Obstetrics, Gynaecology and Reproductive Medicine 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.

Primary amenorrhoea
Puberty transforms a girl into a fertile woman, and its social importance  is so great that any deviation from normality may be the cause of considerable embarrassment and anxiety. Delayed puberty in girls is defined as the absence of physical manifestations of puberty by the age of 13 years. Primary amenorrhoea is the absence of menarche and needs to be evaluated in the context of secondary sexual characteristics. Differential diagnoses can be classified according to the level of gonadotrophins. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - April 12, 2024 Category: OBGYN Authors: Cara E. Williams Tags: Review Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - April 8, 2024 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research

Using Doppler ultrasound to manage the small-for-gestational-age fetus
Doppler ultrasound is used to risk assess and monitor high-risk pregnancies to time delivery. Uterine artery (UtA) Doppler is a screening tool for placental dysfunction, as abnormal values represent an increased risk of hypertensive disorders and fetal growth restriction. Routine fetal growth assessment includes measuring the umbilical artery Doppler (UmA), as this reflects placental blood flow and can indicate placental dysfunction. In pregnancies with abnormal UmA Dopplers, assessment of the middle cerebral artery (MCA) and ductus venosus (DV) enables timely delivery by detecting developing hypoxia. (Source: Obstetrics, ...
Source: Obstetrics, Gynaecology and Reproductive Medicine - April 3, 2024 Category: OBGYN Authors: Louise Dewick, Amita A Mahendru Tags: Case-based learning Source Type: research

Does a stitch in time save lives? An update on the evidence for cervical cerclage in 2024
The potential therapeutic benefit of cervical cerclage for preventing pregnancy loss has been recognised for over 120 years; however, there remain many unanswered questions. There is considerable uncertainty  regarding who is most suitable or will benefit most from cerclage, what type of suture should be used, such as low vaginal, high vaginal or transabdominal sutures, and indeed the suture technique, as well as when alternative or adjunctive therapies may be employed. This review presents a summary of recent guidance, new evidence and expectations for ongoing research to inform understanding of the role of cervical ce...
Source: Obstetrics, Gynaecology and Reproductive Medicine - April 3, 2024 Category: OBGYN Authors: Nicole Pilarski, R. Katie Morris, Victoria Hodgetts-Morton Tags: Spotlight Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - March 27, 2024 Category: OBGYN Source Type: research

Fast-track, rapid-access pathways for the diagnosis of gynaecological cancers
Stage at diagnosis is one of the key factors determining survival rates of gynaecological cancers. Rapid access pathways were developed in  the UK nearly two decades ago, aimed at diagnosing cancers at an earlier stage. Also known as cancer pathways, these consist of standardised referral methods to specialist clinics, where patients undergo diagnostic investigations, receive results and commence treatment swiftly. National cancer wa iting time targets exist in conjunction with these pathways and have evolved in recent years to place an emphasis on confirming or excluding cancer within shorter timeframes. (Source: Obstet...
Source: Obstetrics, Gynaecology and Reproductive Medicine - March 8, 2024 Category: OBGYN Authors: Rhian James, Hema Nosib Tags: Review Source Type: research

Prolonged pregnancy: balancing risks and interventions for post-term gestations
Pregnancy that continues beyond 42  weeks of gestation (post-term) confers increased antepartum and intrapartum fetal risk. Maternal risk may also be associated with post-term pregnancy, for example increased likelihood of delivery via emergency Caesarean section. The increased likelihood of adverse perinatal outcomes associated wit h post-term pregnancy derives mainly from increasing fetal size and placental ageing. The key intervention currently available to manage the risks associated with prolonged pregnancy is to offer delivery. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - March 2, 2024 Category: OBGYN Authors: Sara Latif, Catherine Aiken Tags: Review Source Type: research

Management of male infertility
This article summarizes the aetiology, classification, and management of male factor infertility. The cause for male infertility can be broadly classified into pre-testicular, testicular and post testicular causes depending on the underlying pathology. A detailed history and examination are crucial alongside investigations to delineate the cause. The management for male infertility varies depending on the cause of male infertility. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 29, 2024 Category: OBGYN Authors: Laurentiu Craciunas, Kevin McEleny Tags: Review Source Type: research

Managing pelvic floor dysfunction and incontinence in the frail older woman
This article discusses the assessment of frailty, its impact on management of women with PFD and presents what is known about the management of PFD in frail older women from conservative to surgical therapies. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 28, 2024 Category: OBGYN Authors: Adrian Wagg Tags: Review Source Type: research

Editorial Board
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 27, 2024 Category: OBGYN Source Type: research

Self-assessment questions
(Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 26, 2024 Category: OBGYN Authors: Anna Richmond Tags: Self-assessment Source Type: research

Management of new-onset hypertension in pregnancy
Hypertensive disorders affect approximately 8 –10% of all pregnancies and include pre-eclampsia, gestational hypertension and pre-existing chronic hypertension, which may be primary or secondary. New onset hypertension in pregnancy is defined as a sustained systolic blood pressure (sBP) ≥140 mmHg and/or diastolic blood pressure (dBP) ≥90  mmHg, and severe hypertension diagnosed when sBP ≥160 mmHg and/or dBP ≥110 mmHg. Gestational hypertension and pre-eclampsia are most common, affecting 4.2–7.9% and 1.5–7.7% respectively. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 17, 2024 Category: OBGYN Authors: Bernadette Jenner, Ian B. Wilkinson Tags: Case-based learning Source Type: research

The impact of the COVID-19 pandemic on training in obstetrics and gynaecology in the UK
During the COVID-19 pandemic clinical practice in obstetrics and gynaecology (O&G) underwent swift and dramatic changes, some transient, others permanent. Training, continuous professional development, educational supervision, and other non-patient facing roles were initially paused. Trainees and trainers saw unprecedented changes to their working patterns. With these changes it is unsurprising there was a significant effect on training in O&G. For the majority obstetric training was unaffected. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 13, 2024 Category: OBGYN Authors: Sophie Wienand-Barnett, Karen Guerrero, Alec McEwan Tags: Review Source Type: research

An update on the assessment and management of hirsutism
Hirsutism is the abnormal excessive growth of coarse terminal hair over androgen-sensitive body areas. It is a very common endocrine pathology, affecting up to 10% of young females and has been linked with multiple conditions. Polycystic ovary syndrome (PCOS) and Idiopathic hirsutism encompass 90% of the cases. Patients presenting with hirsutism may require additional investigations and a plan with  options for treatment. Mechanical hair removal is first-line management, along with lifestyle changes. (Source: Obstetrics, Gynaecology and Reproductive Medicine)
Source: Obstetrics, Gynaecology and Reproductive Medicine - February 12, 2024 Category: OBGYN Authors: Ilianna Armata, Alka Prakash Tags: Review Source Type: research