Current management of recurrent pregnancy loss
ABSTRACTKey content Referral criteria to repeated pregnancy loss (RPL) services vary, owing in part to a lack of consensus on the definition of RPL. Good quality evidence is limited, and controversies exist on recommendations for investigations and management of RPL. People with RPL will most likely achieve a live birth in their next pregnancy but should have an individualised approach that identifies and corrects any modifiable risk factors and offers appropriate psychological support.Learning objectives To look at the variations in definition and aetiology of RPL and use current evidence available for recommendations tow...
Source: The Obstetrician and Gynaecologist - August 19, 2022 Category: OBGYN Authors: Mark R Chester, Anushka Tirlapur, Kanna Jayaprakasan Tags: Review Source Type: research

Obstetric and perinatal outcomes in women with endometriosis
ABSTRACTKey content Endometriosis in pregnancy is associated with an increased risk of spontaneous miscarriage, pre-eclampsia, postpartum haemorrhage, caesarean section, placenta praevia, fetal growth restriction, prematurity and adverse neonatal outcomes. Women with mild disease are considered as having ‘low-risk endometriosis’ (LRE) and can expect a normal pregnancy and labour. The ‘high-risk endometriosis’ (HRE) group may require additional antenatal and intrapartum specialist care.Learning objectives To understand the pathophysiologic basis of adverse obstetric and perinatal outcomes in pregnant women with endo...
Source: The Obstetrician and Gynaecologist - August 16, 2022 Category: OBGYN Authors: Junaid Rafi, P. D. M Pathiraja, Emily Gelson, Richard Brown, Djavid Alleemudder Tags: Review Source Type: research

‘It takes a village’ – fertility treatment using donor gametes, embryos and/or surrogacy
AbstractKey content Fertility treatment using donated gametes and embryos is increasingly common. Indications for the use of donated sperm and oocytes include azoospermia, single women and women in same-sex relationships, inherited conditions, poor quality embryos or failed fertilisation in previous cycles of assisted reproductive technology, and ovarian insufficiency. Causes of azoospermia and ovarian insufficiency include congenital and genetic disorders, infectious and traumatic conditions, iatrogenic causes and age-related decline. These treatment cycles have ethical and legal implications and require appropriate pre-c...
Source: The Obstetrician and Gynaecologist - August 13, 2022 Category: OBGYN Authors: Claudia Raperport, Elpiniki Chronopoulou, Anna McLaughlin, Sophie Cox, Garima Srivastava, Amit Shah, Roy Homburg Tags: Review Source Type: research

Understanding authority gradient: tips for speaking up for patient safety (and how to enhance the listening response)
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - August 10, 2022 Category: OBGYN Authors: Hashviniya Sekar, Dhanuson Dharmasena, Ayanthi Gunasekara, Maud Nauta, Viswapriya Sivashanmugarajan, Wai Yoong Tags: Education Source Type: research

Making the best use of clinical datasets: with examples from urogynaecology
This article explores the principles of the role of data, the law and the ethics around its use and its interpretation. The importance of good data in health care underpins the principles of the International Consortium on Health Outcome Measures.Learning objectives To understand concepts of database design, what the perfect database looks like and the challenges to achieving this, as well as principles of extracting and interrogating data. To be able to define questions to obtain valid data and how to optimise data collection. To understand the governing principles of the ICHOM.Ethical issues How do ethical guidelines, th...
Source: The Obstetrician and Gynaecologist - July 20, 2022 Category: OBGYN Authors: Fiona Bach, Philip Toozs ‐Hobson, Jeremy Purnell Tags: Education Source Type: research

The Medical Women Podcast (https://www.medicalwomensfederation.org.uk/our ‐work/grants-prizes/the‐medical‐women‐podcast)
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2022 Category: OBGYN Tags: Podcast Review Source Type: research

Corrigendum
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 18, 2022 Category: OBGYN Tags: Corrigendum Source Type: research

Issue Information
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 18, 2022 Category: OBGYN Tags: Issue Information Source Type: research

UKOSS update
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 18, 2022 Category: OBGYN Authors: Marian Knight Tags: UKOSS Update Source Type: research

CPD questions for volume 24 issue 3
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 18, 2022 Category: OBGYN Tags: CPD Source Type: research

Room 101
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 18, 2022 Category: OBGYN Authors: James Drife Tags: And finally … Source Type: research