Latest News at the SOGC

Health Canada: GILENYA (fingolimod) - Risk of Congenital Malformations

Health Canada is advising Canadians that there is a risk of congenital malformations in a fetus exposed to GILENYA. Available human data (post-marketing data and pregnancy registry information) suggest that the use of GILENYA is associated with an increased risk of overall major congenital malformation (approximately 5%) when administered during pregnancy in comparison with the prevalence observed in the general population (2-4%).

  • When used during pregnancy, GILENYA (fingolimod) has been associated with an increased risk of major congenital malformations, including congenital heart disease such as atrial septal defect, and renal and musculoskeletal abnormalities.
  • GILENYA is now contraindicated in women who are pregnant or in women of childbearing potential who are not using effective contraception.
  • Healthcare professionals should discuss the following with all female patients of reproductive potential (including female adolescents and their parent/guardian/caregiver) treated with, or to be treated with, GILENYA:
    - the risk of harmful effects associated with GILENYA to a fetus during pregnancy;
    - the need for a negative pregnancy test before starting treatment with GILENYA, which is then repeated at appropriate intervals during treatment;
    - the necessity to use effective contraception during therapy with GILENYA, and for 2 months after stopping GILENYA treatment; and
    - the need to discontinue GILENYA 2 months before planning a pregnancy.
  • The Canadian Product Monograph (CPM) for GILENYA has been updated to include this new contraindication and new safety information.
  • Health Canada will work with the manufacturers of generic versions of fingolimod to update their respective CPMs.

See full alert here.

December 19, 2019
Health Canada: GILENYA (fingolimod) - Risk of Congenital Malformations
 

SOGC Statement – Vaping and Pregnancy

The Society of Obstetricians and Gynaecologists of Canada (SOGC) is alarmed at the growing number of serious lung illnesses and deaths reported in young adults that have been attributed to vaping. E-cigarettes have been available for 15 years, however the reasons why serious complications are arising now is not fully understood and is under active investigation.

Nicotine is known to be harmful to the developing baby, and cigarette smoking, in particular affects the growth and development of the baby and the baby’s brain. Knowing this, many women have chosen e-cigarettes as a means to reduce nicotine exposure or quit smoking.  However, the safety of vaping has not been established in pregnancy. 

At present time women who are pregnant or who may become pregnant are advised to avoid use of e-cigarettes and to see their health care provider for assistance in quitting smoking. 
 

November 15, 2019
SOGC Statement – Vaping and Pregnancy
 

SOGC Statement – Oxytocin Update (November 15)

The SOGC has been in constant contact with Health Canada in relation to the Oxytocin shortage. In early November they updated stakeholders as to the status of the supply. These are the outcomes of that update.

  • Fresenius Kabi has received the resupply of approx. 190,000 vials of 1mL and expect to have the resupply available nationally by November 8. The estimated end date on Fresenius Kabi’s drug shortage report has been updated accordingly (https://www.drugshortagescanada.ca/shortage/93921).
  • Pfizer released the resupply of 62,630 ampoules of 1mL on October 18. Additionally, Pfizer was able to expedite the next resupply of 100,790 ampoules of 1mL which was released to market on October 30.
  • Based on Pfizer’s and Fresenius’ current supply on hand and at wholesale, there are currently approximately 200,000mL available, which correlates to approx. 1.5 months of supply under normal conditions. Additional supply may exist at wholesale and in the health care system. If FK’s November 8 release occurs on time, the amount of supply available on the Canadian market would increase to approximately 3 months of supply under normal conditions.
  • In terms of future resupplies, Pfizer has indicated that another resupply of 1mL ampoules is expected later in November in addition to a resupply of 22,000 ampoules of 5mL. Fresenius has another resupply of 1mL vials that will be available in mid-December. It is Fresenius' intention to return to market at 100% allocation on November 8 for the 1mL, and a mix of 10mL and 1mL to cover their 10mL demand.

Health Canada will continue to monitor supply of Oxytocin, and the SOGC will continue to communicate updates as they become available.

November 15, 2019
SOGC Statement – Oxytocin Update (November 15)
 

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.

Members - You MUST sign in below before proceeding to JOGC.com to access member-only content published in the JOGC.


Access to the JOGC is a benefit of SOGC membership.

Sign in to take advantage of this member benefit or join the SOGC to enjoy the Journal by clicking on ‘Become a Member’ below.

Latest SOGC Guidelines

Upcoming SOGC Guidelines

Video Corner

Dr. Bill Ehman on the SOGC's Newest Online Course: "Vaccination in Pregnancy"

"Should my pregnant patient get a flu shot?" "My patient has received a Tdap vaccine before - does she need another one in this pregnancy?" "How can I make a strong recommendation about vaccination to my vaccine-hesitant patients?"

We sat down with Dr. Bill Ehman to review these considerations. Find the answers to these questions and more in the SOGC’s newest online course : "Vaccination in Pregnancy". Registration will be available soon - keep checking our Online Courses page.

Resources

GRADE | EndNote

 
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

Go to SOGC Online Platform

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Please log in to access SOGC Online Platform.

 
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.

If you are unable to attend an ALARM course but would like to purchase an ALARM manual, please download this form and submit it by email to alarm@sogc.com.

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. 

Upcoming Instructor Courses

Richmond, BC - offered in English only

Sunday May 17, 2020

Please submit your application prior to February 28, 2020 for consideration,

Selected candidates will be invited to register for the course after the deadline.

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

 

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 12 - 14
West/Central CME 2020
Banff, Alberta
 
June 9 - 12
76th Annual Clinical and Scientific Conference
Ottawa, Ontario
 

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