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Nicholas Fisk (obstetrician)

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Professor
Nicholas Fisk
AM FAHMS FRSN
BornSeptember 1956 (1956-09) (age 68)
EducationUniversity of Sydney (MBBS 1980)
University College London (PhD 1992)
Imperial College London (MBA 2008)
OccupationDeputy Vice-Chancellor Research & Enterprise
Known for
Fetoplacental disease
Fetal microchimerism
Fetal pain
'Natural' Caesarean section
Semi-identical twins
Medical career
ProfessionAcademic
FieldObstetrician & gynaecologist
InstitutionsUNSW
Sub-specialtiesMaternal–fetal medicine

Nicholas Maxwell Fisk (born 1956) is an Australian maternal-fetal medicine specialist, academic and higher education lead.[1][2] As a researcher, his group has pioneered advances in understanding fetoplacental disease and its treatment, including characterising early human fetal stem cell populations and their lifelong persistence in maternal tissues, documenting “fetal pain” and its blockade by opioid analgesia, and unravelling the vascular basis of twin-to-twin transfusion syndrome.[1] As an obstetrician, Fisk is known for inventing the natural caesarean operation, also referred to as the family centred caesarean section.[3][4][5][6][7][8][9][10]

In 2016 he was appointed as Deputy Vice-Chancellor (Research & Enterprise) at the University of New South Wales (UNSW Sydney).[11]

Early life and career

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Nicholas Fisk was educated at St Ignatius College Riverview, the University of Sydney (MBBS 1980), University College London (PhD 1992) and Imperial College London (MBA 2008). Fisk was Professor of Obstetrics & Fetal Medicine (1992-2007) at Queen Charlotte's Hospital and Imperial College London, where his laboratory and clinical research program achieved an international reputation[12][13][14][15] in fetal diagnosis and treatment.

He returned to Australia in 2008 as the inaugural Director of the Centre for Clinical Research[16] at the University of Queensland, where between 2010-2016 he served as Executive Dean of the Faculties of Health, Medicine and Biomedical Sciences.[17][18] From 2000-2001 he was President of the International Fetal Medicine and Surgery Society[19][20] and from 2016-2020 Chair of the Association for Academic Health Centers International (AAHCI Steering Committee).[21][22][23] He was elected to the Fellowship of the Academy of Health and Medical Sciences in 2014.[1] In 2020 he was appointed a Member of the Order of Australia for significant service to tertiary education, and to maternal-fetal medicine.[24] He continues to serve on the Board of Research Australia (from 2016) and from 2021 as Chair of the Go8 Deputy Vice-Chancellor’s (Research) committee.[25]

Expertise and advocacy

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Fisk’s research area is human fetoplacental disease and its treatment, including fetal stem cells, fetal “pain", and monochorionic (identical) twins. In 2019, Fisk and Michael Gabbett, along with their group, documented the likely genetic basis of semi-identical twins, with identical maternal DNA, but paternal DNA from different sperms.[26][27][28][29] Fisk has published over 300 research papers,[30] and served on the editorial boards of PLoS Medicine and Human Reproduction. As an influential clinician, he is known for promoting the natural caesarean operation,[31][32][33][34] and as an advocate for women’s right to choose their mode of delivery.[35][36][37] His research on fetal pain has been used by both sides in the abortion debate.[38][39][40][41][42]

 As a research leader, he has promoted proportionate research integrity reforms, defence trade controls, and indirect cost block funding, introduced a Living Wage for PhD students, and with Ian Jacobs developed the annual Aggregate Ranking of Top Universities.

References

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  1. ^ a b c "Australian Academy of Health and Medical Sciences - search term: Nicholas Fisk".
  2. ^ "Prof. Nicholas Maxwell FISK". Who's Who Australia.
  3. ^ Smith, J., Plaat, F., and Fisk, N.M. (2008). "The natural caesarean: A woman-centred technique". BJOG: An International Journal of Obstetrics and Gynaecology. 115 (8): 1037–1041
  4. ^ "Every bit as magical". The Guardian. 3 December 2005.
  5. ^ Capogna, G. and de Boer, H. (2017). "Humanization of Cesarean Section" In: Anesthesia for Cesarean Section. Cham: Springer International Publishing Switzerland. p. 185.{{cite book}}: CS1 maint: multiple names: authors list (link)
  6. ^ Armbrust, R., Hinkson, L. von Weizsacker, K., Henrich, W. (2016). "The Charite cesarean birth: a family orientated approach of cesarean section". The Journal of Maternal-Fetal & Neonatal Medicine. 29 (1): 163–168. doi:10.3109/14767058.2014.991917. PMID 25572878. S2CID 27558028.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  7. ^ Posthuma, S., Korteweg, F.J., van der Ploeg, J.M., de Boer, H.D., Buiter, H.D., and van der Ham, D.P. (2017). "Risks and benefits of the skin-to-skin cesarean section – a retrospective cohort study". The Journal of Maternal-Fetal & Neonatal Medicine. 30 (2): 159–163. doi:10.3109/14767058.2016.1163683. PMID 26955857. S2CID 24696681.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  8. ^ Narayen, I.C., Mulder, E.E.M., Boers, K.E., van Vonderen, J.J., Wolters, V.E.R.A., Freeman, L.M., and Te Pas, A.B. (2018). "Neonatal Safety of Elective Family-Centered Caesarean Sections: A Cohort Study". Frontiers in Pediatrics. 6 (20): 20. doi:10.3389/fped.2018.00020. PMC 5816568. PMID 29484289.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  9. ^ Schorn, M.N., Moore, E., Spetalnick, B.M., and Morad, A (2015). "Implementing Family-Centred Cesarean Birth". Journal of Midwifery & Women's Health. 60 (6): 682–690. doi:10.1111/jmwh.12400. PMID 26618328.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  10. ^ "ESA (European Society of Anaesthesiology). Natural Caesarean section is safe, popular and feasible and is not encouraging maternal requests for C-section births" Science Daily. 5 June 2017.
  11. ^ "UNSW announces new Deputy Vice-Chancellor (Research)". UNSW Newsroom. 16 May 2016.
  12. ^ Rosenthal, Elizabeth (4 April 2007). "A warehouse for stem cells offers hope for families, at a price". The New York Times.
  13. ^ "Mother tells of 'horror' at giving birth to stillborn twins". The Independent (Ireland). 18 November 2004.
  14. ^ Connor, Steve (30 July 2002). "Stem cell discovery raises prospect of treating genetic disorders in the womb". The Independent (UK). Archived from the original on 18 June 2022.
  15. ^ Stepney, Rob (18 February 1997). "The issue of foetal pain is being highlighted by anti-abortionists. But its implications extend beyond their agenda - to the process of birth itself". The Independent (UK). Archived from the original on 18 June 2022.
  16. ^ "Leading researcher to head clinical research centre". UQ News. 5 July 2007.
  17. ^ "Professor Nicholas Fisk". Research Australia.
  18. ^ "UQ Professor leaves Health in better shape". UQ News. 28 June 2009.
  19. ^ "2001 Annual Meeting". International Fetal Medicine and Surgery Society (IFMSS). 2018.
  20. ^ "International Fetal Medicine and Surgery Society - History". International Fetal Medicine and Surgery Society (IFMSS). 2018.
  21. ^ "AAHC Board of Directors & AAHCI Steering Committee". Association of Academic Health Centers. 2018.
  22. ^ "Nicholas Fisk Appointed AAHCI Steering Committee Chair and to AAHC Board of Directors". Globe Newswire. 5 July 2016.
  23. ^ "NICHOLAS FISK APPOINTED AAHCI STEERING COMMITTEE CHAIR AND TO AAHC BOARD OF DIRECTORS". The Association of Academic Health Centers (AAHC). 2018.
  24. ^ Fisk, Nicholas. "Professor" (PDF). Queen's Birthday 2020 Honours List.
  25. ^ "Research Australia Board". Retrieved 28 February 2022.
  26. ^ Gabbett, Michael T.; Laporte, Johanna; Sekar, Renuka; Nandini, Adayapalam; McGrath, Pauline; Sapkota, Yadav; Jiang, Peiyong; Zhang, Haiqiang; Burgess, Trent (28 February 2019). "Molecular Support for Heterogonesis Resulting in Sesquizygotic Twinning". New England Journal of Medicine. 380 (9): 842–849. doi:10.1056/NEJMoa1701313. hdl:10072/384437. ISSN 0028-4793. PMID 30811910.
  27. ^ Murphy, Heather (8 March 2019). "Congratulations, It's Twins. The Doctor Is Perplexed". The New York Times.
  28. ^ Maxouris, Christina (1 March 2019). "Semi-identical twins are rare, and doctors say they've identified the second case ever". CNN.
  29. ^ "Semi-identical twins 'identified for only the second time'". BBC News. 27 February 2019.
  30. ^ "Nicholas M Fisk FAHMS FRSN PhD MBA MBBS FRCOG FRANZCOG CMFM DDU GAICD". Google Scholar.
  31. ^ "In pictures: 'Natural caesarean'". BBC News. 20 December 2007.
  32. ^ Balaskas, Janet (15 September 2014). "Planning for a 'Natural Caesarean'". Active Birth Centre.
  33. ^ Philby, Charlotte (25 October 2015). "Natural caesarean: Why I chose a gentler version of the operation for my baby after two surgical births". Independent. Archived from the original on 18 June 2022.
  34. ^ Hendry, Joene (29 August 2008). ""Natural" cesarean mimics vaginal birth experience". Reuters Health.
  35. ^ Phelps, Kerryn (21 March 2001). "The pros and cons of natural delivery and C-sections". Australian Medical Association.
  36. ^ Revill, Jo (6 March 2006). "Why mothers should be offered caesareans".
  37. ^ "The safest method of birth is by caesarean". 2 May 2004.
  38. ^ Ronan, Alex (23 February 2017). "The Pro-Choice Movement has a Science Problem". The Outline.
  39. ^ Dermer, Hon Ed (18 March 1998). "CRIMINAL CODE AMENDMENT (ABORTION) BILL - SECOND READING". Parliament of Western Australia.
  40. ^ Towalski, Joe (21 April 2011). "Can an unborn child feel pain?". Catholic Hotdish.
  41. ^ Agresti, James D (2 June 2015). "Media Promotes Junk Science on Fetal Pain". Crisis Magazine.
  42. ^ Polman, Dick (22 July 2015). "Scott Walker Versus Science". The Moderate Voice.
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