,Â Leung TY, Tsui MHY, Leung TN, Lau TK

Acta Obstet Gyn Scan 2005;84(2): 166 - 169