Primary dysmenorrhoea: a review of the current evidence
Primary dysmenorrhoea, described as period pain in the absence of identifiable pelvic pathology, is the most common gynaecological condition worldwide. It has a significant impact on quality of life and contributes to difficulties in educational attainment, work productivity and gender inequality. Symptoms can be normalised and self-medication or self-help techniques are commonplace. The mainstay of management currently is non-steroidal anti-inflammatory medication and combined hormonal contraceptive pills. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 29, 2023 Category: OBGYN Authors: Sophie L. Walter, Yadava Jeve Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 26, 2023 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research

Medico-legal issues in gynaecology
This article explores the complex landscape of legal considerations in gynaecological practice, including informed consent, medical negligence, patient autonomy, and ethical dilemmas. Gynaecological procedures such as reproductive interventions and pelvic surgeries often involve sensitive and intimate matters, making the medicolegal framework critical for protecting patient rights and ensuring good-quality care. Through a comprehensive review of relevant  literature and case studies, this article highlights the need for interdisciplinary collaboration among healthcare providers, legal professionals, and policymakers to n...
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 11, 2023 Category: OBGYN Authors: Roberta Bugeja, Swati Jha Tags: Review Source Type: research

Review of invasive cervical cancer
This review of invasive cervical cancer explores the aetiology with HPV infection and prevention through vaccination. Diagnosis, imaging studies and the most recent FIGO staging are discussed. Management of stages 1A1-1B2 with surgery and stages 1B3-IV with chemoradiation are outlined. Fertility-sparing approaches along with exenteration and palliative treatments are also summarised. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 5, 2023 Category: OBGYN Authors: Alison Montgomery, Andrew Durden, Srividya Sundararajan, Hoda Al-Booz, Claire Newton Tags: Review Source Type: research

Modern management of fibroids
Fibroids are uterine smooth muscle tumours which are commonly found. They can vary in their number, location and size. Depending on the location and the size, fibroids can be symptomatic. Symptoms include menstrual dysfunction, pressure or subfertility. The treatment strategies will depend on the patient's characteristics, of which the most important is the wish to preserve the uterus. In this review all treatment modalities will be discussed with their risks. Clinicians need to be aware of the very rare risk of these benign tumours developing into malignancy. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - August 4, 2023 Category: OBGYN Authors: Miriam N. Baumgarten, Lukasz T. Polanski Tags: Review Source Type: research

Organoid cultures as model systems to study disorders of the human endometrium and placenta
Studying the underlying pathogenesis of disorders of the endometrium and of human pregnancy is challenging due to the lack of good in  vivo and animal models. The development of organoid cultures has provided new opportunities to perform experiments in humans that recapitulate the in vivo situation. Endometrial organoids can be derived from tissues or menstrual fluid and respond robustly to ovarian hormones. Placental trophobla st organoids can only be generated from placentas under 9 weeks gestation. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 28, 2023 Category: OBGYN Authors: Ashley Moffett Tags: Spotlight Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 25, 2023 Category: OBGYN Source Type: research

Obstetric anaesthesia: more than just pain relief
Obstetric anaesthetists are becoming more frequently involved in many women's maternity care. During the antenatal period, many women will visit the antenatal anaesthetic clinic to discuss risk factors for anaesthetic intervention and how these may affect the woman's individual birth plan. Prior planning and the involvement of multidisciplinary teams allows for risk mitigation, and a personalised plan to be created for each woman with her involvement. An increasing number of women are also requiring surgical intervention as part of their maternity care. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 25, 2023 Category: OBGYN Authors: Samuel Besant, Elizabeth Maronge Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 24, 2023 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research

Assisted vaginal birth: what is best practice?
Assisted vaginal birth (AVB) is the vaginal birth of a baby performed with the help of a medical device. In the United Kingdom, 10 –15% of birthing people will have an AVB for maternal and/or fetal indications. Devices for AVB most commonly include forceps and vacuum, with differing risks and benefits. However, complications can include maternal and fetal morbidity. The decision-making in AVB is complex and multi-factorial to ensure a safe AVB is achieved. Technical and non-technical skills including: communication, situational awareness and human factors, are crucial for holistic care. (Source: Obstetrics, Gynaecology a...
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 23, 2023 Category: OBGYN Authors: Katherine Lattey, Andrew Demetri, Timothy Draycott, Emily Hotton Tags: Review Source Type: research

Assisted vaginal birth: what is best practice
Assisted vaginal birth (AVB) is the vaginal birth of a baby performed with the help of a medical device. In the United Kingdom, 10 –15% of birthing people will have an AVB for maternal and/or fetal indications. Devices for AVB most commonly include forceps and vacuum, with differing risks and benefits. However, complications can include maternal and fetal morbidity. The decision-making in AVB is complex and multi-factorial to ensure a safe AVB is achieved. Technical and non-technical skills including: communication, situational awareness and human factors, are crucial for holistic care. (Source: Obstetrics, Gynaecology a...
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 23, 2023 Category: OBGYN Authors: Katherine Lattey, Andrew Demetri, Timothy Draycott, Emily Hotton Tags: REVIEW Source Type: research

Management challenges in primary and secondary postpartum haemorrhage
In this review article we will cover the management of both primary and secondary postpartum haemorrhage. Detailed national guidance on the management of primary PPH has been in place since 1998. Despite this, multiple MBRRACE-UK reports have consistently found significant scope for improvement in the care delivered to women. The recurrent nature of the themes highlighted in the reports is equally sobering, which suggests a failure to learn from these tragic cases. The first part of this paper will provide practical steps that can be taken to embed the learning from successive MBRRACE-UK reports into our day-to-day clinica...
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 19, 2023 Category: OBGYN Authors: Naomi Taylor, Nicholas Brazel Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - July 1, 2023 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 27, 2023 Category: OBGYN Source Type: research

The management of acquired bleeding disorders in pregnancy
This article will highlight how to identify, diagnose and manage acquired bleeding disorders in pregnancy. Postpartum haemorrhage is the leading acquired bleeding disorder, but is extensively covered in multiple guidelines and within the MRCOG curriculum, so we will instead focus on platelet disorders. This is an important area to understand the investigation of and how platelet disorders can range from pre-existing conditions to those acquired only in pregnancy and related to placental dysfunction. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - June 22, 2023 Category: OBGYN Authors: Jahnavi Daru, Bethan Myers Tags: Review Source Type: research