Obstetrician & Gynaecologist最新文献

{"title":"Re: Advanced abdominal pregnancy: challenges, update and review current management","authors":"Hiralal Konar","doi":"10.1111/tog.12878","DOIUrl":"https://doi.org/10.1111/tog.12878","url":null,"abstract":"The Obstetrician & GynaecologistVolume 25, Issue 4 p. 294-294 Letters to the editor Re: Advanced abdominal pregnancy: challenges, update and review current management Hiralal Konar MBBS(Cal) MD(PGI) DNB MNAMS FACS FRCOG(London), Corresponding Author Hiralal Konar MBBS(Cal) MD(PGI) DNB MNAMS FACS FRCOG(London) Professor & Head [email protected] Department of Obstetrics & Gynaecology, KPC Medical College & Hospital, Kolkata, IndiaE-mail: [email protected]Search for more papers by this author Hiralal Konar MBBS(Cal) MD(PGI) DNB MNAMS FACS FRCOG(London), Corresponding Author Hiralal Konar MBBS(Cal) MD(PGI) DNB MNAMS FACS FRCOG(London) Professor & Head [email protected] Department of Obstetrics & Gynaecology, KPC Medical College & Hospital, Kolkata, IndiaE-mail: [email protected]Search for more papers by this author First published: 19 October 2023 https://doi.org/10.1111/tog.12878Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References 1Konar H, Konar L, Konar C, Halder A, Saha A, Khamaru J. Uncommon Ectopic Pregnancies-Challenges In The Management. J Obstet Gynaecol India 2022; 72: 224–34. 2DC Dutta. Ectopic Pregnancy. In: DC Dutta's Text Book of Obstetrics: 9th Edition. New Delhi, India: Jaypee Brothers Medical Publications (P) Ltd.; 2014. p. 168. Volume25, Issue4October 2023Pages 294-294 ReferencesRelatedInformation","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information sharing and communication in management of large for gestational age babies in non‐diabetic mothers","authors":"Gurnaaz Kahlon, Sophie Relph, Wai Yoong","doi":"10.1111/tog.12894","DOIUrl":"https://doi.org/10.1111/tog.12894","url":null,"abstract":"Key content There is no specific UK guideline on how to identify or manage large for gestational age (LGA) fetuses in non‐diabetic mothers. There is conflicting evidence with regard to the optimal mode and timing of delivery in such women and babies in order to minimise the possible risks. Pre‐delivery patient–clinician discussion on management and mode of delivery in LGA babies can be challenging due to the lack of conclusive evidence and guidance for both screening and interventions, but it is crucial in order to facilitate information sharing, counselling and collaborative decision making. Decision‐making tools could help to facilitate these discussions and ensure ‘material risks’ are discussed. Learning objectives To be aware of the limitations of available methods for screening for LGA fetuses, specifically symphyseal fundal height and ultrasound estimation of fetal weight. To understand the lack of robust evidence for obstetric interventions, which makes it difficult to convey clear information in a practical and useful way. To consider the use of decision‐making tools (such as BRAIN and iDECIDE), which can provide a framework for shared decision making, particularly when the evidence is limited or conflicting. These tools offer a structure which empowers patients to weigh up information as well as assist clinicians in determining what is considered ‘material risk’ when counselling in line with the Montgomery ruling. Ethical issues The Montgomery ruling advises that doctors must discuss any ‘material risks’ involved in a proposed treatment and offer other reasonable alternatives. Clinicians, therefore, have a duty to be transparent about the lack of strong evidence to recommend one mode of birth over another but at the same time acknowledge that individual preference and perceptions need to be explored to enable personalised decision making.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extra corporeal membrane oxygenation (<scp>ECMO</scp>) in pregnant and postpartum women","authors":"Anna Richmond, Farah Siddiqui, Caroline Sampson, Matthew Charlton","doi":"10.1111/tog.12897","DOIUrl":"https://doi.org/10.1111/tog.12897","url":null,"abstract":"Key points Extra corporeal membrane oxygenation (ECMO) is an advanced life support technique used in cases of respiratory and cardiovascular failure when conventional intensive care supportive therapies have been exhausted. ECMO has been used to support pregnant and postpartum women and people presenting with several cardiac and respiratory pathologies; it has gained wider recognition among the obstetric community owing to the COVID‐19 pandemic. It is important for clinicians to understand the difference between veno‐venous and veno‐arterial ECMO and the different purposes of these configurations. It is important to consider such dilemmas in the provision of care as when to deliver and monitoring the fetus. Management of pregnant women on ECMO is complex and requires MDT discussions, repeated regularly when the clinical situation, including when gestation crosses stages of viability, changes. Learning objectives To learn about the different types, aim and risks of ECMO. To understand the benefit and risks of delivery of the fetus. To be aware of the management of critically ill antenatal and post‐partum patients being considered for ECMO or whilst receiving ECMO support.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136010022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A focus on progestogens in hormone replacement therapy","authors":"Srirupa Ghosh, Rachel Imrie, James Goadsby, Michael Savvas","doi":"10.1111/tog.12898","DOIUrl":"https://doi.org/10.1111/tog.12898","url":null,"abstract":"Key content Women receiving estrogen replacement require concomitant progestogen to prevent endometrial hyperplasia and carcinoma. A variety of progestogens are used in hormone replacement therapy (HRT), with different advantages and disadvantages and routes of administration. Progestogenic side effects may be mild but can be debilitating and lead to the discontinuation of HRT, so progestogens should be tailored to the individual woman. Combined HRT containing estrogen and progestogens may be associated with a small increase in the absolute risk of breast cancer, which is not seen in women taking estrogen alone. However, this risk is small, particularly when compared with other modifiable lifestyle risk factors. The addition of certain progestogens to estrogen in the long term may be associated with an increased risk of heart disease, breast cancer and dementia. Learning objectives To understand relative advantages and disadvantages of the different progestogens, regimens and routes of administration. To be aware of current evidence for types, dose and routes of administration of different progestogens. To be able to prescribe progestogens safely in terms of side effect and risk profiles that are individualised to the patient. Ethical issues Well‐informed counselling including absolute, individualised risks for women considering HRT with a progestogenic component is essential to allow patients to make well‐informed choices.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' reply","authors":"Anna McDougall, Amelie Morin, Tatsiana Kuzmich, Funlayo Odejinmi","doi":"10.1111/tog.12895","DOIUrl":"https://doi.org/10.1111/tog.12895","url":null,"abstract":"The Obstetrician & GynaecologistVolume 25, Issue 4 p. 294-295 Letters to the editor Authors' reply Anna McDougall MRCOG, Corresponding Author Anna McDougall MRCOG Specialist Registrar in Obstetrics and Gynaecology [email protected] Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UK Corresponding author mail id:- [email protected]Search for more papers by this authorAmelie Morin MSc PhD MRCOG, Amelie Morin MSc PhD MRCOG Specialist Registrar in Obstetrics and Gynaecology orcid.org/0000-0001-9493-8689 Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this authorTatsiana Kuzmich MD FRCR, Tatsiana Kuzmich MD FRCR Consultant Radiologist Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this authorFunlayo Odejinmi MSc FRCOG, Funlayo Odejinmi MSc FRCOG Consultant Obstetrician and Gynaecologist, Clinical Director Gynaecology Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this author Anna McDougall MRCOG, Corresponding Author Anna McDougall MRCOG Specialist Registrar in Obstetrics and Gynaecology [email protected] Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UK Corresponding author mail id:- [email protected]Search for more papers by this authorAmelie Morin MSc PhD MRCOG, Amelie Morin MSc PhD MRCOG Specialist Registrar in Obstetrics and Gynaecology orcid.org/0000-0001-9493-8689 Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this authorTatsiana Kuzmich MD FRCR, Tatsiana Kuzmich MD FRCR Consultant Radiologist Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this authorFunlayo Odejinmi MSc FRCOG, Funlayo Odejinmi MSc FRCOG Consultant Obstetrician and Gynaecologist, Clinical Director Gynaecology Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London, E11 1NR UKSearch for more papers by this author First published: 19 October 2023 https://doi.org/10.1111/tog.12895Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References 1Konar H, Konar L, Konar C, Halder A, Saha A, Khamaru J. Uncommon Ectopic Pregnancies—Challenges in the Management. Journal Obstet Gynaecol India 202","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's new in guidance: Faculty of Sexual and Reproductive Healthcare (<scp>FSRH</scp>) update","authors":"Nicola Mullin","doi":"10.1111/tog.12900","DOIUrl":"https://doi.org/10.1111/tog.12900","url":null,"abstract":"The Obstetrician & GynaecologistVolume 25, Issue 4 p. 252-254 What's new in guidance What's new in guidance: Faculty of Sexual and Reproductive Healthcare (FSRH) update Nicola Mullin FRCOG FFSRH, Corresponding Author Nicola Mullin FRCOG FFSRH [email protected] Consultant in Sexual and Reproductive Health, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK Corresponding author mail id: [email protected]Search for more papers by this author Nicola Mullin FRCOG FFSRH, Corresponding Author Nicola Mullin FRCOG FFSRH [email protected] Consultant in Sexual and Reproductive Health, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK Corresponding author mail id: [email protected]Search for more papers by this author First published: 19 October 2023 https://doi.org/10.1111/tog.12900Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References 1 Faculty of Sexual and Reproductive Healthcare. FSRH Clinical Guideline: Intrauterine Contraception (March 2023, Amended July 2023). London: FSRH; 2023 [https://www.fsrh.org/documents/ceuguidanceintrauterinecontraception/]. 2 Faculty of Sexual and Reproductive Healthcare. FSRH Clinical Guideline: Combined Hormonal Contraception (January 2019, Amended July 2023). London: FSRH; 2023 [https://www.fsrh.org/standards-and-guidance/documents/combined-hormonal-contraception/]. Volume25, Issue4October 2023Pages 252-254 ReferencesRelatedInformation","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What I've learnt… with Prof James Drife","authors":"Wai Yoong, James Drife","doi":"10.1111/tog.12890","DOIUrl":"https://doi.org/10.1111/tog.12890","url":null,"abstract":"This is an edited and abridged transcript of the TOG podcast episode ‘What I've learnt… with Prof James Drife’, available on RCOG Learning at: https://learning.rcog.org.uk/d2l/le/lessons/7685/topics/46194 TOG Deputy Editor-in-Chief Wai Yoong spoke to Prof James (Jim) Drife to gain an insight into some of the valuable lessons Prof Drife has learnt throughout his career and the advice he would now give to trainees in our specialty. So Jim, can I just ask you, why did you choose O&G? The other mistake, much later in life, was when I gave someone too good a reference, and I got seriously into trouble for that. I guess the lesson was ‘be very careful’. But there had been little signs, like my secretary's raised eyebrows when I dictated the reference, which I should have cottoned onto. So there are tough experiences, but I realised from both of those that my colleagues were not as hard on me as I was on myself. You've got to allow yourself to be supported. But it was not what Professors were ‘supposed to do’. There was more and more of the atmosphere that a Professor was supposed to build up a big research portfolio and bring lots of money into the department. But when I look back, it was a more worthwhile thing to do.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<scp>CPD</scp> questions for volume 25 issue 4","authors":"","doi":"10.1111/tog.12896","DOIUrl":"https://doi.org/10.1111/tog.12896","url":null,"abstract":"The Obstetrician & GynaecologistVolume 25, Issue 4 p. 291-293 CPD CPD questions for volume 25 issue 4 First published: 19 October 2023 https://doi.org/10.1111/tog.12896Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume25, Issue4October 2023Pages 291-293 RelatedInformation","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<scp>INOSS</scp> update","authors":"Marian Knight","doi":"10.1111/tog.12893","DOIUrl":"https://doi.org/10.1111/tog.12893","url":null,"abstract":"The Obstetrician & GynaecologistEarly View Update INOSS update Marian Knight MBE MA DPhil FFPH FRCP Edin FRCOG FMedSci, Corresponding Author Marian Knight MBE MA DPhil FFPH FRCP Edin FRCOG FMedSci [email protected] orcid.org/0000-0002-1984-4575 Professor of Maternal and Child Population Health, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Rd Campus, Oxford, OX3 7LF UKSearch for more papers by this author Marian Knight MBE MA DPhil FFPH FRCP Edin FRCOG FMedSci, Corresponding Author Marian Knight MBE MA DPhil FFPH FRCP Edin FRCOG FMedSci [email protected] orcid.org/0000-0002-1984-4575 Professor of Maternal and Child Population Health, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Rd Campus, Oxford, OX3 7LF UKSearch for more papers by this author First published: 19 September 2023 https://doi.org/10.1111/tog.12893Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Reference 1de Bruin O, Engjom H, Vousden N, et al. Variations across Europe in hospitalization and management of pregnant women with SARS-CoV-2 during the initial phase of the pandemic: Multi-national population-based cohort study using the International Network of Obstetric Survey Systems (INOSS). Acta Obstet Gynecol Scand. 2023; 00: 1–10. https://doi.org/10.1111/aogs.14643 Early ViewOnline Version of Record before inclusion in an issue ReferencesRelatedInformation","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135106409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial","authors":"J. Morrison","doi":"10.1111/tog.12881","DOIUrl":"https://doi.org/10.1111/tog.12881","url":null,"abstract":"","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43686981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}