The principles of screening tests as applied to obstetrics and gynaecology
Screening in reproductive healthcare in the UK has expanded rapidly since the introduction of cervical screening by the NHS in 1981. Women are offered comprehensive antenatal care screening for a range of pregnancy complications, now including pre-eclampsia and gestational diabetes, with the aim of early disease detection and management. With the advances in molecular medicine in recent years, novel biomarkers are being developed that have the potential to accurately predict these diseases long before their clinical onset. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 24, 2021 Category: OBGYN Authors: Lara Morley, Nigel Simpson, Alec McEwan Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 23, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-Assessment Source Type: research

Surgical treatment of stress urinary incontinence in women
Stress urinary incontinence is a common problem with 13.6% of women requiring surgery for it in their lifetime. Surgical treatments either create suburethral support or augment urethral closure. Colposuspensions and autologous rectus fascial slings are effective first-line surgical options. The use of midurethral tapes is currently suspended due to concerns with chronic pelvic and vaginal pain. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 23, 2021 Category: OBGYN Authors: Aneta Obloza, Jaskarn Rai, Roderick Teo Tags: Review Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 23, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Management of male infertility
This article summarizes the aetiology, classification, and management of male factor infertility. The cause for male infertility can be broadly classified into pre-testicular, testicular and post testicular causes depending on the underlying pathology. A detailed history and examination are crucial alongside investigations to delineate the cause. The management for male infertility varies depending on the cause of male infertility. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 17, 2021 Category: OBGYN Authors: Rekha N. Pillai, Kevin McEleny Tags: Review Source Type: research

Vaginal birth after caesarean section
Women are offered the choice of vaginal birth or elective repeat caesarean section as although the absolute risks of major morbidity or mortality are lower with elective repeat caesarean in the short term, the risks of multiple caesareans such as invasive placental disorders and intra-abdominal adhesion formation, increase with the number of caesareans performed. Guiding patients in the clinic through this decision making process can be challenging but the use of a checklist can be of help. The most pertinent risk of vaginal birth after caesarean section is uterine rupture as it can give little warning to the clinician and...
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 17, 2021 Category: OBGYN Authors: Alistair Ward, Nicole Roberts Tags: Review Source Type: research

Long acting reversible contraception
Long-acting reversible contraception (LARC) is the collective name for intrauterine contraception (copper intrauterine devices and levonorgestrel intrauterine systems) and the subdermal contraceptive implant. LARC methods are highly effective, require minimal user effort and do not require regular healthcare appointments; however the insertion and removal procedures can only be undertaken by clinicians trained to do so. The progestogen-only subdermal implant is the most effective method of reversible contraception in the United Kingdom and is licensed for 3 years. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 4, 2021 Category: OBGYN Authors: Katie Boog, Michelle Cooper Tags: Review Source Type: research

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

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - May 28, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Analgesia in labour and delivery
Pain is defined as “an unpleasant sensory or emotional experience associated with actual or potential tissue injury”. Labour pain is encountered during contractions in labour, and patient satisfaction correlates closely to how well it is managed. Doctors commonly encounter acute pain in clinical practice which can be treated simply by applying some basic rules. However, pain due to labour requires specific management which falls outside the basic principles of acute pain management and it is important for practitioners who look after these patients to understand what can be offered. (Source: Obstetrics, Gynaecology and...
Source: Obstetrics, Gynaecology and Reproductive Medicine - May 21, 2021 Category: OBGYN Authors: Andy Chu, Samson Ma, Shreelata Datta Tags: Case-based learning Source Type: research

Prolonged pregnancy
Pregnancy that continues beyond 42  weeks of gestation (post-term) confers increased antepartum and intrapartum fetal risk. Maternal risk may also be associated with post-term pregnancy, for example via increased likelihood of delivery via emergency Caesarean section. The increased likelihood of adverse perinatal outcomes associated with post-term pregnancy derives mainly from increasing fetal size and placental ageing. The key intervention currently available to manage the risks associated with prolonged pregnancy is to offer delivery. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - May 21, 2021 Category: OBGYN Authors: Sara Latif, Catherine Aiken Tags: Review Source Type: research

Preimplantation genetic diagnosis
Pre-Implantation genetic diagnosis is available to couples at risk of conceiving a pregnancy affected with a known genetic disorder. Assisted reproductive techniques are used in combination with micromolecular diagnostic technologies to recognise at-risk embryos with pathogenic genetic variants at the pre-implantation stage using polar body, blastomere or trophectoderm biopsy. This review will discuss the varying genetic  disorders diagnosed by Pre-Implantation Genetic Diagnosis, as well as the ethical, legal and safety implications of the process. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - May 17, 2021 Category: OBGYN Authors: Omar El Tokhy, Mona Salman, Tarek El-Toukhy Tags: Review Source Type: research

Connective tissue and dermatological conditions in pregnancy
Connective tissue disorders are common in women of reproductive age, and hence are seen frequently in maternal medicine clinics. The disorders, and their treatments, may have significant adverse effects on fertility, the developing fetus, and on pregnancy outcomes. In turn pregnancy may affect the natural course of the illness. Pre-pregnancy planning and multidisciplinary management are vital to optimise maternal and fetal outcomes. This review will cover a general approach and specific management points of common autoimmune and genetic conditions. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - May 15, 2021 Category: OBGYN Authors: Frances Hills Tags: Review Source Type: research

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

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - April 30, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research