Latest News at the SOGC

SOGC Statement on the Use of Fluconazole during Pregnancy

A recent CMAJ publication by Bérard et al.1 has again highlighted that clinicians must exert caution and carefully consider alternative antifungal preparations prior to prescribing or recommending Fluconazole during pregnancy. 
A recent CMAJ publication by Bérard et al.1 has again highlighted that clinicians must exert caution and carefully consider alternative antifungal preparations prior to prescribing or recommending fluconazole during pregnancy. This study reports on a large Canadian cohort of over three hundred thousand pregnancies and demonstrates, similar to previous literature, an association between the use of oral fluconazole and adverse pregnancy outcomes. In particular, this data demonstrates that the use of low-dose fluconazole (<150 mg) and high-dose fluconazole (>150mg) was associated with an increased risk of spontaneous abortion (aOR 2.23, 95% CI 1.96-2.54 and aOR 3.20, 95% CI 2.73-3.75, respectively). 

Because of ongoing safety concerns, the Infectious Diseases Committee of the SOGC recommends avoiding the use of fluconazole during pregnancy where possible. The first line of treatment for vulvovaginal candidiasis during pregnancy remains topical azoles. While self-diagnosis and treatment of VVC is not recommended, it may be helpful for clinicians to remind women who are or may become pregnant that oral treatment with fluconazole carries risk. 

1 A Bérard, S Odile, J-P Zhao, J Gorgui, S Bernatshy, C Soares, M Abrahamowicz. (2018) Associations between low- and high-dose oral fluconazole and pregnancy outcomes: 3 nested case-control studies. CMAJ; 191(7):E179-E187.
 
February 20, 2019
SOGC Statement on the Use of Fluconazole during Pregnancy
 

Revised SOGC Statement on Respectful Care

The Society of Obstetricians and Gynaecologists advocates on behalf of women to receive quality of care throughout their sexual and reproductive life, including the right to have a safe and respectful birth experience.
The Society of Obstetricians and Gynaecologists advocates on behalf of women to receive quality of care throughout their sexual and reproductive life, including the right to have a safe and respectful birth experience.

There are more than 380,000 childbirths in Canada each year. In the vast majority of cases, obstetricians, nurses, family physicians, midwives and doulas are extraordinarily caring professionals who are mindful of the particular vulnerability of women during and after labour, and are deeply sensitive and caring to the needs of the women in their care.

Women also depend on health care professionals to guide them through a lifetime of intimate gynaecological needs including issues around menstruation, contraception, unwanted pregnancy and menopause as well as special needs around cancers, and fertility options. These needs must continue to be met with uncompromising professionalism and respect.

An important mandate of the SOGC is to advance health care through education, advocacy, leadership and collaboration. We have no examining, licensing or regulatory authority over any health care provider, but we do provide clinical practice guidelines to provide evidence for health care providers, hospitals, health regions and provincial colleges to use in ensuring a high quality of care.

We issue between 10‐15 Guidelines a year, each researched and compiled by a member-based committee comprised of subject experts, including such topics as childbirth and cultural safety.

We play a significant educational role by providing continuing professional development to our members, including gynaecologic and obstetric care based on the philosophy that respects sexual and reproductive health as a human right.

We offer courses on obstetric safety and gynaecologic advancements, in which communication is taught as the basis of safe care. We also maintain six public education websites that incorporate all the latest medical and scientific data on pregnancy, sex, menopause, HPV, menstruation, and global health initiatives focusing, in particular, on health inequities experienced by indigenous women and vulnerable women around the world.
January 18, 2019
Revised SOGC Statement on Respectful Care
 

New Canadian Guideline Prescribes Exercise for Healthier Pregnant Women, Healthier Babies

Fewer than two out of every 10 pregnant women in Canada meet the new activity minimum recommendation of 150 minutes of exercise a week, according to a new Clinical Practice Guideline, Canadian Guideline for Physical Activity throughout Pregnancy, published by the Society of Obstetricians and Gynaecologists of Canada (SOGC) and the Canadian Society for Exercise Physiology (CSEP). 
Fewer than two out of every 10 pregnant women in Canada meet the new activity minimum recommendation of 150 minutes of exercise a week, according to a new Clinical Practice Guideline, Canadian Guideline for Physical Activity throughout Pregnancy, published by the Society of Obstetricians and Gynaecologists of Canada (SOGC) and the Canadian Society for Exercise Physiology (CSEP).

The guideline will also appear in the November issue of the Journal of Obstetrics and Gynaecology Canada (JOGC). The findings represent a fundamental shift in medical thinking over the past 15 years.

“Physical activity during the nine months of pregnancy is no longer just a recommended behaviour,” says Dr. Jennifer Blake, CEO SOGC, “it is a specific prescription to reduce the complications of pregnancy, and to optimize the health of the mother and her baby." 

Over the last 30 years the rates of pregnancy-related conditions such as gestational diabetes, preeclampsia, gestational hypertension and newborn macrosomia have risen dramatically, along with maternal obesity.

“Most pregnant women, even those who have never exercised before, will benefit from low to moderate intensity physical activity of 150 minutes over a minimum of 3 days each week,” says Dr. Blake. “Pregnant women, who do not have any health contraindications, should be incorporating a variety of aerobic and resistance training activities as well as yoga or gentle stretching. Even simple walking pays major health dividends.”

According to the authors, data shows the benefits of exercise include fewer newborn complications, a reduced number of Caesarean sections or instrumental deliveries, and fewer incidence of urinary incontinence, excessive weight gain, and depression.

“Activity should be enjoyable, not to the point of overheating or exhaustion. Women also do need to take some precautions and avoid exercises where they could fall and they should also consult their obstetric care provider before heading to the gym,” adds Dr. Blake.
October 18, 2018
New Canadian Guideline Prescribes Exercise for Healthier Pregnant Women, Healthier Babies
 

About the SOGC

The SOGC is one of Canada’s oldest national specialty organizations. Established in 1944, the Society’s mission is to promote excellence in the practice of obstetrics and gynaecology and to advance the health of women through leadership, advocacy, collaboration, and education.

The SOGC has over 4,000 members, comprised of obstetricians, gynaecologists, family physicians, nurses, midwives, and allied health professionals working in the field of sexual reproductive health.


Learn More Meet the Board Academic Council
Guidelines and JOGC

About the JOGC

The Journal of Obstetrics and Gynaecology Canada (JOGC) publishes original research, reviews, case reports, and commentaries by Canadian and international authors, pertinent to readers in Canada and around the world. The Journal covers a wide range of topics in obstetrics and gynaecology and women’s health covering all life stages including the evidence-based Clinical Practice Guidelines, Committee Opinions, and Policy Statements that derive from standing or ad hoc committees of The Society of Obstetricians and Gynaecologists of Canada.

The Journal emphasizes vigorous peer-review and accepts papers in English and French. Abstracts for all papers are available in both languages. JOGC is indexed in Medline.

The JOGC website is temporarily open for all readers (members and non-members) through February 22, 2019. Log-in is not required during this time.

 
 

Visit JOGC.com

Latest SOGC Guidelines

Upcoming SOGC Guidelines

Author's Corner

Non-Pharmacological Approaches for Pain Management During Labour with Dr. Guy-Paul Gagné

We sat down with Dr. Guy-Paul Gagné at the 2018 Quebec CME in Montreal to discuss new developments published in the SOGC Clinical Practice Guideline: "Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management" and to speak with him about his CME presentation on "Non-Pharmacological Approaches for Pain Management During Labour".
 
Online Courses
Premier medical education combined with the convenience of online study.

Online Courses

Designed by SOGC experts and employing the most current medical knowledge, our accredited online courses combine premier medical education with the convenience of online study. 

These courses are designed specifically for improving the learning experience and to tailor your educational experiences to meet your personal learning objectives.

Courses

 
ALARM Courses
Improving care provided to women, babies and families during pregnancy, labour and delivery.

ALARM Courses

The SOGC places the utmost importance on improving intrapartum care, from the process to its outcomes. One way to achieve that objective is through offering continuing education programs like the ALARM course (Advances in Labour and Risk Management).

Welcome and Overview

ALARM was developed by obstetricians/gynaecologists, family physicians, midwives and nurses, who jointly continue to maintain and teach the course. Backed by the SOGC, the ALARM course arose out of our work to improve the care provided to women, babies, and families during pregnancy, labour, and postpartum.

  • The content of the course is evidence-based and incorporates the Canadian practice guidelines, so participants who complete the course gain an understanding of the latest best practices for providing care.
  • The ALARM course objective is to evaluate, update and maintain the competence of obstetricians/gynaecologists, family physicians, midwifes and nurses.
  • This two-day course offers case-based and hands-on workshops.
  • This course is not intended to certify attendees in any procedural skills. It provides education and hands-on experience, but this is not a substitute for clinical exposure and mentorship.
  • The courses have a ratio of approximately 6 participants to 1 faculty member to ensure a highly interactive and educational course.
The ALARM certificate will be awarded only to those who pass the written examination and who attend the course in its entirety.

Upcoming Courses

Please note that there are upcoming ALARM courses planned that are not yet listed below. They will be added as soon as logistical aspects are finalized.


If you would like to hold an ALARM course in your community, please contact us at alarm@sogc.com. Please note that a minimum of 12 participants is required.

Should you have any questions about your registration, please do not hesitate to contact us at alarm@sogc.com.

Instructor Courses - Overview

The ALARM program would not be possible without the efforts of specialists, physicians, nurses and midwives trained to teach this course to their peers. In order to maintain the quality of this highly recognized program, the ALARM Committee has identified specific requirements for instructors throughout Canada.

In order to be eligible to take the instructor course, you must:
  • Have participated in an ALARM course in the past 4 years
  • Be currently registered as an MD (Family Physician or OB/GYN), Registered Nurse or Registered Midwife
  • Be actively providing intrapartum obstetrical care

If you meet the above requirements and wish to participate in the ALARM instructor course, please submit an application at the link below. Please note, a letter of recommendation from your employer, department head or a current ALARM Course Director is required.


If you are selected, you will be sent a registration link for the course. At this point, you will be able to pay your registration fees ($650 plus applicable taxes for OB/GYN and FP doctors; $500 plus applicable taxes for Registered Nurses and Registered Midwives) and receive access to the course materials.

Your participation at the ALARM instructor course is not a guarantee that you will become a qualified ALARM Instructor. 

To become a qualified ALARM instructor, you must:
  • Complete the Instructor course
  • Teach a course
  • Receive a favourable evaluation from the Course Director

Please note you will be required to teach once every three years to maintain your status as an active instructor following a successful completion of the evaluation process. If you fail to do so, you will have to take another ALARM course or Instructor course to maintain your active instructor status.

Space is limited to 24 participants per course. 

There are currently no scheduled Instructor courses available. 
 

Become a Member

The SOGC is the leading voice in women's health in Canada. We are a strong and vibrant society with an active and growing membership. We are here to support you in providing the best care possible to women in Canada and around the world. That's why so many health care providers have become members of the SOGC. Let us be your partner in practice.

Join Now

Upcoming Events

Link
March 14 - 16
West/Central CME 2019
Lake Louise, Alberta
 
June 11 - 14
75th Annual Clinical and Scientific Conference
Halifax, Nova Scotia
 

Public Education Resources

The SOGC believes that good healthcare is built upon many partnerships and that improving healthcare requires a collaborative, holistic approach.

Providing the public with the information needed to make informed health decisions removes one barrier to improved health.

SexandU.ca

Rated one of the top 5 e-health projects in the world, SexandU.ca provides credible and up-to-date sexual health information for teens, adults, parents, teachers, and health care providers.

Visit

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Brand Recognition Program

The SOGC Brand Recognition Program aims to assist Canadian consumers to make informed choices when selecting over-the-counter products. 

Learn More