Fast-track rapid access pathways for the diagnosis of gynaecological cancers
Stage at diagnosis is one of the key factors determining survival rates of gynaecological cancers. The development of rapid access pathways is one of the measures that have been taken to improve early diagnosis in the UK. Also known as cancer pathways, these consist of standardized referral methods to specialist clinics, where patients undergo diagnostic investigations swiftly, receive the results and commence treatment within 62  days. National cancer waiting time targets exist in conjunction with these pathways. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 26, 2021 Category: OBGYN Authors: Hema Nosib, Rhian James Tags: REVIEW Source Type: research

Maternal collapse
is a rare and frightening event caused by an acute cardiovascular, respiratory or central nervous system failure occurring at any stage of pregnancy or until 6  weeks postpartum. It can lead to cardiac arrest or even death if unsuccessfully treated. Not every obstetrician will face maternal collapse in their career. However, it is vital to be prepared and act quickly in this acute emergency. Physiological changes in pregnancy as well as the complexity of treating a mother and a fetus simultaneously, while prioritising the life of the mother, make the management of maternal collapse complicated. (Source: Obstetrics, Gynae...
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 25, 2021 Category: OBGYN Authors: Magdalena Fiolna, Daniela Paraschiv Tags: Review Source Type: research

Caesarean scar pregnancy: diagnosis and management
Caesarean scar pregnancy is a rare but serious early pregnancy complication. It is defined as an ectopic implantation in the myometrial defect at the site of a previous uterine incision.The estimated prevalence is rising with 1 in 2000 pregnancies being affected, and up to 1 in 530 women who have had a previous caesarean section. The increasing incidence is a result of the number of caesarean sections having doubled globally in the last two decades.These pregnancies are associated with severe maternal morbidity and mortality including uterine rupture, major haemorrhage and abnormally invasive placentation. (Source: Obstetr...
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 24, 2021 Category: OBGYN Authors: Sonia Asif, Sajida Aijawi, Andrea Kaelin Agten Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 13, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-Assessment Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 13, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Gastrointestinal and liver disease in pregnancy
The gastrointestinal system and the liver undergo several physiological changes during pregnancy, an understanding of which is essential to distinguish pathology from normal pregnancy symptoms. This review includes the physiological changes that occur in the gastrointestinal system and liver in pregnancy, common conditions of the liver and gastrointestinal system which can present in pregnancy, including the appropriate investigations, management options and indications for specialist multidisciplinary input. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 3, 2021 Category: OBGYN Authors: Lama Daher, Charlotte Frise, Deborah Harrington Tags: Review Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 1, 2021 Category: OBGYN Source Type: research

Adolescent gynaecology
Paediatric and adolescent gynaecology is an area of special interest within gynaecology that encompasses a broad spectrum of conditions affecting the health of girls from birth through to adulthood. Management of conditions during pubescent development can be challenging and requires considered multidisciplinary input. An in-depth understanding of anatomy, embryology, and endocrinology are paramount as well as an appreciation for the differences in presentations in childhood, adolescence and adulthood. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 23, 2021 Category: OBGYN Authors: Victoria Kershaw, Swati Jha Tags: Case-based learning Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 16, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Postpartum pyrexia
complicates 5% of pregnancies, with an infective cause identified in 50% of cases. Sepsis occurs when an infective cause results in multi-organ dysfunction and this accounts for a significant proportion of maternal deaths. The most common site of sepsis is the genital tract. It is also important to consider non-infective causes amongst the differential diagnosis. In the following article infective and non-infective causes are discussed together with relevant investigations and management. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 14, 2021 Category: OBGYN Authors: Denise Chan, Shankari Arulkumaran Tags: Review Source Type: research

Surgical management of pelvic organ prolapse
Pelvic organ prolapse is a common condition which can have a profound effect on health-related quality of life. The lifetime risk of surgery for pelvic organ prolapse for all women is around 10 –12%, making prolapse surgery one of the most commonly performed operations of all. Surgery is generally offered only to women to do not respond to conservative measures such as physiotherapy and/or vaginal pessaries. It is very important to ensure excellent clinical governance around the decision -making process for this elective surgical problem, and this may include the use of written information, face to face and telephone con...
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 12, 2021 Category: OBGYN Authors: Thomas G. Gray, Ilias Giarenis Tags: Review Source Type: research

Bladder pain syndrome
This article reviews the current literature on BPS aetiology, clinical presentation, diagnosis, and treatment options. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 9, 2021 Category: OBGYN Authors: Laura Derbyshire, Ian Pearce Tags: Review Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 30, 2021 Category: OBGYN Source Type: research

Developing surgical skills in gynaecology and obstetrics
Obstetrics and gynaecology is a speciality that encompasses both medicine and surgery, which is one of the common reason people chooses to pursue this specialty. In the United Kingdom (UK), junior doctor can apply to specialty training programme after 2 years of working as foundation doctors. The training programme in the UK takes 7 year and throughout these 7 years, trainees are required to obtain competencies in different aspect of the specialty, including a list of procedures and operations that any obstetrician and gynaecologist is expected to be able to perform independently as a consultant. (Source: Obstetrics, Gynae...
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 28, 2021 Category: OBGYN Authors: Man Wai Leung, Mohamed Mabrouk Tags: Review Source Type: research

Management of HIV in pregnancy
HIV management in pregnancy aims to optimise the health of the mother and reduce the risk of HIV transmission to the infant. Early diagnosis of maternal HIV infection, the use of combination antiretroviral therapy (ART) for the mother, and post exposure prophylaxis (PEP) for the infant are key and reduce the transmission risk to (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 28, 2021 Category: OBGYN Authors: Shereen Munatsi, Elizabeth Marie Carlin Tags: Review Source Type: research