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.

Neurological disease in pregnancy
Neurological disease encompasses a broad spectrum of conditions which may be affected by pregnancy, present de novo in pregnancy, or are caused by the pregnancy itself. In the UK, 9.8 women in 100,000 died during pregnancy or up to 42 days after delivery (Mothers and Babies Reducing Risk through Confidential Enquiry (MBRRACE) report 2018). Neurological diseases, including epilepsy and stroke, continues to be the second leading indirect cause of maternal mortality and the numbers have not changed since reporting began in 1985, despite the availability of easily accessible Green-top Guidelines on the management of epilepsy t...
Source: Obstetrics, Gynaecology and Reproductive Medicine - September 16, 2019 Category: OBGYN Authors: Felicity Coad, Catherine Nelson –Piercy Tags: Review Source Type: research

Global Consensus Position Statement on the use of Testosterone Therapy for Women
This Position Statement has been endorsed by the International Menopause Society, The Endocrine Society, The European Menopause and Andropause Society, The International Society for Sexual Medicine, The International Society for the Study of Women's Sexual Health, The North American Menopause Society, The Federacion Latinoamericana de Sociedades de Climaterio y Menopausia, The Royal College of Obstetricians and Gynaecologists, The International Society of Endocrinology, The Endocrine Society of Australia, and The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. (Source: Maturitas)
Source: Maturitas - August 31, 2019 Category: Primary Care Authors: Susan R. Davis, Rodney Baber, Nicholas Panay, Johannes Bitzer, Sonia Cerdas Perez, Rakibul M. Islam, Andrew M. Kaunitz, Sheryl A. Kingsberg, Irene Lambrinoudaki, James Liu, Sharon J. Parish, JoAnn Pinkerton, Janice Rymer, James A. Simon, Linda Vignozzi, M Source Type: research

No. 384-Management of Breech Presentation at Term.
Authors: Kotaska A, Menticoglou S Abstract OBJECTIVES: To discern the risks and benefits of planned vaginal breech birth versus planned Caesarean section and to recommend selection criteria, intrapartum management parameters, and delivery techniques for vaginal breech birth. OPTIONS: Planned vaginal breech birth or planned Caesarean section for women with a singleton breech fetus at term. OUTCOMES: Perinatal mortality, short- and long-term neonatal/infant morbidity, maternal mortality, and short- and long-term maternal morbidity. EVIDENCE: Medline was searched up to April, 2018 for ...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - July 25, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Diagnosis and Management of Vasa Previa: A Comparison of 4 National Guidelines
Conclusions Evidence-based guidelines may increase the awareness of the diagnosis and management of vasa previa among health care professionals and lead to more favorable perinatal outcomes. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to identify possible risk factors associated with vasa previa in pregnant women; describe the best diagnostic methods in pregnant women with vasa previa; and propose the appropriate management in cases of vasa previa. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - July 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Management of Breech Presentation: A Comparison of Four National Evidence-Based Guidelines
Conclusion The differences among national guidelines point out the need for the adoption of an international consensus on the management of breech presentation. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - June 4, 2019 Category: Perinatology & Neonatology Authors: Tsakiridis, Ioannis Mamopoulos, Apostolos Athanasiadis, Apostolos Dagklis, Themistoklis Tags: Review Article Source Type: research

Intramuscular Versus Intravenous Oxytocin to Prevent Postpartum Hemorrhage at Vaginal Delivery: Randomized Controlled Trial
(BMJ. 2018;362:k3546) Postpartum hemorrhage (PPH) is a leading cause of maternal mortality and has been increasing over the last 15 years in many developed countries. While uterotonic drugs such as oxytocin have been established as useful tools in preventing PPH, the best administration method remains unclear. When given intramuscularly, a uterotonic effect will be obtained in 3 to 7 minutes, with the effect lasting 30 to 60 minutes. Intravenous oxytocin has an effect almost immediately and the plateau concentration is reached at 30 minutes. However, intravenous administration has been associated with hypotension and tach...
Source: Obstetric Anesthesia Digest - May 22, 2019 Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research

Should UK specialty trainee doctors in Obstetrics and Gynaecology have more opportunities to work in global women's health?
Abstract The Royal College of Obstetricians and Gynaecologists (RCOG) has a long history of advocacy for women's health, nationally and internationally. There is a demand and interest in global women's health among a sample of junior doctors training in obstetrics and gynaecology in the UK. There is ongoing debate regarding whether this desire should be nurtured, opportunities created and barriers addressed, both in the interest of training and as a means of addressing global health inequity. Global health work needs to be a mutually beneficial partnership for all involved, with work carried out sensitivel...
Source: Tropical Doctor - April 23, 2019 Category: Tropical Medicine Authors: McCauley M, Unger HW, Vousden N, Sobhy S Tags: Trop Doct Source Type: research

A review of reproductive outcomes of women with two consecutive miscarriages and no living child.
In conclusion, supportive care and selective medical management in dedicated pregnancy loss and early pregnancy clinics achieve excellent reproductive outcomes. Impact Statement What is already known on this subject? The definition of recurrent miscarriage is varied. It ranges from two miscarriages according to the American Society for Reproductive Medicine and the European Society of Human Reproduction and Embryology, to three consecutive pregnancy losses as defined by the Royal College of Obstetricians and Gynaecologists. Recurrent miscarriage affects between 1 and 5% of women. Past studies suggest several causative fact...
Source: Journal of Obstetrics and Gynaecology - April 23, 2019 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Prenatal Management of Pregnancies at Risk of Fetal Neonatal Alloimmune Thrombocytopenia (FNAIT): Scientific Impact Paper No. 61.
Abstract WHAT IS IT?: Fetal neonatal alloimmune thrombocytopenia (FNAIT), also known as neonatal alloimmune thrombocytopenia (NAIT) or fetomaternal alloimmune thrombocytopenia (FMAIT), is a rare condition which affects a baby's platelets. This can put them at risk of problems with bleeding, particularly into the brain. One baby per week in the UK may be seriously affected and milder forms can affect one in every 1000 births. HOW IS IT CAUSED?: Platelets are blood cells that are very important in helping blood to clot. All platelets have natural proteins on their surface called human platelet antigens (HPAs...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 8, 2019 Category: OBGYN Authors: Regan F, Lees CC, Jones B, Nicolaides KH, Wimalasundera RC, Mijovic A, Royal College of Obstetricians and Gynaecologists Tags: BJOG Source Type: research

The Management of Nausea and Vomiting of Pregnancy: Synthesis of National Guidelines
Conclusions Evidence-based medicine may lead to the adoption of an international guideline for the management of NVP, which may lead to a more effective management of that entity. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to synthesize management recommendations in cases of NVP; assess the preventive and nonpharmacologic regimens in cases of NVP; and propose the necessary pharmacologic treatment in cases of NVP. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

265: Venous thromboembolism prophylaxis after cesarean delivery at a tertiary referral center
The objective of this study is to assess VTE prophylaxis compliance at a tertiary referral center and compare it to national and international thromboembolism prophylaxis guidelines from the American College of Obstetrics and Gynecology (ACOG), the American College of Chest Physicians (ACCP) and the Royal College of Obstetricians and Gynaecologists (RCOG). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - December 25, 2018 Category: OBGYN Authors: Laurel Garber, Jay Goldberg, David Jaspan, Adeeb Khalifeh Tags: Poster Session I Source Type: research

Nausea and vomiting of pregnancy and resource implications: the NVP Impact Study.
CONCLUSION: There is considerable variation in current management practices for NVP outside of recently published guidelines, and this may result in substantial resource use and avoidable financial impact to the NHS. PMID: 30559108 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - December 17, 2018 Category: Primary Care Authors: Gadsby R, Rawson V, Dziadulewicz E, Rousseau B, Collings H Tags: Br J Gen Pract Source Type: research

Antenatal and Postnatal Analgesia: Scientific Impact Paper No. 59.
PMID: 30548570 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 12, 2018 Category: OBGYN Authors: Bisson DL, Newell SD, Laxton C, Royal College of Obstetricians and Gynaecologists Tags: BJOG Source Type: research

Obstetric Anal Sphincter Injuries at Vaginal Delivery: A Review of Recently Published National Guidelines
Conclusions Summarized guidelines can have an impact on special care in prevention and management of OASIS; this may support the reduction of morbidity associated with that entity. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to evaluate prevention strategies on OASISs in the antenatal and intrapartum period; compare management recommendations in cases of OASISs; and plan the appropriate consultation regarding future pregnancies and postpartum care in cases of OASISs. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - December 1, 2018 Category: OBGYN Tags: CME ARTICLES Source Type: research

Care of Women with Obesity in Pregnancy
BJOG: An International Journal of Obstetrics&Gynaecology, EarlyView. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 21, 2018 Category: OBGYN Authors: FC Denison, NR Aedla, O Keag, K Hor, RM Reynolds, A Milne, A Diamond, on behalf of the Royal College of Obstetricians and Gynaecologists Tags: RCOG Green ‐top Guideline Source Type: research