Obstetrics, Gynaecology and Reproductive Medicine 
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(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - November 18, 2023 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research
Understanding perinatal mortality
This article explores the causes of perinatal mortality and the recent evidence and interventions and their impacts on reducing perinatal mortality in the high-income settings. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - November 16, 2023 Category: OBGYN Authors: Chivon Winsloe, Dharmintra Pasupathy Tags: Review Source Type: research
How to investigate and manage acute thrombosis in pregnancy
Venous thromboembolism (VTE) remains the leading cause of direct maternal death in the UK, despite the widespread use of personalised risk-stratified thromboprophylaxis in pregnancy. The primary risk factors associated with VTE are increasingly common, namely obesity, medical comorbidities and maternal age. Therefore, it is imperative that all clinicians seeing pregnant patients acutely can adequately assess, investigate and treat possible VTE. Clinical diagnosis of VTE is challenging due to its non-specific symptoms that mirror obstetric physiology. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - November 14, 2023 Category: OBGYN Authors: Hazel MI Powell, Mandish K. Dhanjal Tags: Review Source Type: research
Respiratory disease in pregnancy
Breathlessness is a common pregnancy symptom, which nonetheless always merits careful history taking and consideration of the wide range of possible underlying causes. The physiological changes in respiration during pregnancy include an increase in minute ventilation, primarily due to increased tidal volume. The partial pressure of oxygen in the maternal blood is slightly higher than outside of pregnancy and that of carbon dioxide slightly lower. It is important to be alert to these expected parameters, and maintain a high index of suspicion where borderline partial pressures are noted in a pregnant woman. (Source: Obste...
Source: Obstetrics, Gynaecology and Reproductive Medicine - November 11, 2023 Category: OBGYN Authors: Catherine E. Aiken Tags: Review Source Type: research
Epithelial ovarian, fallopian tube and primary peritoneal cancer: an overview
Ovarian, fallopian tube and primary peritoneal cancer has the poorest survival outcomes of all gynaecological malignancies. The majority of women present with advanced stage, high grade disease following a period of generalised abdominal symptoms. There is currently no effective screening programme. Diagnosis is based on imaging and histology. Stratification of adnexal masses into benign and malignant categories has helped ensure appropriate patients are referred to the gynaecology oncology team. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - November 4, 2023 Category: OBGYN Authors: Jane Borley Tags: Review Source Type: research
Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 29, 2023 Category: OBGYN Source Type: research
Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 13, 2023 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research
Pre-existing hypertension in pregnancy
Hypertension is common during pregnancy, complicating ∼10–15% of all pregnancies in the UK. The number of women who enter pregnancy affected by chronic hypertension is less clear, but has been estimated at ∼3%. Risk factors for chronic hypertension include maternal race and ethnicity, age, and body mass index (BMI). The changing demographics of t oday's antenatal population mean that pre-existing hypertension in pregnancy is an increasing clinical problem. Chronic hypertension in pregnancy can be defined as hypertension known to be present prior to conception or first recognised before 20 weeks of gestation. (Source...
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 11, 2023 Category: OBGYN Authors: Charleen Lia Tags: Review Source Type: research
Assisted reproductive therapies and antenatal care
Assisted reproductive therapy (ART) is not currently included in UK national guidelines as an indication for specific antenatal, intrapartum or postpartum care even though ART pregnancies have a higher risk of complications compared to spontaneous conception singleton pregnancies. Risks include venous thromboembolism, hypertensive disorders, psychological sequelae and preterm birth. ART alone is not an indication for early induction of labour or continuous electronic fetal monitoring in labour or closer postpartum surveillance. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 9, 2023 Category: OBGYN Authors: Katherine Lattey, Katherine Barton, Timothy Draycott Tags: Review Source Type: research
Understanding sexual violence and the implications for practice
Sexual violence is a significant social problem and rates of victimisation are high. Women face a disproportionate risk of sexual violence, and the impacts and consequences are considerable. These consequences can be physical, psychological, emotional, social and interpersonal. Sexual violence is not commonly disclosed and many women presenting in gynaecologic, obstetric and reproductive medicine practice will have had experiences of sexual violence in their lifetime. These experiences can impact upon experiences of engagement with heath care. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 7, 2023 Category: OBGYN Authors: Lesley McMillan Tags: Review Source Type: research
Thromboprophylaxis in pregnancy: a practical guide for the obstetrician
Venous thromboembolism (VTE) in pregnancy remains a leading cause of maternal morbidity and mortality. As rates of pregnancy in women with additional risk factors and underlying diagnoses continue to rise, it is crucial that all obstetricians understand how to approach thromboprophylaxis at all stages of pregnancy. In this review we seek to provide a roadmap to understanding the physiology, pathology and pharmacology of VTE in pregnancy for the obstetrician in order to facilitate a greater understanding of how to best support all women at risk of VTE throughout their pregnancy journey from pre-conception to post-natally. (...
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 5, 2023 Category: OBGYN Authors: Paul Timmons, Francoise H. Harlow, Hamish Lyall Tags: Review Source Type: research
Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 29, 2023 Category: OBGYN Source Type: research
Imaging malignant gynaecological conditions
Radiology plays an essential role in the management of malignant gynaecological conditions. Multiple imaging modalities are utilised to investigate suspected gynaecological malignancy including: ultrasound, computed tomography, magnetic resonance imaging and positron emission tomography/computed tomography. Each modality has a different role in diagnosis, staging, treatment selection and follow-up. This review discusses the differ ent imaging modalities and their recommended roles in the imaging of malignant gynaecological disease. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 11, 2023 Category: OBGYN Authors: Ishwariya Rajendran, Janette Smith, Helen Addley, Susan Freeman Tags: Review Source Type: research
Imaging benign gynaecological conditions
Radiology plays an essential role in the management of benign gynaecological conditions and includes: ultrasound; computed tomography and magnetic resonance imaging. Each modality has a different role in diagnosis, treatment selection and follow-up. This review discusses the different imaging modalities, their recommended roles in the imaging and imaging findings of common female pelvic pathology. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 11, 2023 Category: OBGYN Authors: Ishwariya Rajendran, Janette Smith, Helen Addley, Susan Freeman Tags: Review Source Type: research
Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 1, 2023 Category: OBGYN Source Type: research
