Prepared 06/95



3/16PRIVATE CURRICULUM VITAEName:Ruth Cecilia FrettsAddress:Harvard Vanguard Medical Associates230 Worcester StreetWellesley, MA 02181Ph 781-431-5429Fax 781-481-5548Page 617-339-3980Ruth_fretts@Home Address: 1100 West Roxbury ParkwayChestnut Hill, MA, 02167617-327-1741Place of Birth:Cold Lake, Alberta, CanadaEducation:1983 B.S. University of Ottawa, Canada 1987 M.D. Queen's University, Canada1991 Clinical Epidemiology, McGill, Canada1992 Royal College of Physicians and Surgeons of Canada. , Internship in Internal Medicine and residency in Obstetrics and Gynecology McGill Canada1994 M.P.H. Harvard School of Public HealthPostdoctoral Training:Internship and Residencies:1987-1988Intern in Medicine, Royal Victoria Hospital, Montreal, Canada1988-1990 Junior Resident in Obstetrics and Gynecology, Royal Victoria Hospital, Jewish General Hospital, Montreal General Hospital, Montreal1990-1992 Senior and Chief Resident in Obstetrics and Gynecology, RoyalVictoria Hospital, Jewish General Hospital, Montreal General Hospital, MontrealFaculty Academic Appointments:1992-1997Instructor in Obstetrics and Gynecology and Reproductive Biology, Harvard Medical School1998-Assistant Professor Obstetrics and Gynecology and Reproductive Biology at Harvard Medical SchoolHospital Appointments:1990-1992Staff Physician Jewish Rehabilitation Hospital, Laval, Quebec1992-2003Obstetrician-Gynecologist, Beth Israel Deaconess Medical Center 1992-1995Obstetrician-Gynecologist Roxbury Comprehensive Community Health Center2001-2014Ob/Gyn Staff Brigham and Women’s Hospital, Boston MA2000-Obstetrician-Gynecologist Harvard Vanguard Medical Associates Wellesley Office2003-Obstetrician-Gynecologist Newton Wellesley Hospital, Newton MA Hospital and Health care Organization Clinical Responsibilities2001-2010Physician Leader Obstetrics and Gynecology Harvard Vanguard Medical Associates Wellesley Practice Major Administrative Leadership PositionsLocal1985-1987Vice President Meds 87 Queen's Medical School1985-1987Representative to the Ontario Medical Association1985-1987 Representative and Treasurer for the Canadian Medical Students Association1995-1996Quality Assurance Committee Beth Israel Deaconess Medical Center1995-2000 Member of the Board of the Ob/Gyn Foundation of the Beth Israel Deaconess Medical Center1995-2007 Chairperson of the Obstetrics and Gynecology Peer Review Committee at Harvard Pilgrim Healthcare1997-2003 Member Appeals Committee at Harvard Pilgrim Health, Member of the Board1995-1999 Member of Clinical Peer Review Committee at Harvard Pilgrim Health2003-Chair the Stillbirth Review Committee BWH2001-2009Co-Chair of the Harvard Vanguard Obstetrics and Gynecology Research development committeeNational2007Member for the NIH sponsored Advisory Panel for the Evidence Report on Management of Post-term Pregnancy AHRQ. Invited Participant at the workshop Antenatal Testing: A Reevaluation, cosponsored by the Pregnancy and Perinatal Branch at the National Institute of Child health and Human Development, the Office of Rare Diseases,, National Institute of Health, The American College of Obstetrics and Gynecology, and the American Academy of Pediatrics. Manuscripts based on the presentations published in an issue of Seminars in Perinatology. August 20072007Invited participant in the NICHD workshop. "Stillbirth Classification System: Developing an international consensus for research. October 2007 Co-sponsors Society for Maternal-fetal Medicine, First Candle and the Office of Rare Diseases, NIH. Manuscript published2007Invited participant in the CDC workshop "Population-based Surveillance of Fetal Death: Definitions and Inclusion Criteria, October 20-21 Atlanta Georgia.2011Invited participant to the March of Dimes round table “Do efforts to prevent late preterm and early term births affect the stillbirth rate?’ March of domes White Plains NY.2015Elected Chair of the ACOG District 1 Patient Safely and Quality Improvement Committee PSQIInternational2005-2007 Standing Committee Member Peer Review Committees for the Canadian Committee on Randomized Trials Reviewing Grants twice a year (CIHR)2004-2010 Chair of the Scientific Committee of the International Stillbirth Alliance2005-2007 Co-organizer of the First, second and third International meeting International Stillbirth Alliance, Washington DC 2005, Yokahama 2006, Birmingham United Kingdom 2007. 2007Organizer of three international round tables, on the definition of stillbirth, the evaluation of stillbirth and the classification of stillbirth to be held at the 3rd International Stillbirth Alliance meeting in Birmingham United Kingdom October 2007 presented to clinicians, researchers and parents. 2012Scientific Chair of the Stillbirth Program Committee for the international Conference on Stillbirth SIDS and Infant Survival October 4-7 2012 Baltimore. Community Service1996-2000 Co-Director of The Well Program, a community out-reach program for mid life minority women2006--2010Volunteer Brookline Medical Reserve Corp20015Medical director for the Kicks Count Advisory board First Candle, this is a 501c organization that supports parents with stillborns and sudden infant death. 2010-2013Advocate and fund raiser for the Alzheimer’s Association, 2011-213Board of Directors of the Massachusetts and New Hampshire Chapter of the Alzheimer’s association with my husband Dr Ralph A Kelly who is affected with early onset Alzheimer’s disease. Professional Societies 1985-1987 Ontario Medical Association1985-1998Canadian Medical Association1988-2015American College of Obstetricians and Gynecologists1987-1992Canadian Medical Protection Association1992-2015Royal College of Physicians and Surgeons of Canada1995-2015Massachusetts Medical Society1996-1997American Association of Public Health Grant Review ActivitiesCanadian Institute of Health Randomized Controlled Trials 2 peer review committee (2005-2010)Reviewer for the Health Research Council of New Zealand Annual funding round 2012Reviewer for the Dutch Medical Research Council Annual funding round 2010Grant reviewer for the CDC February 3rd, 2016 CDC Peer Review: DP16-001 PRAMS Panel C, far an expansion of survey to include a stillbirth survey. Guest Editor for the Practice Bulletin 102 "Fetal Demise" for American College of Obstetrics and Gynecology March 2009Reviewer for:International Journal for Quality in Health CareAmerican Journal of Public HealthAmerican Journal of EpidemiologyJournal of Obstetrics and Gynecology Research Journal of the American Medical AssociationBritish Medical JournalBritish Journal of Obstetrics and GynecologyLancetWomen’s HealthObstetrics and GynecologyAmerican Journal of Obstetrics and GynecologyPediatric and Perinatal EpidemiologyHonors and Prizes: YearName of Honor Awarding OrgAchievement1982 Natural Sciences AcademicEngineering and AchievementResearch Grant University Of Ottawa 1986Lange Book Prize Queen’s University Academic Achievement1985, 86, 87Aesculapian AwardQueens UniversityMerit award for Valuable service in the University non-Academic1990 Prize for Best PaperQuebec Society of Obstetri-cians and Gynecologists Academic 1997Resident Teaching Award Beth Israel Deaconess Epidemiology CourseMedical Center 2006Solomon AwardHarvard Vanguard Contribution to Peer RecognitionMedical Associates Research 2012Recognition Award First CandleWork done to promotestillbirth awareness Funding1998-2000Scholars in Medicine Grant, Harvard Medical School, Principle Investigator, and Decision analysis model for the risks and benefits of antepartum testing in women of advanced maternal age.2003-2006 Recipient of the CRICO Harvard Risk Foundation Quality Assurance Grant for the Management of pregnancies with decreased fetal movement. Principle Investigator2015 Grant Consultant for the CDC “Stillbirth Risk Facotr Pilot Project for Birth Defects Research and Prevention RFA-15-004Unfunded Projects2011-2013IRB approved follow up study of women who present with decreased fetal movement, I am the PI mentoring Ob/Gyn fellow in fetal maternal Medicine Dr Yael Sage-Hoffman, with an oral and poster presentation presented at the 2012 International Stillbirth Alliance meeting in Baltimore2010-2012 Research support from the American College of Obstetrics and Gynecology to Survey Obstetricians on the stillbirth knowledge and the impact of stillbirths on clinicians SELF REPORT OF TEACHING:Local Hospital1997I was given the Resident Teaching Award Beth Israel Deaconess Medical Center for the informal epidemiology course I gave to the residents on a monthly basis.1994-2000Epidemiology Seminar series for student and residents, Beth Israel Hospital (1hr per month)1995-1997Team Leader for Residents in Obstetrics and Gynecology (1hr per week)2005Grand rounds BWH, Report from the BWH stillbirth committee2006Grand rounds NWH. Outcomes of pregnancies complicated by decreased fetal movement2008Brigham and Women's Hospital Resident teaching, an overview of stillbirth and prevention strategies, the role of kick counting.2005-2013Consultant and mentor for the BWH Stillbirth review rounds held quartery attended by students, residents, pathology fellows and attending2012NWH Grand Rounds Perinatal pathology review of a case if neonatal death after a fetal bleed in the setting of a known bilobed placentaHarvard Medical School1992-1996Medical Student lecturers in Obstetrics and Gynecology, Monthly Seminars (1Hr), plus labor and delivery supervision1996Intersession (Harvard Medical School) How Late to Wait, the consequences of advancing maternal age (2hr, with 30 medical students)1993-95Intersession (Harvard Medical School) 2hr lecture on the Prevention of Preterm Delivery with 30 medical students. 1996-Lecture at Harvard Medical School on Health Care for Mid-life Minority Women 45 medical Students (1 hr)1997Lecture in Epidemiological Research in Obstetrics and Gynecology at the Harvard School of Public Health. Current management of perimenopause and menopause in clinical practice (1hr). 1997 Lecture Harvard Medical School, lecture of consequences of Advanced Maternal Age and a Decision Analysis ( 30 medical students)1998Intersession Lecture on Technology in Obstetrics Harvard Medical School (1hr)2015 Beth Israel Deaconess Medical Center, medical student and residence teaching on the etiology and prevention of stillbirth (2hr)Harvard School of Public Health 1994-1997Obstetrical Epidemiology, Risk Behaviors in Pregnancy, Harvard School of Public Health (2hr) 30 students1998 -1999Obstetrical Epidemilogy, Consequences of delayed childbearing, 2hr at the Harvard School of Public Health2009Obstetrical Epidemiology Harvard School of Public Health, 1 hr lecture "The Study of Stillbirth"2016Spring MCH seminar at the Harvard Chan School 1 hr “Perinatal audit and the prevention of late stillbirth” Names of TraineesDR Frederik Froen Phd MD, came to the BWH hospital under a Fullbright Scholarship, sponsored by myself 2005-2006. We have work collaboratively on several projects including an international tool on the optimal management of patients with decreased fetal movement and the MOM's study, a study of 2,900 women with a past history of stillbirth. We collaborated on a prospective observation study of the outcomes of pregnancies complicated by decreased fetal movement.2010-2012Dr Yael Sage Hoffman MD, MFM fellow I mentored this fellow on the study of stillbirth and decreased fetal movement and collaborated on a follow up study of patients who present with decreased fetal movement. A paper and Abstract were presented international Conference on Stillbirth SIDS and Infant Survival October 4-7, 2012 Baltimore. Graduate Courses (CME)2002 Harvard Medical School and Brigham and Women’s Hospital, Clinical Obstetric Update: Unexplained stillbirth can it be prevented. (1 hour) lecture.2003 Harvard Medical School and Brigham and Women’s Hospital, Clinical Obstetric Update: Unexplained stillbirth can it be prevented. (1 hour) lecture2005Harvard Medical School and Brigham and Women’s Hospital, Clinical Obstetric Update (1 hr) Seminar on the consequences of advanced maternal age2009Harvard Medical School and Brigham and Women’s Hospital, Clinical Obstetric Update Workshop (1hr) Stillbirth-Evaluation and Prevention2010Harvard Medical School and Brigham and Women’s Hospital, Clinical Obstetric Update (1 hr) Workshop on Up-dates in stillbirth2010 Fetal Death Course Oct 2010 Brigham ands Women's Hospital (1 hr) lecture "The Epidemiology of Stillbirth2010 Comprehensive Review of Obstetrics and Gynecology, one hour recorded CME “The study of stillbirth” directed by Robert L Barbieri and Errol Norwitz.2011 Comprehensive Review of Obstetrics and Gynecology, one hour recorded CME “The study of stillbirth” directed by Robert L Barbieri and Errol Norwitz2012 “Update in Obstetrics and Gynecology” 49th annual Harvard Review course 1 hr workshop on stillbirth risk, stillbirth prevention and kick counting” Local Invited Presentations2002 GYN Grand Rounds BWH, Strategies for the Prevention of Unexplained Fetal Deaths2002 OB/GYN Grand Rounds MGH, Strategies for the Prevention of Unexplained Fetal Deaths2002 Grand Rounds NWH Stillbirths Unexplained and Explained2011 Grand Rounds at Cambridge Medical Hospital, an overview of stillbirth and stillbirth prevention 1hr2013 Grand Rounds at NWH Perinatal audit in cases presenting with decreased fetal movement 1 hr2016Grand Rounds Tuft’s University 1hr, “The Stillbirth Work-Up”2016 Grand Rounds Brigham and Women’s Hospital, “Late Stillbirth, can they be prevented?’ Regional Invited Speaker 2004Grand Rounds Ob/Gyn at Boston Medical Center. Strategies for the prevention of unexplained stillbirth and the current role for fetal kick counting. 2007Invited speaker at the conference "Clinical Challenges in Obstetrics and Gynecology. "Stillbirth Common Causes and Prevention Strategies" also included in the CRICO RMF September 2007 Volume 25 number 3. 2008Mount Auburn Obstetrics and Gynecology Third Annual Julia Wheaton Lectureship. Etiology and Prevention of stillbirth 2008Invited speaker to the Massachusetts Department of Public Health, Birth Defects Monitoring Program, Boston MA, "An overview on the role of congenital anomalies on reported stillbirth rates"2008Invited speaker for the Named Lecture Series in the memory of Christina Padora Hanson at organized by Richard Pauli at the Boston University medical Campus "Causes of Stillbirth and Strategies for Prevention"2009Review of Stillbirth for the Yale OB/GYN residents, invited by the Program director Dr Errol NortwitzInvited National Speaker2002Invited speaker on Stillbirth evaluation. A Planning round Table for the National Child Study NIHCD Washington 2002.2004Invited speaker at the International Stillbirth Alliance Stillbirth Research Workshop Washington 25-26. 2009 ACOG Annual Meeting May 2009, Brown Bag Seminar Stillbirth Prevention.2009Invited speaker to conference sponsored by First Candle March 2009, and will function as a lobbyist to support the Senate Bill "Preventing Stillbirth and SUID Act of 2008". 2011 Invited speaker Virginia Perinatal Nursing Up-date Gainesville Virginia “Strategies for the Prevention of Stillbirth”Sponsored by the March of Dimes2015ACOG annual meeting San Francisco course director for 3 hour course in Etiology Management and Prevention of Stillbirth with Dr Uma Reddy Invited International SpeakerInvited guest speaker XVIII European Congress of Perinatal Medicine Oslo 2002, Unexplained Stillbirth, Strategies for Prevention.Invited guest speaker at the 10th Congress of the European Society for the Study and Prevention of Infant Death 2003First International Stillbirth Alliance Meeting, Washington. Sept 15-19, 2005. Papers “Do cesarean sections increase the risk of antepartum stillbirth?”, “Fetal autopsies, why are they not done?” Strategies for the Prevention of Unexplained Stillbirth as a key note speaker.Key note Speaker at the Annual Swedish Perinatal meeting in Malmot Sweden two lectures Advanced maternal age, and stillbirth prevention (1 hr each) 2006Key note Speaker and organizer of the Second Annual International Stillbirth Society in Yokahama Japan 2006 on Unexplained StillbirthInvited Speaker Third International Stillbirth Alliance September 2007 Birmingham UK. "Optimal Management of Pregnancies with Decreased fetal Movement"Invited speaker for Key note speaker International Stillbirth Alliance 2009 South Africa in collaboration with Priorities in Perinatal Care in South Africa on Pregnancies complicated by decreased FM. Keynote speaker Royal Australian and New Zealand College of Obstetricians and Gynecologist 2012 Annual Meeting in Canberra Australia. September 8-12, 2012 “Stillbirth the Continuing Enigma”, and “Preventing Stillbirth”The 2012 International Conference on Stillbirth, SIDS and Infant Survival hosted by First Candle, the International Stillbirth Alliance, and the international Society for the Study and Prevention of Perinatal and Infant Death. Chair of the Participant in the stillbirth workshop Fetal Movement and Kick counting, Participant in the workshop on Perinatal Audit (3hr) Baltimore October 4-7th 2012.The 2014 International Stillbirth Alliance, SIDS and Infant Survival, Invited Guest Speaker in Amsterdam Netherlands. Evolution in the Study of Stillbirth. Licensure and Certification:1988 Licensure for The Medical Council of Canada (LMCC)1989General Licensure for the College of Physicians and Surgeons of Ontario1992Certification to Practice Medicine, Corporation Professionelle Des Medecins du Quebec1992The Federation Licensing Examination(FLEX)1992Board of Registration in Medicine, The Commonwealth of Massachusetts1992Fellow in the Royal College of Physicians and Surgeons of Canada In the Division of Obstetrics and Gynecology and Surgery1992Specialist Certificate in Obstetrics and Gynecology, Corporation Professionelle des Medecins du Quebec1994The American Board of Obstetrics and Gynecology, Board Certified 2003-2015Re-certification of American Board of Obstetrics and GynecologyOriginal ReportsSauvaigo S, Fretts RC, Riopelle R, Legarde A. Autonomous Proliferation of MEWO Human Melanoma Cell Lines in Serum-free Medium: Secretion of Growth Stimulating Activities. Int J Cancer: 37, 123-132, 1986.Fretts RC, Boyd ME, Usher RH, Usher HA. The Changing Pattern of Fetal Death, 1961-1988. Obstet Gynecol: 79;35-39, 1992.Fretts RC, Schmittdiel J, Mclean FH, Usher RH, Goldman MB. Increased Maternal Age and the Risk for Fetal Death. N Engl J Med 1995;333:953-7.Sachs BP, Fretts RC, Gardner R, Hellerstein S, Wampler N, Wise PH. The Impact of Extreme Prematurity and Congenital Anomalies on the Interpretation of International Comparisons of Infant Mortality. Obstet Gyn 1995.Fretts RC, Usher RH. Causes of fetal death in women of advanced maternal age. Obstet & Gynecol 1997;89:40-45.Pearls TT, Alpert L, Fretts RC. Older Mom’s live longer. Nature 1997;389:133.Fretts RC, Rodman G, Gomez-Carrion Y, Goldberg R, Sachs B, Myers E, Kessel, B. Preventive Services Received by Menopausal Minority Women Aged 45-64 and the Goals of Healthy People 2000. Women’s Health Issues 2000:305-311.Huang D, Usher R, Kramer M, Hong Y, Morin L, Fretts RC. Determinants of Unexplained Fetal Deaths. Obstet Gynecol 2000;95:215-21.Fretts RC, Elkin EB, Myers ER, Heffner LJ. Strategies for the prevention of Unexplained fetal death. Obstet Gynecol 2002.99S75.Grodstein F, Fretts R, Lifford K, Resnick N, Curhan G. Association of age. Race and obstetric history with urinary symptoms in the Nurses Health Study. Am J Obstet Gynecol 2003;189:428-34.Heffner LJ, Elkin E, Fretts RC. Impact of labor induction, gestational age, and maternal age on cesarean delivery rates. Obstet and Gynecol 2003 102:287-93Fretts RC, Elkin E, Myers E, Heffner L. Should older women have antepartum testing for the prevention of unexplained stillbirth? Obstet Gynecol 2004;104:56-64.Reddy UM, Goldenberg R, Silver R, Smith GCS, Pauli RM, Wapner RJ, Gardosi J, Pinar H, Grafe M, Kupferminc M, Hulthen V, Erwich JJHM, Fretts RC, Willinger M. Stillbirth Classification-Developing an International Consensus for Research. Obstet Gynecol 2009;114:901-14.Flenady V, MacPhail J, Gardener G, Chadha Y, Mahomomed K, Heazell A, Fretts R, Froen F. Detection and management of decreased fetal movement in Australia and NewZealand: A survey of obstetric practice. Aust and New Zeal J obstet Gynecol 2009;49:358-363. Tveit JV, Saastad E, Stray-Pedersen B, Bordahl PE, Flenady V, Fretts R, Froen JF. Reduction of late stillbirth with the introduction of fetal movement information and guidelines- a clinical quality improvement. BMC Pregnancy and Childbirth 2009;9:32-32. Reddy UM, Goldenberg , Silver R, Smith GC, Pauli RM, Wapner RJ, Gardosi J, Pinar H, Grafe M, Kupferminc M. Hulthen Varli I, Erwich JJ, Fretts RC, Willinger M. Stillbirth classification- developing an international consensus for research : executive summary of a National Institute of Child Health and Human Development workshop. Obstet Gynecol 2009;114:902-14Flenady V, Middleton P, Smith G, Duke W, Erwich JJ, Khong TK, Neilson J, Ezzati M, Koopman L, Ellwood D, Fretts R, Froen JF. Stillbirths: the way forward in high income countries. Lancet 2011; 377: published on line April 14th DOI:10.1016/S0140-6736(11)60064-0. Flenady V, Koopman L Middleton P, Froen JF Smith G, Gibbons, Coory M, Gordon A, Ellwood D, Fretts R, Ezzati M. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. Lancet 2011; 377:1331-40. Goldenberg RL, Farrow V, McClure EM, Reddy UM, Fretts RC, Schulkin. Stillbirth: Knowledge and Practice among US Obstetricians-Gynecologists. Am J Perinatol 2013 (DOI )Farrow VA, Goldenberg RL, Fretts R, Schulkin J. Psychological impact of stillbirths on obstetricians. J of Maternal-Fetal and Neonatology 2013 ;26:748-752(DOI )Flenady V, Wojcieszek AM, Ellwood D, Erwich et al Lancet Stillbirth High-Income Study Group. Stillbirths recall to Action in high-income countries. Lancet 2016 10019;691-702. MeetingsLocalQuebec Society of Obstetricians and Gynecologists, Society of Obstetricians and Gynecologists of Canada, Annual Meeting, "Progress in the Prevention of Fetal Death 1961-1988". Full length presentation presented as a result of a submitted abstract.American College of Obstetricians and Gynecologists, District 1 Meeting Budapest 1989, "The Risk of Fetal Death in Older Women, How Late to Wait?" full length presentation as a result of a submitted abstract.Quebec Society if Obstetricians and Gynecologists, and the Society of Obstetrician and Gynecologists of Canada. Annual Meeting 1990, "The Risk of Fetal Death, Then and Now" Awarded Best Paper. Full length presentation as a result of a submitted abstract.National Society for Gynecological Investigations, Chicago 1995. The Risk of Unexplained Fetal Death in Older Women (Poster presented as a result of a submitted abstract).Society of Epidemiological Research 1995. The Risk of Unexplained Fetal Death in Older Women. (Poster presented as a result of a submitted abstract) UtahSociety of Epidemiological Research 1996. Specific Causes of Fetal Death in Women of Advanced Maternal Age. (Poster presented as a result of a submitted abstract) UtahSociety of Obstetricians and Gynecologists of Canada (Annual Meeting 1996) Specific Causes of Fetal Death in Women of Advanced Maternal Age. R Fretts, R Usher. Oral presentation as a result of a submitted abstract.American College of Obstetrics and Gynecology Annual Meeting 1997 Paper Presentation “Risk Factors Associated with Unexplained Fetal Deaths’’. D Huang, R Fretts R Usher R. Oral presentation by Huang presented as a result of a submitted abstract.FIGO 1997: A Community-Based Preventative Health Care Program for Mid-Life Women. B Kessel, R Fretts, E Myers, Y Gomez-Carrion, R Goldberg, G Rodman, B Sachs. (Poster presented as a result of a submitted abstract)American Geriatric Society Annual Meeting 1997: Prolonged Duration of Fertility as a Driving Force of Human Life-Span. T Perls, R Fretts. (Poster presented as a result of a submitted abstract)America College of Obstetricians and Gynecologists Annual Meeting 1999. Poster presentation “Preventive Services Received by Minority Menopausal Women’’. Fretts RC, Kessel B, Rodman G, Gomez-Carrion Y, Goldberg R, Sachs B.( Poster presented as a result of a submitted abstract)American College of Obstetricians and Gynecologists Annual Meeting 2002. Poster for Strategies for the Prevention of Unexplained Fetal Deaths. Fretts RC, Myers E, Elkin, E, Heffner L,( Poster presented as a result of a submitted abstract)American College of Obstetricians and Gynecologists Annual Meeting 2006. Poster Do cesarean sections increase the risk for subsequent stillbirth, and why are fetal autopsies not done: Data from the Moms Study,( Poster presented as a result of a submitted abstract)International3rd International Stillbirth Alliance meeting, Birmingham United Kingdom 2007. 3 posters presented as a result of a submitted abstract) Missed opportunities in pregnancies with decreased fetal movement; The effect of induction in the calculation of stillbirth death rates in the previable fetus with premature rupture of membranes; the rates of terminations of pregnancy for malformed fetus and the rate of congenital anomalies in babies in one institution over 20 years.International Stillbirth Alliance meeting Oslo Norway 2008. 2 posters presented: "Common causes of stillbirth in developing and developed countries and strategies for improvement", and "Risk of Late Stillbirth in Older Women" The 2012 International Conference on Stillbirth, SIDS and Infant Survival Baltimore 2012. (Oral presentation as a result of a submitted abstract) Hoffman-Sage Y, Fretts R Characteristics and Pregnancy Outcomes of women presenting with Decreased Fetal Movement. Reviews and Educationally Relevant PublicationsReid RL, Fretts RC, Van Vugt DA. The Theory and Practice of Ovulation Induction with Gonadotropin Releasing Hormone. Am J Obstet Gynecol:158, 176-185, 1988.Fretts RC, Boyd ME. The Consequences of Delayed Parenthood. J SOGC:13;31-35, 1991.Perls T, Terry DF, Silver M, Bowen SM, Ridge JE, Fretts R, Brewster NM, Kunkel L. Centenarians and the genetics of longevity. Results Prob Cell Diff 2000; 29:1-20.Perls TT, Fretts RC. Why women live longer than men. Scientific American Presents Women’s Health, a life long guide. 1998: 100-3. Perls TT, Fretts RC. The evolution of menopause and the human lifespan. Annals of Human Biol 2001:28:237-45.Fretts RC, Usher RH, Fetal death in women in the older reproductive age group. Contemporary Reviews in Obstetrics and Gynaecology Sept 1997;173-179.Fretts RC. Maternal Age and fetal loss. Older women have increased risk of unexplained fetal deaths. BMJ. 2001 322:430.Fretts RC. Epidemilogy of Stillbirth in Older Women. In recent Developments in Epidemilogy 2003.Fretts RC. Etiology and Prevention of Stillbirth. American Journal of Obstetrics and Gynecology 2005. 193:1923-35.Smith GS, Fretts RC. Stillbirth. Lancet 2007;370:1715-1725. Fretts RC. Committee on Practice Bulletin Obstetrics- Management of Fetal death ACOG Number 102 March 2009Fretts RC, Duru Ugonna. New indications for antepartum testing: Making the case for antepartum surveillance or timed delivery for women of advanced maternal age. Sem perinatol 2008 32:312-317. Froen JF, Holm Tveit JV, Saastad E, Bordahl PE, Stray-Pedersen B, Heazell AEP, Flenady V, Fretts RC. Management of Decreased Fetal movements. Sem Perinatol 2008 32:307-311.Froen JF , Heazell AEP Holm Tveit JV, Saastad E, Bordahl PE , Fretts RC Flenady V. Fetal Movement. Sem perinatol 2008 32:243-246. Fretts RC. “The study of Stillbirth and the “12 steps” to Prevention. The Female Patient 2010;35:38-41. LettersFretts, RC. Risks of Fetal Death in Older Women (letter) BMJ 2001;322:429.Book ChaptersReid RL, Fretts RC, Premenstrual Syndrome in The Principles and Practice of Endocrinology and Metabolism, Becker ed, 1990 and ed 1994, 2001.Zera C, Fretts R. Advanced Maternal Age in "Progress in Obstetrics and Gynecology 17 Editor John Studd. Fretts RC, Zera C, L Heffner. Advanced Maternal Age Encyclopedia of Early Child Development Elsevier 2007. Fretts RC, Flenady V, Froen F. Stillbirth in Developing and Developed Countries in "Stillbirth Understanding and Management" Edited by F Facchinetti, Baronciani and Saade by Informa health care 2009. Fretts RC. Stillbirth Epidemilogy, Risk Factors and Opportunities for Stillbirth Prevention. In Clinical Obstetrics and Gynecology Guest Editor Ema Reddy MD. 2010;53:588—596. Fretts RC. What we know about stillbirth. In “They were Still Born” edited by Janel Atlas 2010. Miscarriage, Stillbirth, and Other Losses Pregnancy loss in “Our Bodies Our Selves”, “A New Edition for a New Era” 2011 Contributors: Jen Dozer, Ruth Fretts, Arielle Greenberg, Linda Layne, Chukwuma Onyeije, Lauren Plante. Editorials /CommentaryFretts RC Increased maternal age and perinatal mortality Ir Med J 1996;89:10-11.Fretts RC. The Study of Stillbirth. Am J Obstet Gynecol Nov 2009:429-430.Fretts RC . Detection of Fetal Growth Restriction, comment on Gardosi Et al Maternal and fetal risk factors for stillbirth: population based Study. BMJ. 2013 Jan 24;346:f108.solicited commentary under review)Fretts RC. The Stillbirth Scandal. RANZOG 2013 15;13—15. Electronic publications in “Up to Date” 2016Diagnosis and Management of StillbirthIncidence etiology and Prevention of StillbirthEvaluation of Decreased Fetal MovementEffect of Advanced Maternal Age on PregnancyCME info Oakstone Medical Digital Comprehensive Review of Obstetrics and gynecology # 730 “Intrauterine Fetal Demise” 1 Hr. 2010Narrative Report of Research Teaching and Clinical ContributionsI began my research career as a resident in obstetrics and gynecology at McGill University. At this time I had the opportunity to work with Robert Usher, a forward thinking neonatologist who began a obstetric and neonatal database starting in 1968 and this database continues to the present day. I came to Harvard to pursue my Masters in the School of Public Health in the area of Quantitative Methods in 1992. I began my clinical practice at the Beth Israel Hospital in 1992, working with interns and resident, I was part of the faculty practice. I continued my clinical, teaching and research career in the area of stillbirth and stillbirth prevention and have been recognized on the local, national and international level as an expert in the area of stillbirth. In 1997 I had a son who was born very prematurely and need more care than a full-time mom/ physician, so in 2000, I accepted a 0.6 FTE at Harvard Vanguard Medical Associates. At this time our practice was performing deliveries at the Brigham and Women’s Hospital and I took this opportunity to develop the Stillbirth Review Committee which involved the participation of residents, and fellows and students in the area of general obstetrics, fetal maternal medicine and perinatal pathology. In 2002 I began collaborating with Dr Frederik Froen a Norwegian doctor MD, PhD who also had an interest in the risk factors of unexplained stillbirth and the role of kick counting in stillbirth prevention. I sponsored Dr Froen and he came with his family on a Fulbright Scholarship for one year. At this time we collaborated on two projects. One served the basis of the Harvard Risk Foundation grant, “The Management of pregnancies complicated with decreased fetal movement”. We also collaborated on a novel internet survey of over 2,900 women who had had a previous stillbirth. In 2004 I was voted on the Board of the International Stillbirth Alliance, and became Chair of the Scientific Committee. I chaired a round table in Yokahama Japan in 2006 on the definition in evaluation and classification of stillbirth. I am an invited speaker and organizer of a follow-up international round table in Birmingham, England. In 2004 our Harvard Vanguard group moved their deliveries to Newton Wellesley Hospital, while this is not teaching hospital I have done my best to continue to lecture and teach and various Harvard Affiliated Hospitals. In conjunction with my collaborators I published two papers in the landmark “Stillbirth Series” published in the Lancet in 2011, it was composed of 16 papers and reviews on bringing stillbirth out of the shadows. I completed a review for ACOG on the topic of stillbirth and stillbirth prevention I continue a .60% clinical practice in obstetrics and gynecology and have appointments both at Newton Wellesley Hospital, when I have presented rounds, supervise midwives and am a mentor for two new physicians in our Wellesley office. I routinely, at intervals educate nurses, residents and doctors of the optimal management of decreased fetal movement, the stillbirth evaluation, perinatal audit and prevention of late stillbirth. I have recently been elected as Chair of the ACOG Committee on Patient Safety and Quality Improvement, and am a paid consultant for the CDC Stillbirth Risk Factor Pilot Project for Birth Defects Research and Prevention RFA-15-004 which is a state wide active surveillance for fetal deaths. In 2012 I began mentoring Dr Yael Hoffman a fellow in Fetal Maternal Medicine at the Brigham and Women’s Hospital; we changed the stillbirth review committee to be part of the fellows education and included reviewing all stillbirth cases in conjunction with residents, attendings and fellows in perinatal pathology. I have initiated teaching sessions for the residents and medical students at the Beth Israel Deaconess Medical Center. In 2010 my husband was diagnosed with early onset Alzheimer’s so our family became “advocates” for Alzheimer’s awareness and we volunteered to be “the affected family” in a WBUR series on Alzheimer’s called “Fade to Darkness”, ................
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