Obstetrics, Gynaecology and Reproductive Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Palliative care in gynaecological oncology
Women with a gynaecological malignancy often suffer significant symptom burden, both physically and psychologically, throughout the course of their disease. Despite advances in treatment, up to 25% of women diagnosed with a gynaecological malignancy will die from recurrent disease. Early palliative care involvement provides a holistic approach to care with the benefit of improving symptom control and quality of life for the patient and their carers, as well as lowering resource utilisation at the end of life. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 13, 2021 Category: OBGYN Authors: Claire Holmes, Alison Mitchell, Esther Downham Tags: Review Source Type: research

The management of endometriosis-related pelvic pain
Discussion includes common techniques and some newer options, whilst pointing out the relative lack of good quality evidence in management strategies commonly employed. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 13, 2021 Category: OBGYN Authors: Annabel Stout, Yadava Jeve Tags: Review Source Type: research

Fertility care for persons considering gender transition
Discussion about possible impact of various treatments such as GnRH agonists and cross over hormones (oestrogen or testosterone) and surgery of genitalia and reproductive organs should be discussed. Opportunity should be provided to discuss options for fertility preservation and assisted decision-making. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 13, 2021 Category: OBGYN Authors: Ephia Yasmin Tags: Ethics/Education Source Type: research

Management of incontinence in the frail elderly
Lower urinary tract symptoms (LUTS) are common in older people, and in particular older people with frailty. They are associated with significant impairment of quality of life, and numerous sequelae not seen in younger people with LUTS. Ageing is also associated with the presence of comorbidity and polypharmacy, both of which may cause or worsen LUTS, as well as cognitive and functional decline. The assessment of LUTS in older adults, therefore, must be comprehensive and consider factors outwith the lower urinary tract. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 9, 2021 Category: OBGYN Authors: William Gibson Tags: Review Source Type: research

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

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 29, 2021 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Gynaecological causes of acute abdominal pain
This article explores the history, examination and investigation of women presenting with acute abdominal pain. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 9, 2021 Category: OBGYN Authors: Alice E.J. Stickland, Christian Phillips Tags: REVIEW Source Type: research

Heavy menstrual bleeding management during the Covid pandemic
Heavy Menstrual Bleeding (HMB) is a common gynaecological presentation, which can affect girls and women throughout their reproductive years and cause significant health issues. This review discusses the most recent evidence-based management of HMB and strategies for providing safe and effective care during the Covid 19 pandemic. Thus protocols and recommendations for HMB, developed to tackle the Covid 19, could become the ‘new normal’ for both primary and secondary care. There is a need for administrative changes, improved technology and effective communication to adapt these new recommendations. (Source: Obstetrics, ...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 8, 2021 Category: OBGYN Authors: Ursula Winters, Montila Ghosh, Amena Shelleh Tags: Review Source Type: research

Urogynaecological complications in pregnancy
Obstetricians should remain aware of physiological adaptations that the urinary tract undergoes in pregnancy. This altered physiology makes pregnant women susceptible to increased risk of urological complications such as acute infection and urinary retention. Close anatomical proximity between gynaecological and urinary system makes the urinary bladder and ureters prone to iatrogenic injury during caesarean section, and this may result in long term sequalae. This review article provides an overview of presentation and management of common Urogynaecological conditions that may be encountered in pregnancy. (Source: Obstetric...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 7, 2021 Category: OBGYN Authors: Uzma Kashif, Nadia Riaz, Swapna Percholli Ramasubramanian, David Iles Tags: REVIEW Source Type: research

The challenges of randomised control trials in obstetrics and gynaecology
In this short article we explore some of the challenges faced by those conducting randomised trials in obstetrics and gynaecology. We discuss the current status of trials comparing induction of labour versus expectant management, so called ‘deliver or delay’ trials. We consider the benefits of utilising routine data for collecting trial outcome data. Although cluster trials can provide a useful methodology for answering difficult questions, we illustrate with an example that cluster trials are at risk of delivering a misleading re sult. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 5, 2021 Category: OBGYN Authors: Sarah L. Harper, Jim G. Thornton, Kate F. Walker Tags: Ethics/education Source Type: research

Conservative management of pelvic organ prolapse
Pelvic organ prolapse is a common condition with 1 in 10 women undergoing surgery during their lifetime. In the community 8% of women complain of the symptom of a vaginal bulge which is the symptom that most closely correlates with the finding of a prolapse on examination. Pelvic organ prolapse can impair urinary, bowel and sexual function. The NICE National Guideline Urinary Incontinence and Pelvic Organ prolapse in Women: Management makes recommendations on the assessment and treatment of pelvic organ prolapse. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 4, 2021 Category: OBGYN Authors: Lucy Dwyer, Rohna Kearney Tags: REVIEW Source Type: research

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

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 30, 2020 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Management of dichorionic diamniotic twin pregnancies
Twin pregnancies comprise 1.5% of all deliveries in the UK. The primary objective of this review is to provide the reader with an overview of national guidelines and, where applicable, recent advances with regards to the care of women with dichorionic diamniotic (DCDA) pregnancies. Prenatal screening in dichorionic twins is discussed, including the role of cell free fetal DNA testing, and common fetal and maternal complications are explored. In addition to the reading list below, we would encourage the reader to keep up to date with reports from the confidential enquiry into maternal and child death [Mothers and Babies: Re...
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 24, 2020 Category: OBGYN Authors: Muna Al Dzajali, Katarzyna Gajewska-Knapik, Hsu Phern Chong Tags: REVIEW Source Type: research

Current management of gestational trophoblastic disease
Gestational trophoblastic disease incorporates a spectrum of disorders ranging from benign to malignant subtypes. At one end, hCG level monitoring is all that is required, whereas, at the other, patients require combination chemotherapy regimens and surgery to cure the disease. The diagnosis can have profound effects on both the patient and her family and it is essential this is recognized and managed appropriately. Although rare, clinicians in non-specialist units are expected to inform patients of their diagnosis and explain the management steps prior to being referred to a specialized Trophoblastic centre and unfortunat...
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 21, 2020 Category: OBGYN Authors: Victoria L. Parker, John A. Tidy Tags: REVIEW Source Type: research