Clinical Management of Pregnancies following ART

Mr Jayaprakasan is a Royal College (RCOG) accredited sub-specialist in Reproductive Medicine and Surgery.  He has completed his subspecialty training at NURTURE, Queen's Medical Centre, Nottingham, where he subsequently worked as IVF Consultant and Associate Professor for two years before he moved to take up the lead consultant role at Derby fertility unit.Mr Jayaprakasan's special interests include Assisted Conception (IVF/ICSI), Reproductive surgeries (Laparoscopy and Hysteroscopy), recurrent pregnancy loss, recurrent implantation failure, PCOS and endometriosis. Mr Jayaprakasan is an expert in the application of advanced pelvic ultrasound in the field of fertility, in which he has done his PhD.Lucy H. Kean, Bm, BCh, DM, FRCOGConsultant in Fetal and Maternal medicineChief of service for Obstetrics and GynaecologyNottingham University Hospitals NHS TrustDepartment of ObstetricsNottinghamUnited Kingdom

• Pre-conception risk assessment.-  Medical problems (advanced age, endocrine disease, obesity, malignancies, turner’ s syndrome etc.).- Gynaecological problems (fibroids, polyps, congenital uterine anomalies, hydrosalpinx, endometriosis, PCOS).- Psychological issues of periconceptual period.- Pre-conceptual diagnosis (PGD/ PGS/CGH).- Complications of ART and associated early pregnancy problems (OHSS, ectopic pregnancy, miscarriage).- Early pregnancy support: evidence based management (progesterone/ folic acid/ heparin and aspirin etc).- Pre-natal screening options (congenital anomalies, aneuploidies, impact of IVF on serum screening).- Multiple pregnancy.- Pregnancy associated complication (Hypertensive disorders, growth disorders, placental site problems, older women, conception following donor treatment, Surrogate pregnancies).-  Intrapartum and post partum care (are they at risk of intrapartum problems?, depression due to high expectation).- Ongoing developments in ART and pregnancyoutcome (IVM, fertility preservation: ovarian tissue/whole ovary/ oocyte cryopreservation).

Selected as "Highly Commended" in Obstetrics and Gynaecology at BMA Medical Book Awards for 2017. “This should be on the shelf of every labour ward lead in the country. It is clear and well-written with good references. It includes lots of useful detail and addresses an unmet need.” (BMA Medical Book Awards, September, 2017)