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.

A comparison of recommendations for pharmacologic thromboembolism prophylaxis after caesarean delivery from three major guidelines
ConclusionRecommended prophylaxis differed significantly. Under ACOG recommendations a small minority of patients would receive prophylaxis, whereas under RCOG recommendations a large majority of patients would receive low‐molecular‐weight heparin. Given the large differences in prophylaxis rates for post‐caesarean thromboprophylaxis based on different guidelines, further research is urgently needed to compare the risks and benefits of recommendations. Tweetable AbstractRecommendations from major society guidelines for post‐caesarean thromboprophylaxis differ greatly. (Source: BJOG: An International Journal of Obst...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - October 5, 2015 Category: OBGYN Authors: KL Palmerola, ME D'Alton, CO Brock, AM Friedman Tags: Original Article Source Type: research

A comparison of recommendations for pharmacologic thromboembolism prophylaxis after caesarean delivery from three major guidelines.
CONCLUSION: Recommended prophylaxis differed significantly. Under ACOG recommendations a small minority of patients would receive prophylaxis, whereas under RCOG recommendations a large majority of patients would receive low-molecular-weight heparin. Given the large differences in prophylaxis rates for post-caesarean thromboprophylaxis based on different guidelines, further research is urgently needed to compare the risks and benefits of recommendations. TWEETABLE ABSTRACT: Recommendations from major society guidelines for post-caesarean thromboprophylaxis differ greatly. PMID: 26435300 [PubMed - as supplie...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 5, 2015 Category: OBGYN Authors: Palmerola KL, D'Alton ME, Brock CO, Friedman AM Tags: BJOG Source Type: research

[Correspondence] 24/7 consultant presence in a UK NHS tertiary maternity unit
Jeremy Hunt, UK health secretary, has assertively announced plans to impose consultant contracts that dictate consultant presence in hospitals 24 h a day, 7 days a week (24/7).1 The Royal College of Obstetricians and Gynaecologists, in its report High Quality Women's Health Care: A Proposal for Change, has also recommended 168 h of consultant presence per week in maternity units with more than 6000 births per year.2 (Source: LANCET)
Source: LANCET - September 4, 2015 Category: Journals (General) Authors: Irshad Ahmed, Michael P Wyldes, Hsu P Chong, Katherine J Barber, Bee K Tan Tags: Correspondence Source Type: research

Indications for and pregnancy outcomes of cervical cerclage: 11-year comparison of patients undergoing history-indicated, ultrasound-indicated, or rescue cerclage.
CONCLUSIONS: Patients eligible for the Royal College of Obstetricians and Gynaecologists-recommended history-indicated cerclage remain few. The majority of patients may benefit from serial ultrasound monitoring of cervical length with or without ultrasound-indicated cerclage. PMID: 26183455 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - July 17, 2015 Category: Journals (General) Authors: Chan LL, Leung TW, Lo TK, Lau WL, Leung WC Tags: Hong Kong Med J Source Type: research

Primary chemotherapy versus primary surgery for newly diagnosed advanced ovarian cancer (CHORUS): an open-label, randomised, controlled, non-inferiority trial
In this study population, giving primary chemotherapy before surgery is an acceptable standard of care for women with advanced ovarian cancer. Funding Cancer Research UK and the Royal College of Obstetricians and Gynaecologists. (Source: The Lancet)
Source: The Lancet - May 21, 2015 Category: Journals (General) Source Type: research

Evaluation of the quality of guidelines for the management of reduced fetal movements in UK maternity units
Conclusions: In contrast to national evidence based guidance the quality of maternity unit guidelines for RFM is variable and frequently of low quality. To increase quality, guidelines need to include up to date evidence and audit standards which could be taken directly from national evidence-based guidance. Barriers to local implementation and resource implications need to be taken into consideration. Training may also improve the implementation of the guideline. Research is needed to inform strategies to realize the benefits of clinical guidance in practice. (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - March 5, 2015 Category: OBGYN Authors: Stephanie JokhanMelissa WhitworthFelicity JonesAshleigh SaundersAlexander Heazell Source Type: research

The role of exercise in reducing the risks of gestational diabetes mellitus in obese women
Publication date: January 2015 Source:Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 29, Issue 1 Author(s): Raul Artal The global obesity epidemic continues unabated, now rapidly expanding to developing countries. Multiple comorbidities and premature mortality are associated with obesity, most frequently diabetes. The associated financial and economical burden is escalating as well. The sedentary lifestyle adopted by many pregnant women because of traditional practices and the current recommendation for gestational weight gain are contributing factors to the obesity and diabetes epi...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - January 24, 2015 Category: OBGYN Source Type: research

Ovarian hyperstimulation syndrome
The Royal College of Obstetricians and Gynaecologists defines ovarian hyperstimulation syndrome (OHSS) as a “systemic disease resulting from vasoactive products released by hyperstimulated ovaries”. It is usually the result of gonadotrophin stimulation for in vitro fertilisation (IVF), with moderate and severe cases affecting about 3–8% of cycles. At the heart of OHSS is an increase in vascular permeability causing the movement of fluid out of the intravascular space, with resultant accumulation of fluid in the third space and intravascular depletion. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 21, 2015 Category: OBGYN Authors: Oliver O'Donovan, Ali Al Chami, Melanie Davies Tags: Review Source Type: research

Tribute to a great obstetrician: in memory of Ingemar Ingemarsson
This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - December 19, 2014 Category: OBGYN Authors: Sven Montan, Sabaratnam Arulkumaran Tags: ACTA History Source Type: research

National survey of perineal trauma and its subsequent management in the United Kingdom
Conclusions This study provides comprehensive data regarding the incidence and management of perineal trauma across the UK. Clinicians and policy-makers, both local and at the RCOG, can devise up-to-date realistic guidelines on the anticipated rate of OASIS and help to assess the compliancy of units with guidelines on the appropriate management of perineal trauma. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 18, 2014 Category: OBGYN Source Type: research

Abortion legislation: exploring perspectives of general practitioners and obstetrics and gynaecology clinicians
In this study, the perspectives of general practitioners and obstetrics and gynaecology clinicians on the Abortion Act 1967 was explored. To this end, a short electronic questionnaire was distributed to all 211 GP and obstetrics and gynaecology clinicians affiliated with the University of Cambridge School of Clinical Medicine. Of the 100 anonymous responses collected, a significant majority felt that abortion law in Northern Ireland should be changed in line with the rest of the UK. The respondents' votes, however, were either opposed to or divided over any other changes to the Abortion Act, including altering the 24 week ...
Source: Reproductive BioMedicine Online - November 11, 2014 Category: Reproduction Medicine Source Type: research

The Advanced Training Skills Module in Paediatric and Adolescent Gynaecology – A trainee's perspective
The Royal College of Obstetricians and Gynaecologists (RCOG) has developed Advanced Training Skills Modules (ATSMs) which trainees have to take up in last two final years of their training. Every trainee is required to make their choices at the end of year five of their specialist training. The decision to choose a particular ATSM depends on the primary interest of the trainee, and also the likelihood of enhancing suitability for a consultant job. Currently there are 20 ATSMs available, of which 14 are in Gynaecology, five in Obstetrics and 1 in Medical Education. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - October 21, 2014 Category: OBGYN Authors: Sadia Malik, Paul L. Wood Tags: Ethics/education Source Type: research

The prevention of pregnancy‐related venous thromboembolism
Summary Pregnancy‐related venous thromboembolism (VTE) remains one of the leading causes of maternal mortality and morbidity in the developed world. There is a lack of high‐level data surrounding the use of thromboprophylaxis in pregnancy. In the UK, following the publication of the first Royal College of Obstetricians and Gynaecologists (RCOG) guideline for VTE prophylaxis during pregnancy and the puerperium in 2004, a fall in maternal deaths secondary to VTE was observed during the subsequent triennium (2006–2008). For the first time since 1985, VTE was no longer the most common cause of maternal death. Low‐molec...
Source: British Journal of Haematology - October 14, 2014 Category: Hematology Authors: Boriana Guimicheva, Julia Czuprynska, Roopen Arya Tags: Review Source Type: research

[Increased Risk of Stillbirth in Older Mothers - A Rationale for Induction of Labour before Term?].
Abstract The average age of childbearing has risen markedly in Germany and other high-income countries during the past 2 decades. Women aged 35 years or older have an increase in pregnancy complications and in preexisting medical conditions including obesity, diabetes and hypertension as well as a significant increase in the gestational age-related rate of stillbirth compared to younger mothers. Additional individual risk factors for stillbirth are primiparity, body mass index>30 and smoking. After exclusion of risk factors the absolute risk of stillbirth in women aged≥40 years old is 2-fold higher (1...
Source: Zeitschrift fur Geburtshilfe und Neonatologie - October 1, 2014 Category: Perinatology & Neonatology Authors: Rath W, Wolff F Tags: Z Geburtshilfe Neonatol Source Type: research

Guidelines on Fetal Growth Restriction: A Comparison of Recent National Publications
Conclusions The results of this review relay significant inconsistencies and call for an urgent and practical international consensus on this important and common clinical topic. Current data were used to develop a clinical practice guideline for Ireland, which will be presented in context with this review.[...]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 - September 13, 2014 Category: Perinatology & Neonatology Authors: Unterscheider, JuliaO'Donoghue, KeelinMalone, Fergal D. Tags: Review Article Source Type: research