Very advanced maternal age
AbstractKey content Increasing fertility options have led to increased birth rates among women over the age of 45  years. Most women aged 45 years or older conceive via assisted reproductive technologies, which are associated with increased risks to both mother and fetus. Multiple pregnancies are disproportionately common in this group of women as a result of multiple embryo transfer. The maternal and fetal r isks are increased significantly in multiple pregnancies. A maternal age of 45 years or more is associated with complications in early pregnancy and the antenatal period and with significant obstetric ...
Source: The Obstetrician and Gynaecologist - November 20, 2020 Category: OBGYN Authors: Alice Howell, Margaret Blott Tags: REVIEWS Source Type: research

Developing situational awareness ( ‘helicopter view’)
Abstract Reports such as Each Baby Counts and the Confidential Enquiry into Maternal Deaths and Morbidity increasingly recognise that human factors contribute to significant events such as hypoxic ischaemic encephalopathy and maternal deaths. Loss of situational awareness (SA) has been implicated in at least 50% of such cases. A clinician ’s SA involves information gathering, comprehension of data in real time and developing the crucial skills to project ahead and anticipate potential errors and threats. Good communication and shared mental models are important to maximise team SA in theatre, clinic and the labo...
Source: The Obstetrician and Gynaecologist - November 17, 2020 Category: OBGYN Authors: Wai Yoong, Sayantana Das, Neil Jeffers, Maud Nauta, Wasim Lodhi Tags: EDUCATION Source Type: research

Care in pregnancies subsequent to stillbirth or perinatal death
AbstractKey content Pregnancies following stillbirth have an increased risk of adverse outcome, including a 4.8 ‐fold increased risk of stillbirth. Risk factors for stillbirth include obesity, smoking, advanced maternal age, fetal growth restriction, hypertension and diabetes. Increased risk of medical problems may result from recurrent placental pathologies or genetic conditions or persistent maternal di sease; thus, care for a subsequent pregnancy should commence with investigation of the index stillbirth. Parents also require additional psychological support to navigate mixed emotions, particularly anxiety, about...
Source: The Obstetrician and Gynaecologist - November 4, 2020 Category: OBGYN Authors: Nicole Graham, Louise Stephens, Alexander EP Heazell Tags: REVIEW Source Type: research

Bridging justice and health: reparations for conflict ‐related sexual violence
AbstractConflict ‐related sexual violence (CRSV) is a key challenge in healthcare and conflict today. In international law, sexual violence can amount to a war crime, genocide or crime against humanity.1 While much legal and scholarly attention has historically focused on the investigation and prosecution of perpetrators, in recent decades there has been an increasing focus upon victims and their needs. This has been particularly evident in the field of reparations, which has seen the evolution of ever more sophisticated engagement with gender ‐based harms. Reparations for CRSV are intended to address various physical,...
Source: The Obstetrician and Gynaecologist - November 1, 2020 Category: OBGYN Authors: Sunneva Gilmore, Kieran McEvoy Tags: COMMENTARY Source Type: research

Lynch syndrome for the gynaecologist
AbstractKey content Lynch syndrome is an autosomal dominant condition closely associated with colorectal, endometrial and ovarian cancer. Women with Lynch syndrome are at increased risk of both endometrial and ovarian cancer and should be offered personalised counselling regarding family planning, red flag symptoms and risk ‐reducing strategies. Surveillance for gynaecological cancer in women with Lynch syndrome remains controversial; more robust data are needed to determine its effectiveness. Universal testing for Lynch syndrome in endometrial cancer is being adopted by centres across Europe and is the topic of a cu rr...
Source: The Obstetrician and Gynaecologist - November 1, 2020 Category: OBGYN Authors: Neil AJ Ryan, Raymond FT McMahon, Neal C. Ramchander, Mourad W Seif, D Gareth Evans, Emma J Crosbie Tags: REVIEWS Source Type: research

Bridging justice and health: reparations for conflict ‐related sexual violence
AbstractConflict ‐related sexual violence (CRSV) is a key challenge in healthcare and conflict today. In international law, sexual violence can amount to a war crime, genocide or crime against humanity.1 While much legal and scholarly attention has historically focused on the investigation and prosecution of perpetrators, in recent decades there has been an increasing focus upon victims and their needs. This has been particularly evident in the field of reparations, which has seen the evolution of ever more sophisticated engagement with gender ‐based harms. Reparations for CRSV are intended to address various physical,...
Source: The Obstetrician and Gynaecologist - November 1, 2020 Category: OBGYN Authors: Sunneva Gilmore, Kieran McEvoy Tags: COMMENTARY Source Type: research

Lynch syndrome for the gynaecologist
AbstractKey content Lynch syndrome is an autosomal dominant condition closely associated with colorectal, endometrial and ovarian cancer. Women with Lynch syndrome are at increased risk of both endometrial and ovarian cancer and should be offered personalised counselling regarding family planning, red flag symptoms and risk ‐reducing strategies. Surveillance for gynaecological cancer in women with Lynch syndrome remains controversial; more robust data are needed to determine its effectiveness. Universal testing for Lynch syndrome in endometrial cancer is being adopted by centres across Europe and is the topic of a cu rr...
Source: The Obstetrician and Gynaecologist - November 1, 2020 Category: OBGYN Authors: Neil AJ Ryan, Raymond FT McMahon, Neal C. Ramchander, Mourad W Seif, D Gareth Evans, Emma J Crosbie Tags: REVIEWS Source Type: research

Does ovarian cystectomy pose a risk to ovarian reserve and fertility?
AbstractKey contentThe impact of benign ovarian cysts on a woman ’s fertility is dependent on the nature, size, number, bilaterality and risk of recurrence of the cyst(s).Children and adolescents presenting with pathological ovarian cysts require a multidisciplinary team approach and, where possible, fertility sparing treatment should be offered.Laparoscopic detorsion has the potential to preserve ovarian reserve and should remain the optimal treatment for ovarian torsion in girls and premenopausal women.Surgery for bilateral endometriomas has been shown to increase the risk of developing premature ovarian insufficie...
Source: The Obstetrician and Gynaecologist - October 24, 2020 Category: OBGYN Authors: Neerujah Balachandren, Ephia Yasmin, Dimitrios Mavrelos, Ertan Saridogan Tags: REVIEWS Source Type: research

Raised CA125 – what we actually know….
AbstractKey content Carbohydrate antigen 125 (CA125) is an antigen used in the diagnosis of epithelial nonmucinous ovarian cancers. CA125 may be elevated in many benign and malignant conditions, so elevated levels can cause confusion over patient management. The multidisciplinary team is important when planning care for patients with suspected ovarian cancer.Learning objectives To know the factors leading to CA125 production and its mechanism of action. To understand how CA125 is used as a diagnostic tool and to assess the treatment response of ovarian cancer. To appreciate patient care options in cases of falsely elevat...
Source: The Obstetrician and Gynaecologist - October 24, 2020 Category: OBGYN Authors: Tamara Howe, Nava Sokolovsky, Ahmad Sayasneh, Kazal Omar, Farshad Tahmasebi Tags: REVIEWS Source Type: research

Does ovarian cystectomy pose a risk to ovarian reserve and fertility?
AbstractKey contentThe impact of benign ovarian cysts on a woman ’s fertility is dependent on the nature, size, number, bilaterality and risk of recurrence of the cyst(s).Children and adolescents presenting with pathological ovarian cysts require a multidisciplinary team approach and, where possible, fertility sparing treatment should be offered.Laparoscopic detorsion has the potential to preserve ovarian reserve and should remain the optimal treatment for ovarian torsion in girls and premenopausal women.Surgery for bilateral endometriomas has been shown to increase the risk of developing premature ovarian insufficie...
Source: The Obstetrician and Gynaecologist - October 24, 2020 Category: OBGYN Authors: Neerujah Balachandren, Ephia Yasmin, Dimitrios Mavrelos, Ertan Saridogan Tags: REVIEWS Source Type: research

Raised CA125 – what we actually know….
AbstractKey content Carbohydrate antigen 125 (CA125) is an antigen used in the diagnosis of epithelial nonmucinous ovarian cancers. CA125 may be elevated in many benign and malignant conditions, so elevated levels can cause confusion over patient management. The multidisciplinary team is important when planning care for patients with suspected ovarian cancer.Learning objectives To know the factors leading to CA125 production and its mechanism of action. To understand how CA125 is used as a diagnostic tool and to assess the treatment response of ovarian cancer. To appreciate patient care options in cases of falsely elevat...
Source: The Obstetrician and Gynaecologist - October 24, 2020 Category: OBGYN Authors: Tamara Howe, Nava Sokolovsky, Ahmad Sayasneh, Kazal Omar, Farshad Tahmasebi Tags: REVIEWS Source Type: research

Issue Information
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 253-254, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: Issue Information Source Type: research

Spotlight on … urogynaecology
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 256-256, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Philip Toozs ‐Hobson Tags: Editor's Pick Source Type: research

Editorial
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 255-255, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Kate Harding Tags: Editorial Source Type: research

Patient ‐Centered Assisted Reproduction: How to Integrate Exceptional Care with Cutting‐Edge Technology Editors: Alice D. Domar, Denny Sakkas, Thomas L. Toth ISBN 9781108796774 / Paperback / £42.99 / 180 pages / Cambridge University Press
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 325-325, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: BOOK REVIEW Source Type: research

How to Perform Operative Procedures in Obstetrics and Gynaecology Editors: Wai Yoong, Wasim Lodhi, Abha Govind ISBN 9781118672884 / Paperback / £39.99 / 136 pages / Wiley‐Blackwell
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 324-324, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: BOOK REVIEW Source Type: research

UKOSS update
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 327-327, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Marian Knight Tags: UKOSS update Source Type: research

CPD questions for volume 22 issue 4
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 318-321, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: CPD Source Type: research

Zooming into history
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 330-330, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: James Drife Tags: And finally … Source Type: research

Issue Information
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 253-254, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: Issue Information Source Type: research

Spotlight on … urogynaecology
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 256-256, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Philip Toozs ‐Hobson Tags: Editor's Pick Source Type: research

Editorial
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 255-255, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Kate Harding Tags: Editorial Source Type: research

Patient ‐Centered Assisted Reproduction: How to Integrate Exceptional Care with Cutting‐Edge Technology Editors: Alice D. Domar, Denny Sakkas, Thomas L. Toth ISBN 9781108796774 / Paperback / £42.99 / 180 pages / Cambridge University Press
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 325-325, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: BOOK REVIEW Source Type: research

How to Perform Operative Procedures in Obstetrics and Gynaecology Editors: Wai Yoong, Wasim Lodhi, Abha Govind ISBN 9781118672884 / Paperback / £39.99 / 136 pages / Wiley‐Blackwell
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 324-324, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: BOOK REVIEW Source Type: research

UKOSS update
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 327-327, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: Marian Knight Tags: UKOSS update Source Type: research

CPD questions for volume 22 issue 4
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 318-321, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Tags: CPD Source Type: research

Zooming into history
The Obstetrician& Gynaecologist, Volume 22, Issue 4, Page 330-330, October 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - October 20, 2020 Category: OBGYN Authors: James Drife Tags: And finally … Source Type: research

A letter regarding maternity medical student experiences during the COVID ‐19 pandemic
The Obstetrician& Gynaecologist, EarlyView. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - September 20, 2020 Category: OBGYN Authors: Sam Alberman, Portia Sagoe, Jack Fairhurst, Alex Lane, Irene Gafson Tags: Letters and emails Source Type: research

Obstetric neurological injuries
AbstractKey content Neurological injuries following well ‐managed labour and childbirth are uncommon but potentially serious. Anaesthetists are often called to see these patients because of concerns about the complications of regional anaesthesia; however, ’obstetric’ neurological injuries, caused by nerve compression during labour and childbirth, are much more common. From a global health perspective, neurological injuries are part of the obstructed labour injury complex. After ruling out a complication of regional anaesthesia, most obstetric neurological injuries can be managed with reassurance and/or ...
Source: The Obstetrician and Gynaecologist - August 26, 2020 Category: OBGYN Authors: Robert LC Harper, Seumas D Eckford, Helen Williams, Oliver A Leach Tags: REVIEWS Source Type: research

Corrigendum
The Obstetrician& Gynaecologist, EarlyView. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - August 24, 2020 Category: OBGYN Tags: Corrigendum Source Type: research

Pelvic floor functional bowel disorders in gynaecology
AbstractKey content Many women with pelvic floor problems have a mixture of urogynaecological and colorectal symptoms. The most common conditions include fecal incontinence, constipation, obstructive defecation syndrome, haemorrhoids and anal fissures. Investigations specific to these pelvic floor disorders comprise imaging (endoanal ultrasound and defecating proctography, including dynamic MRI), and physiology (anorectal manometry, pudendal nerve terminal motor latency and colonic transit studies). There is a close relationship between the urogynaecology and colorectal specialties; here, we provide guidance with resp...
Source: The Obstetrician and Gynaecologist - August 14, 2020 Category: OBGYN Authors: Marika Britton, Sushil Maslekar, Fiona Marsh Tags: REVIEWS Source Type: research

Pre ‐implantation genetic testing for aneuploidy: the past, present and future
AbstractKey content Embryonic aneuploidy is often found in women undergoing assisted reproduction and is a common cause of poor outcomes, particularly in women of advanced maternal age and those with recurrent miscarriage and repetitive implantation failure. The aim of pre ‐implantation genetic testing for aneuploidy (PGT‐A) is to select the most competent embryo for transfer, thus improving reproductive outcome. Initial PGT‐A techniques failed to show an improvement in delivery rates and, in some trials, demonstrated inferior outcomes; however, advances in tec hnology, combined with robust culture media and vitr...
Source: The Obstetrician and Gynaecologist - August 13, 2020 Category: OBGYN Authors: Ariadne L ’Heveder, Benjamin P Jones, Roy Naja, Paul Serhal, Jara Ben Nagi Tags: REVIEW Source Type: research

How to deal with challenges in laparoscopic hysterectomy
AbstractHysterectomy is one of the most common surgical procedures performed by gynaecologists. Using laparoscopy has the advantages of short hospital stay, rapid recovery, rapid return to usual activities, fewer wound complications and less postoperative pain.1 Although there are few contraindications to laparoscopic hysterectomy, challenges including obesity, large uterus, adhesions from previous surgeries (in particular, previous bowel surgeries), narrow vagina, pelvic varicosities, early stage endometrial cancer and deep infiltrating endometriosis mean that specific training and surgical skills are required to complete...
Source: The Obstetrician and Gynaecologist - August 3, 2020 Category: OBGYN Authors: Mohamed Elnasharty, Magdy Moustafa Tags: TIPS AND TECHNIQUES Source Type: research

TOG reviewers 2019
The Obstetrician& Gynaecologist, EarlyView. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 21, 2020 Category: OBGYN Tags: TOG reviewers 2019 Source Type: research

Issue Information
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 173-174, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Tags: Issue Information Source Type: research

Spotlight on … mental health
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 176-177, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Authors: Aarthi R Mohan, Nicola Mullin Tags: Editor's Pick Source Type: research

Editorial
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 175-175, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Authors: Kate Harding Tags: Editorial Source Type: research

Reproductive Surgery: The Society of Reproductive Surgeons ’ Manual Editors: Jeffrey M. Goldberg, Ceana H. Nezhat, Jay Sandlow ISBN 9781107193963 / Hardback / £96.99 / 164 pages / Cambridge University Press
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 249-249, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Tags: BOOK REVIEW Source Type: research

Creasy and Resnik's Maternal ‐Fetal Medicine: Principles and Practice (8th edition) Editors: Robert Resnik, Charles Lockwood, Thomas Moore, Michael Greene, Joshua Copel, Robert Silver ISBN 9780323479103 / Hardback / £147.99 / 1408 pages / Elsevier
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 248-248, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Tags: Book Review Source Type: research

How to Prepare the Egg and Embryo to Maximize IVF Success Editors: Gabor Kovacs, Anthony Rutherford, David K. Gardner ISBN 9781316621776 / 389 Pages / £38.99 / Cambridge University Press
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 248-248, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Tags: Book Review Source Type: research

Gynaecological Ultrasound Scanning: Tips and Tricks Editors: Kanna Jayaprakasan, Lukasz Polanski, Kamal Ojha ISBN 9781316645178 / Paperback / £49.99 / Cambridge University Press
The Obstetrician& Gynaecologist, Volume 22, Issue 3, Page 249-249, July 2020. (Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2020 Category: OBGYN Tags: Book Review Source Type: research