Syphilis in pregnancy
This article provides an overview of the condition and focuses on the management during pregnancy. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 10, 2020 Category: OBGYN Authors: Paul Timmons, Ruta Gada Tags: Ethics/education Source Type: research

Complications of laparoscopic surgery
Laparoscopic surgery has revolutionized patient care with its well established benefits of minimising blood loss, reduced post-operative pain and shorter hospital stay. The minimal access entry into the abdomen, utilisation of a pneumoperitoneum and use of straight stick instruments through small ports, are some of its distinct features in comparison to open surgery. However, these features present their own unique set of complications including injury to viscera, blood vessels, haemodynamic instability and difficulties associated with poor ergonomics. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 8, 2020 Category: OBGYN Authors: Zaibun Khan, Kenneth Ma Tags: Case-based learning Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 24, 2020 Category: OBGYN Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 14, 2020 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Cancer in pregnancy
Cancer is rarely diagnosed during pregnancy, but the incidence of cases is increasing. Diagnosis may be delayed due to an assumption that symptoms are pregnancy-related, or a reluctance to perform investigations. Multidisciplinary discussion is vital, with decision-making involving the obstetrician, patient and family. Many cancers can be treated during pregnancy. Surgery is considered safe and chemotherapy after the first trimester does not increase fetal risks. Timing and mode of delivery will depend on the treatment plans as well as obstetric considerations. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 30, 2020 Category: OBGYN Authors: Kirsten Allen Tags: Review Source Type: research

Antibiotic prophylaxis after operative vaginal birth: the ANODE randomized controlled trial
All forms of operative birth are associated with a higher risk of infection compared to unassisted vaginal birth. Evidence of benefit of antibiotic prophylaxis at caesarean birth is well established, but prior to the ANODE trial, evidence of effectiveness of antibiotic prophylaxis after assisted vaginal birth was lacking. The ANODE trial randomized 3427 women to a single intravenous dose of co-amoxiclav or placebo immediately after assisted vaginal birth and showed an almost halving of the rate of confirmed or suspected infection, from 19% in the antibiotic group to 11% in the placebo group. (Source: Obstetrics, Gynaecolog...
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 28, 2020 Category: OBGYN Authors: Marian Knight Tags: Ethics/education Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 26, 2020 Category: OBGYN Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 17, 2020 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

Social issues of teenage pregnancy
The UK has the highest rate of teenage pregnancies in Western Europe and within the UK higher rates are found amongst women with certain social risk factors, such as those who live in areas of higher deprivation. Teenage pregnancy can be a positive event for some young women. However, there are a number of adverse social outcomes associated with teenage motherhood in the UK, including being more likely to live in poverty, being unemployed or having lower salaries and educational achievements than their peers. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 13, 2020 Category: OBGYN Authors: Sinead MC. Cook, Sharon T. Cameron Tags: Review Source Type: research

Obesity in pregnancy
This article will discuss the risks associated with obesity in pregnancy and the management of obese women, from preconception through to completion of the postnatal period. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 12, 2020 Category: OBGYN Authors: Philippa Edwards, Gemma Wright Tags: Review Source Type: research

Common symptoms and signs during pregnancy
The anatomical and physiological changes that accompany normal pregnancy are profound. It is therefore not surprising that, as the various systems adapt, changes result that overlap with those seen in disease. Additionally, sub-clinical disease can be unmasked during pregnancy, when the physiological adaptation to pregnancy provides an additional stress test. Common symptoms may include palpitations, dyspnoea, peripheral oedema, nausea, vomiting and pruritus. Underlying alterations in major organs can explain a large number of benign symptoms and signs. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 11, 2020 Category: OBGYN Authors: Sheba Jarvis, Catherine Nelson-Piercy Tags: Review Source Type: research

Challenging infections in pregnancy
Maternal sepsis is “a life-threatening condition defined as organ dysfunction resulting from infection during pregnancy, childbirth, post-abortion, or postpartum period.” (World Health Organisation, 2017). Serious infection during, or immediately after, pregnancy may go initially unrecognized in an otherwise young and healthy group, who nevertheless do have a compromized immune system. Secondly, whilst malaise, flushes, nausea, vomiting and abdominal pain are common in pregnancy, each can herald sepsis with rapid demise for mother and baby. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 31, 2020 Category: OBGYN Authors: Marina Morgan Tags: Case-based learning Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 29, 2020 Category: OBGYN Source Type: research

Self assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 17, 2020 Category: OBGYN Authors: Norman Shreeve Tags: Self-assessment Source Type: research

The antenatal management of pregnancies complicated by pre-existing diabetes
Pregnancies complicated by pre-existing diabetes continue to experience unacceptably high rates of morbidity and mortality compared to the general population. Optimizing the antenatal care of these high-risk pregnancies starts in the pre-conception period and therefore is applicable to all healthcare providers. During pregnancy, improving maternal glycaemic control and fetal wellbeing surveillance forms the mainstay of antenatal management. The complex interaction between maternal disease, fetal growth and placental function is often difficult to tease out due to our current tools of assessing fetal wellbeing lacking in di...
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 15, 2020 Category: OBGYN Authors: Alice Dempsey, Clare Mumby, Jenny E. Myers Tags: Review Source Type: research