Dr Joshua Balhorn, Colorectal and General Surgeon I am a specialist Colorectal and General Surgeon with a focus on minimally invasive surgery, including advanced laparoscopic and robotic techniques. I completed my post-fellowship colorectal training through the Colorectal Surgical Society of Australia and New Zealand (CSSANZ) across several major Melbourne centres, including the Royal Melbourne Hospital, Box Hill Hospital and The Alfred, with additional experience at the Peter MacCallum Cancer Centre. I manage a broad range of colorectal conditions, including colon and rectal cancer, inflammatory bowel disease, diverticular disease, rectal prolapse, haemorrhoids, anal fissures and fistulas. I also have a particular interest in colonoscopy and the management of inguinal and complex abdominal hernias. My public appointments include The Alfred and Sandringham Hospitals, where I am involved in the care of patients requiring both elective and emergency colorectal and general surgical services

This session will provide an overview of the investigation and management of common first trimester presentations, including pain and bleeding, miscarriage and pregnancy of unknown location. Participants will also gain practical guidance on routine first trimester care, screening, investigations, medications and referral pathways to support optimal maternal and fetal outcomes.