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We will cover first and second trimester congenital anomalies, including a special lecture on how a surgeon treats cleft lip and palate. You’ll also learn the basics in assessing pregnancies at risk for placenta accreta spectrum since it is now 1:300 pregnancies. The increasing incidence of ectopic pregnancy and the unusual presentation of various types of ectopic will be presented. Gynecological ultrasound will include ultrasound of endometrium, pelvic pain and adnexa.