Royal College of Obstetricians and Gynaecologists Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

SARS-CoV-2 and Pregnancy: A Review of the Facts
Conclusion The COVID-19 outbreak resulted in a pandemic with> 3.3 million cases and 230 thousand deaths until May 2nd. It is caused by the SARS-CoV2 virus and may lead to severe pulmonary infection and multi-organ failure. Past experiences show that unique characteristics in pregnancy make pregnant women more susceptible to complications from viral infections. Yet, this has not been reported with this new virus. There are risk factors that seem to increase morbidity in pregnancy, such as obesity (body mass index [BMI]> 35), asthma and cardiovascular disease. Current reports describe an increased rate of pretermbirth...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

COVID-19 Pandemic Practice Changes: More Harm than Good?
Abstract In response to the Coronavirus-2019 (COVID-19) pandemic, sweeping changes were made to obstetric care. Many practices rapidly converted to telehealth visits or drive-through obstetric services (Turrentine M et al, Obstet Gynecol 2020; 136(1):29-32). Others modified out-patient care practices such as reducing the number of ultrasounds or antenatal surveillance visits. In the manuscript by van-de-I'Isle and colleagues, the authors evaluated if a change to gestational diabetes (GDM) screening guidelines suggested by the Royal College of Obstetricians and Gynaecologists (RCOG) during the COVID-19 pand...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 1, 2020 Category: OBGYN Authors: Metz TD Tags: BJOG Source Type: research

Diagnosis and Management of Ectopic Pregnancy: A Comparative Review of Major National Guidelines
Conclusions It is of paramount importance to build consistent international protocols, so as to help clinicians all over the world diagnose EPs in the most timely and accurate way and subsequently treat them effectively as a nonurgent medical condition, with the intention to lower the mortality and morbidity rate. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to explain all aspects of the diagnosis of tubal and nontubal EPs; identify the indications and contraindications to expectant, medical, or surgic...
Source: Obstetrical and Gynecological Survey - October 1, 2020 Category: OBGYN Tags: CME ARTICLES Source Type: research

Impact of changes to national UK Guidance on testing for gestational diabetes screening during a pandemic: a single centre observational study.
CONCLUSIONS: In our setting, The RCOG Covid-19 gestational diabetes screening regime failed to detect 47 of 82 (57%) women subsequently identified as gestational diabetics, and therefore cannot be recommended for general use. PMID: 32888369 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 4, 2020 Category: OBGYN Authors: Van De L'Isle Y, Steer PJ, Watt Coote I, Cauldwell M Tags: BJOG Source Type: research

Management of Twin Pregnancies: A Comparative Review of National and International Guidelines
Conclusions The differences in the reviewed guidelines on the management of twin pregnancies highlight the need for an adoption of an international consensus, in order to improve perinatal outcomes of twin pregnancies. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After participating in this activity, the learner should be better able to identify all aspects of the antenatal surveillance of twin pregnancies and the importance of first trimester determination of chorionicity; explain the birth issues of twin pregnancies, including recommendations on mode and timing of deliver...
Source: Obstetrical and Gynecological Survey - July 1, 2020 Category: OBGYN Tags: CME ARTICLES Source Type: research

Impact of a selective use of episiotomy combined with Couder ’s maneuver for the perineal protection
ConclusionA selective use of episiotomy combined with Couder ’s maneuver could reduce the incidence of perineal tears, particularly second-degree perineal tears, without increasing the rate of obstetrical anal sphincter injuries. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - May 8, 2020 Category: OBGYN Source Type: research

Management of reduced fetal movement: A comparative analysis of two audits at a tertiary care clinical service.
CONCLUSION: After implementing the new guideline, the re-audit demonstrates a reduction in the number of requested ultrasound scans without any compromise on the perinatal outcome. PMID: 32203823 [PubMed - as supplied by publisher] (Source: Reproductive Biology)
Source: Reproductive Biology - March 17, 2020 Category: Reproduction Medicine Authors: Kapaya H, Almeida J, Karouni F, Anumba D Tags: Eur J Obstet Gynecol Reprod Biol Source Type: research

Management of Reduced Fetal Movement: A comparative analysis of two audits at a tertiary care clinical service
Reduced fetal movement (RFM) is a commonly presenting worrisome complaint, both for mothers and attending clinicians. The aim of this study was to review the management of RFM before and following the implementation of new hospital guideline and to determine pregnancy outcomes following single vs repeated consultations with complaints of RFM. We also compared the standards in our old and new trust guidelines against published guidance from the Royal College of Obstetricians and Gynaecologists (RCOG). (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - March 16, 2020 Category: OBGYN Authors: Habiba Kapaya, Joana Almeida, Faris Karouni, Dilly Anumba Tags: Full length article Source Type: research

Elective Egg Freezing for Non-Medical Reasons: Scientific Impact Paper No. 63.
Abstract Although a woman's fertility declines markedly in her late-30s and early-40s, gradually more and more women start a family at this stage of their lives, with the average age of childbirth progressively increasing. More women are storing their eggs (oocytes) to give them the potential opportunity to have a baby in the future. Nonetheless, the number of egg freezing cycles accounts for less than 2% of IVF cycles, and the number of cycles using stored eggs is even lower. The technology for freezing eggs changed dramatically about a decade ago with the development of a technique of rapid freezing call...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 25, 2020 Category: OBGYN Authors: Anderson RA, Davies MC, Lavery SA, Royal College of Obstetricians and Gynaecologists Tags: BJOG Source Type: research

The impact of mode of subsequent birth after obstetric anal sphincter injury on bowel function and related quality of life: a cohort study
ConclusionsFor women with previous OASI, a subsequent vaginal birth is suitable for those with no bowel symptoms and normal EAUS and caesarean section is reasonable for women who do not have normal bowel functionand/or normal EAUS findings; however, for some of these women bowel symptoms and QoL may be worsened. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2020 Category: OBGYN Source Type: research

Unprecedently high rates of gestational diabetes in women with body mass index ≥40kg/m2 at booking: a retrospective UK cohort study
The rising prevalence of maternal obesity, defined as body mass index (BMI) ≥30kg/m2, is a major public health concern. The Royal College of Obstetricians and Gynaecologists estimates that 21.3% of the UK antenatal population are obese, and the recent Confidential Enquiry into the 209 maternal deaths that occurred in the UK from 2015-2017 shows that over a third (34.4%) o f the women who died were obese [1]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 21, 2020 Category: OBGYN Authors: E.F. Cornish, A. Wisentaner, D. Siassakos Tags: Correspondence Source Type: research

No. 394-Stillbirth Investigation.
Authors: Leduc L Abstract OBJECTIVES: To provide an investigation protocol to help health care providers determine the cause of a fetal death. OPTIONS: Consideration has been given to protocols for the investigation of fetal death that are currently available in Canada and in other countries. OUTCOMES: Identification of possible causes of stillbirth and their relationship to future pregnancies. EVIDENCE: Articles related to the etiology of fetal death were identified in a search of PubMed (June 2006 to September 2018), the Cochrane Library, and investigation protocols from the Ameri...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 30, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

A National Survey: Evaluating Current Practice and Risk Assessment in Morcellation Amongst Gynaecologists in the United Kingdom –Letter to the editor
We firstly congratulate Ghai and Jan for their timely paper surveying morcellation practices in the UK [1]. Unfortunately this paper may be somewhat premature, as there has only just been Consent Advice and a Patient Information leaflet published by the Royal College of Obstetricians and Gynaecologists (RCOG) [2] and there is soon to be a “Green-top” RCOG guideline available on how fibroids should be managed. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 6, 2019 Category: OBGYN Authors: F. Odejinmi, N. Liou, R. Mallick Tags: Correspondence Source Type: research

Calls for emergency contraception to be available without a pharmacist consultation
Emergency contraception should be available over the counter without the need for a consultation with a pharmacist, the Royal College of Obstetricians and Gynaecologists has said. (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - December 2, 2019 Category: Drugs & Pharmacology Source Type: research

2921 Trends in Endometrial Hyperplasia Over the Past Decade – Is It on the Increase?
ConclusionOverall hyperplasia incidence is increasing. While BMI is elevated, there was no upward trend observed. Does the insidious decline in age demographic suggest that hyperplasia is occurring in younger women? Our review did not demonstrate a continuous increase in atypia, however there was a higher incidence in the 2013 group, who were also the most obese. Adherence to best practice surveillance in our hospitals was falling short. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research