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Advanced abdominal pregnancy: challenges, update and review of current management 晚期腹部妊娠：当前管理的挑战、更新和回顾
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-05-16 DOI: 10.1111/tog.12808
A. McDougall, Amelie Morin, T. Kuzmich, F. Odejinmi
{"title":"Advanced abdominal pregnancy: challenges, update and review of current management","authors":"A. McDougall, Amelie Morin, T. Kuzmich, F. Odejinmi","doi":"10.1111/tog.12808","DOIUrl":"https://doi.org/10.1111/tog.12808","url":null,"abstract":"Although extremely rare, advanced abdominal pregnancy (AAP) is associated with considerable maternal and fetal morbidity and mortality. However, when diagnosed early and managed appropriately, it is possible to have successful outcomes. There are no specific criteria to diagnose AAP and it may be missed on ultrasound. Magnetic resonance imaging is the gold standard for evaluating placental implantation and preoperative planning. Management depends on the gestational age at diagnosis, with consideration of termination, preterm delivery and conservative management until further fetal maturation. Multidisciplinary preoperative planning is paramount for optimal outcome. Delivery is recommended in a tertiary centre with access to interventional radiology. Management of the placenta depends on the degree of penetration and the organ in which it embeds. Where the risk of removal increases the risk of maternal morbidity, it may be left in situ.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48845270","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}
引用次数: 0
Present status and advances in bladder pain syndrome: central sensitisation and the urinary microbiome 膀胱疼痛综合征的现状和进展：中枢致敏和尿微生物组
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-05-07 DOI: 10.1111/tog.12807
I. Offiah, Rosie Campbell, A. Dua, L. Bombieri, R. Freeman
{"title":"Present status and advances in bladder pain syndrome: central sensitisation and the urinary microbiome","authors":"I. Offiah, Rosie Campbell, A. Dua, L. Bombieri, R. Freeman","doi":"10.1111/tog.12807","DOIUrl":"https://doi.org/10.1111/tog.12807","url":null,"abstract":"Bladder pain syndrome (BPS) presents as a spectrum of urological symptoms with poorly understood pathophysiology. Bladder mucosal injury secondary to low grade sub‐clinical infection is a possible trigger, leading to nociceptive upregulation and, subsequently, central sensitisation. Brain abnormalities associated with BPS suggest that neuropathological brain alterations exist, which may contribute to the perceived pain. Central sensitisation plays a role in the disease pathophysiology via an augmentation in the responsiveness of the central pain signalling neurons. The urinary microbiome is implicated as a trigger for the development and maintenance of BPS. Future directions to improve treatment strategies include stratification of patients with BPS into subtypes such as peripheral or central disease and investigation of the urinary microbiome and bladder barrier replacement.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310638","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}
引用次数: 0
Doctor Short 医生短
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-04-01 DOI: 10.1111/tog.12801
J. Drife
{"title":"Doctor Short","authors":"J. Drife","doi":"10.1111/tog.12801","DOIUrl":"https://doi.org/10.1111/tog.12801","url":null,"abstract":"","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46644412","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}
引用次数: 0
CPD questions for volume 24 issue 2 第24卷第2期CPD问题
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-04-01 DOI: 10.1111/tog.12806
{"title":"CPD questions for volume 24 issue 2","authors":"","doi":"10.1111/tog.12806","DOIUrl":"https://doi.org/10.1111/tog.12806","url":null,"abstract":"CPD credits can be claimed for the following questions online via the TOG CPD submission system in the RCOG CPD ePortfolio. You must be a registered CPD participant of the RCOG CPD programme (available in the UK and worldwide) in order to submit your answers. Completion of TOG true/false questions can be claimed as a Specific Learning Event. Participants can claim two credits per set of questions if at least 70% of questions have been answered correctly. CPD participants are advised to consider whether the articles are still relevant for their CPD, in particular if there are more recent articles on the same topic available and if clinical guidelines have been updated since publication. Please direct all questions or problems to the CPD Office. Tel: +44 (0)20 7772 6307 or email: cpd@rcog.org.uk. The blue symbol denotes which source the questions refer to including the RCOG journals, TOG and BJOG, and RCOG guidance, such as Green-top Guidelines (GTGs) and Scientific Impact Papers (SIPs). All of the above sources are available to RCOG Members and Fellows via the RCOG website. RCOG Members, Fellows and Associates have full access to TOG content via the TOG app (available for iOS and Android).","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41901160","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}
引用次数: 0
Editorial 编辑
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-04-01 DOI: 10.1111/tog.12802
K. Harding
{"title":"Editorial","authors":"K. Harding","doi":"10.1111/tog.12802","DOIUrl":"https://doi.org/10.1111/tog.12802","url":null,"abstract":"Women’s health continues to make headline news both in the UK and globally. There is increasing data on the safety of COVID-19 vaccinations in pregnancy, with benefits not just for the pregnant woman but also her yet-to-be-born baby (with decreased infant admission for COVID-19 in the first 6 months of life for those born to vaccinated mothers). In my practice, the message seems to be getting through, but we must still listen to those who are worried by vaccination and explore their fears individually.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43682243","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}
引用次数: 0
Spotlight on … gynaecological cancer 聚焦妇科癌症
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-04-01 DOI: 10.1111/tog.12795
J. Morrison
{"title":"Spotlight on … gynaecological cancer","authors":"J. Morrison","doi":"10.1111/tog.12795","DOIUrl":"https://doi.org/10.1111/tog.12795","url":null,"abstract":"I looked a bit shocked when the TOG Managing Editor informed me that it was 5 years since my last ‘Spotlight on . . . gynaecological cancer’ (TOG 2017;19:107). She was too kind to mention thiswas related tomyadvancing years, tenuous grip on time and blas e attitude to deadlines (although she will probably cut this in the edit [note fromManaging Editor –we’ve left this in!]). Looking back, it has been an eventful 5 years! While the British Gynaecological Cancer Society (BGCS) has been busy drafting guidelines for management of patients affected by the COVID-19 pandemic, our community has also been busy updating TOG on significant advances in the understanding and treatment of gynaecological cancers. Thank you to the excellent author teams for sharing their knowledge and insights, exploring topics I hope will be relevant to both gynaecological oncologists and those with other specialist interests.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44869121","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}
引用次数: 0
Issue Information 问题信息
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-04-01 DOI: 10.1111/tog.12750
{"title":"Issue Information","authors":"","doi":"10.1111/tog.12750","DOIUrl":"https://doi.org/10.1111/tog.12750","url":null,"abstract":"","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46552238","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}
引用次数: 0
Paraneoplastic syndrome associated with gynaecological malignancy: a review of the evidence 与妇科恶性肿瘤相关的副肿瘤综合征：证据综述
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-03-12 DOI: 10.1111/tog.12804
A. Brown, S. McKenna, Deborah Forbes, I. Harley
{"title":"Paraneoplastic syndrome associated with gynaecological malignancy: a review of the evidence","authors":"A. Brown, S. McKenna, Deborah Forbes, I. Harley","doi":"10.1111/tog.12804","DOIUrl":"https://doi.org/10.1111/tog.12804","url":null,"abstract":"Paraneoplastic syndrome (PNS) is a clinical manifestation of both benign and malignant tumours. Symptoms are not attributable to direct organ involvement of the cancer nor as a therapeutic adverse effect; instead, they are a result of hormones, cytokines or growth factors released by the tumour, or an immunological response. Paraneoplastic syndromes can affect any body system, so can cause myriad potential symptoms. These clinical manifestations often pre‐date those of the underlying disease process. The incidence of PNS attributable to gynaecological tumours is increasing, resulting in considerable morbidity in those affected. There is an overall lack of awareness of PNS among clinicians; this, combined with wide‐ranging signs and symptoms, creates an opportunity for diagnostic difficulty and therapeutic delay.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":"24 1","pages":"137 - 42"},"PeriodicalIF":1.4,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41467449","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}
引用次数: 1
The management of haemoglobinopathies in pregnancy and childbirth 妊娠和分娩血红蛋白病的处理
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-03-12 DOI: 10.1111/tog.12805
Lucy A Jackson, Q. Hill, E. Ciantar
{"title":"The management of haemoglobinopathies in pregnancy and childbirth","authors":"Lucy A Jackson, Q. Hill, E. Ciantar","doi":"10.1111/tog.12805","DOIUrl":"https://doi.org/10.1111/tog.12805","url":null,"abstract":"The haemoglobinopathies encompass a complex collection of red blood cell disorders that are responsible for considerable morbidity and mortality in women and their unborn children. Sickle cell disease and the thalassaemias are the commonest haemoglobinopathies encountered in UK clinical practice. A consistent standard of care will enable women with haemoglobinopathies to have a pregnancy that is as safe as possible, with good outcomes and minimal long‐term effects on their health and the health of their babies. The most effective way to deliver a consistent standard of care for these women is via the multidisciplinary team (MDT). The MDT should include a haematologist, cardiologist, maternal medicine obstetrician, specialist midwife, reproductive medicine specialist and a nurse specialist. The care of these women, within the MDT, should start with pre‐conception advice and continue through their antenatal care, intrapartum support and finally, provide postnatal considerations including contraception advice.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":"24 1","pages":"109 - 18"},"PeriodicalIF":1.4,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47576909","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}
引用次数: 0
The diagnosis and management of fetal cardiac arrhythmias 胎儿心律失常的诊断与处理
IF 1.4
Obstetrician & Gynaecologist Pub Date : 2022-03-11 DOI: 10.1111/tog.12803
D. Stott, P. Pandya, G. Attilakos, J. Lang, J. Wolfenden, R. Yates
{"title":"The diagnosis and management of fetal cardiac arrhythmias","authors":"D. Stott, P. Pandya, G. Attilakos, J. Lang, J. Wolfenden, R. Yates","doi":"10.1111/tog.12803","DOIUrl":"https://doi.org/10.1111/tog.12803","url":null,"abstract":"Fetal cardiac arrhythmias are relatively common and account for up to 20% of referrals to fetal cardiologists. Arrhythmias may occur because of structural abnormalities of the fetal heart, or because of abnormal functioning of the cardiac conduction system in an otherwise structurally normal heart. Arrhythmias may be diagnosed using ultrasound and M‐mode and Doppler echocardiography. Transplacental therapy for tachyarrhythmias has been one of the success stories of fetal cardiology, and good outcomes can be expected in the absence of hydrops. Congenital heart block is most commonly caused by the transplacental passage of anti‐Ro and anti‐La antibodies and transplacental therapy is less successful in managing this.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":"24 1","pages":"119 - 30"},"PeriodicalIF":1.4,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45224760","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}
引用次数: 1
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