Authors ’ reply
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 17, 2022 Category: OBGYN Authors: David A Crosby, Ann McHugh, Kevin Ryan, Bridgette Byrne Tags: Letters and Emails 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 17, 2022 Category: OBGYN Tags: Podcast Review Source Type: research

The management of urogynaecological problems in pregnancy and the postpartum period
ABSTRACTKey content Stress urinary incontinence is common in pregnancy and its severity can be reduced with pelvic floor muscle training. Overactive bladder syndrome prevalence increases with gestation and treatment can be conservative or medical. Pelvic organ prolapse is multifactorial. Pelvic floor exercises and pessaries are important treatments and previous surgical management can affect the mode of delivery. Recurrent urinary tract infections can be treated with antibiotic prophylaxis or with non-antibiotic prophylaxis such as methanamine hippurate,D-mannose and hygiene behaviour. Urinary retention can occur at any po...
Source: The Obstetrician and Gynaecologist - June 7, 2022 Category: OBGYN Authors: Faisal Karim, George Araklitis, Dudley Robinson, Linda Cardozo Tags: REVIEW Source Type: research

Healthcare inequalities in Black, Asian and ethnic minority groups: digging beneath the surface
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - May 30, 2022 Category: OBGYN Authors: Jemilat Gbadamosi, Farah Siddiqui, Ranee Thakar Tags: COMMENTARY Source Type: research

The clinical application of transperineal ultrasound in urogynaecology
AbstractKey Content: Transperineal ultrasound allows reproducible imaging of pelvic floor conditions that aids in the thorough assessment required to diagnose and treat urogynaecological conditions. Views that can be obtained include two dimensional (2D) sagittal views of the bladder neck, urethra and pelvic floor, 2D coronal views of the anal canal and three dimensional (3D) or four dimensional (4D) views of the genital hiatus and anal canal. This allows assessment of the post-void residual volumes, detrusor wall thickness and dynamic assessment of the urethral morphology. Ultrasonographic assessment enables accurate info...
Source: The Obstetrician and Gynaecologist - May 29, 2022 Category: OBGYN Authors: Francois Retief, Frances Paterson, Jakub Jagiellowicz, Paul Swart, Zeelha Abdool, Hans Peter Dietz Tags: REVIEW Source Type: research

Vaginal hysterectomy
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - May 23, 2022 Category: OBGYN Authors: Swati Jha, Philip Toozs ‐Hobson Tags: TIPS AND TECHNIQUES Source Type: research

Peripartum hyponatraemia: an overview of physiology, prevention and management
AbstractKey contentHyponatraemia in labour is a common but underreported condition. It can cause considerable complications, altering the management of labour, and fetal and maternal outcomes.Pregnant women are predisposed to hyponatraemia because of the physiological changes in water and sodium homeostasis occurring in pregnancy and the peripartum period.Prevention is key to improving women ’s wellbeing in the peripartum period. Fluid balance charts, alongside the partogram, should be an integral part of any low and high-risk labour management strategy.There is an urgent need for national guidance to enable clinicians t...
Source: The Obstetrician and Gynaecologist - May 18, 2022 Category: OBGYN Authors: Eleftheria Demertzidou, Rabia Zill ‐E‐Huma, Mona Modi Tags: REVIEW Source Type: research

Advanced abdominal pregnancy: challenges, update and review of current management
AbstractKey contentAlthough extremely rare, advanced abdominal pregnancy (AAP) is associated with considerable maternal and fetal morbidity and mortality. However, when diagnosed early and managed appropriately, many women have successful outcomes.There are no specific criteria to diagnose AAP and it may be missed on ultrasound. Magnetic resonance imaging (MRI) is the gold standard for evaluating placental implantation and preoperative planning.Management depends on the gestational age at diagnosis, with consideration of termination, preterm delivery and conservative management until further fetal maturation.Multidisciplin...
Source: The Obstetrician and Gynaecologist - May 17, 2022 Category: OBGYN Authors: Anna McDougall, Amelie Morin, Tatsiana Kuzmich, Funlayo Odejinmi Tags: REVIEW Source Type: research

Present status and advances in bladder pain syndrome: central sensitisation and the urinary microbiome
AbstractKey Content Bladder pain syndrome (BPS) presents as a spectrum of urological symptoms with poorly understood pathophysiology. Bladder mucosal injury secondary to low grade sub-clinical infection is a possible trigger, leading to nociceptive upregulation and subsequently, central sensitisation. Brain abnormalities associated with BPS suggest that neuropathological brain alterations exist, which may contribute to the perceived pain. Central sensitisation plays a role in the disease pathophysiology via an augmentation in the responsiveness of the central pain signalling neurons. The urinary microbiome is implicated a...
Source: The Obstetrician and Gynaecologist - May 8, 2022 Category: OBGYN Authors: Ifeoma Offiah, Rosie Campbell, Anupreet Dua, Luigi Bombieri, Robert Freeman Tags: REVIEW Source Type: research