Spotlight on … intrapartum care
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 23, 2023 Category: OBGYN Authors: Adalina Sacco Tags: Spotlight Source Type: research
Tuberculosis in pregnancy
Key content
Tuberculosis (TB) is an important global cause of maternal and neonatal morbidity and mortality.
With increasing migration, cases of tuberculosis in pregnancy or the puerperium are increasing in resource-rich nations with advanced health care systems.
Diagnosis may be delayed given the overlap of some of the symptoms with that of pregnancy.
Timely diagnosis is essential to initiate appropriate treatment and prevent maternal and neonatal morbidity and mortality.Learning objectives
To understand the relevant global and UK epidemiology of the disease, including recent goals set by the World Health Organization a...
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Ainharan Raveendran,
Anish Keepanasseril,
Ravi Kumar Balu,
Ashalatha Shetty,
Mahendran Chetty Tags: Review Source Type: research
Menopause and mental health
Key content
Studies reveal a high prevalence of mental health issues around the menopause transition.
Menopausal symptoms are influenced by personal and environmental factors.
Beneficial effects of estrogen for menopausal depression have been reported.
An integrated care model for the management of mental health symptoms is recommended.
Evidence-based management options include considering the impact of lifestyle changes, hormone replacement therapy (HRT) and cognitive behavioural therapy.Learning objectives
To understand the assessment and management of mental health issues in menopause
To understand the role of lifesty...
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Ajay Swaminathan,
Peter Lepping,
Geeta Kumar Tags: Review Source Type: research
Hyperlipidaemia and severe hypertriglyceridaemia in pregnancy
Key content
Lipid and triglyceride levels increase in pregnancy and do not pose problems for most women. However, pregnancy-specific factors and genetic aberrations, especially mutations, may result in supraphysiological hypercholesterolaemia (HC) and severe hypertriglyceridaemia (sHTG).
HC and sHTG are associated with complications in pregnancy, including acute pancreatitis, hyperviscosity syndrome and pre-eclampsia.
Abnormally high levels of lipids and triglycerides also affect fetal growth and the onset of gestational diabetes.
The clinical presentation and diagnosis of HC and sHTG are varied.
Management options inclu...
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Mohammed Bashir,
Osric B Navti,
Badreldeen Ahmed,
Justin C Konje Tags: Review Source Type: research
Quantification of blood loss in obstetric haemorrhage: implications on intervention and transfusion
Key content
Postpartum haemorrhage accounts for 27% of all maternal deaths. Incorrect quantification of blood loss can lead to unnecessary interventions, such as the transfusion of blood products, which is not without risk.
During pregnancy, cardiovascular changes may explain how blood loss can occur rapidly, with pregnant women tolerating large volumes of blood loss before a change in clinical signs is seen.
Several methods are used to quantify blood loss, such as visual estimation, volumetric, gravimetric, colorimetric and photometric.
The Obstetric Bleeding Strategy for Wales (OBS Cymru) project, which standardised mana...
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Noreen Haque,
Ruth Roberts,
Bid Kumar Tags: Review Source Type: research
Gastrointestinal congenital anomalies requiring surgery: diagnosis, counselling, and management
Key content
Congenital anomalies affect more than 2% of fetuses in the UK, with 70% noncardiac in origin. Around 10% are gastrointestinal anomalies such as abdominal wall defects and intestinal atresias.
Most gastrointestinal anomalies require postnatal surgical management.
Obstetricians must understand the key features of diagnosis and management of common gastrointestinal anomalies.
Clinically relevant and evidence-based information helps facilitate parental reproductive autonomy through timely and informed counselling, planning for delivery and optimising perinatal outcomes.
Management of pregnancies complicated by cong...
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Stuart Mires,
Arun Raychoudhury,
Timothy Overton,
Clare Skerritt,
Kelly ‐Ann Eastwood Tags: Review Source Type: research
Issue Information
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Tags: Issue Information Source Type: research
UKOSS update
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Marian Knight Tags: Update Source Type: research
CPD questions for volume 25 issue 3
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Tags: CPD Source Type: research
Editorial
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Jo Morrison Tags: Editorial Source Type: research
Authors' reply re: Androgens in postmenopausal women
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Kugajeevan Vigneswaran,
Haitham Hamoda Tags: Letters and emails Source Type: research
Re: Androgens in postmenopausal women
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Kevan Wylie Tags: Letters and emails Source Type: research
Issue Information
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Tags: Issue Information Source Type: research
UKOSS update
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Authors: Marian Knight Tags: Update Source Type: research
CPD questions for volume 25 issue 3
(Source: The Obstetrician and Gynaecologist)
Source: The Obstetrician and Gynaecologist - July 19, 2023 Category: OBGYN Tags: CPD Source Type: research
