MedWorm: Royal College of Obstetricians and Gynaecologists

Genital warts vaccination to be offered to schoolgirls

Guardian Unlimited Science — Thu, 24 Nov 2011 20:38:30 +0100

Doctors welcome news and predict that genital warts could be eradicated among heterosexuals within 20 yearsSchoolgirls across the UK will be offered immunisation against genital warts, one of the most common sexually transmitted infections, in a move welcomed by doctors.It will expand the existing vaccination against cervical cancer for 12- and 13-year-olds.The change will take place at the start of the next school year in August and September 2012. All 12- and 13-year-old schoolgirls will be offered a vaccine called Gardasil, which protects against the two strains of the human papilloma virus (HPV) that cause 70% of cervical cancers and also two other strains that produce 90% of genital warts.It will replace Cervarix, which has been used since immunisation began in 2008 but only offers pr...

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Updated PRODIGY (formerly CKS) topics on gonorrhoea, pelvic inflammatory disease and scrotal swelling

NeLM - Guidelines — Wed, 09 Nov 2011 05:00:00 +0100

Source: Prodigy Area: Evidence > Guidelines The PRODIGY (formerly CKS) topics on gonorrhoea, pelvic inflammatory disease and scrotal swelling have been updated. The guideline on the management of gonorrhoea has been updated to reflect the revised UK National Guideline for the Management of Gonorrhoea in Adults 2011 published by BASHH. The information on the management of acute pelvic inflammatory disease has been updated to reflect guidance from the Royal College of Obstetricians and Gynaecologists, the British Association for Sexual Health and HIV, and the European guideline for the management of pelvic inflammatory disease. The PRODIGY topic on scrotal swelling covers the identification of the causes of scrotal swelling, and the primary care management of the c...

Scare over miscarriage scans unjustified

NHS News Feed — Fri, 14 Oct 2011 18:35:00 +0100

Conclusion This research looked at the processes used to diagnose whether a pregnancy was viable when performing an early pregnancy scan. These types of scans were given to women who had an early pregnancy scan due to lower abdominal pain, vaginal bleeding, poor obstetric history or to estimate gestational age. A diagnosis of uncertain viability was made if no embryo could be seen although the gestational sac was a certain diameter, or if no fetal heartbeat could be detected in embryos of a certain size. A subsequent first-trimester scan was performed at 11-14 weeks. The researchers then analysed the results to determine how many viable pregnancies would have been misdiagnosed as miscarriages using the current recommended cut-offs. Using the current cut-off, the researchers found that betw...

Colleges join forces to improve maternal care

Nursing in Practice — Thu, 06 Oct 2011 14:17:07 +0100

The Royal College of General Practitioners, Royal College of Midwives and Royal College of Obstetricians and Gynaecologists have produced a joint statement on the important role of the GP in maternity care (Source: Nursing in Practice)

Mothers and babies at risk over craze for collecting umbilical cord blood

the Mail online | Health — Wed, 21 Sep 2011 23:24:16 +0100

According to the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists, the procedure ‘distracts’ midwives at a very risky time during births. (Source: the Mail online | Health)

Doctors demand radical shake-up of women’s health services promoting prevention rather than intervention

NHS Networks — Thu, 14 Jul 2011 23:00:00 +0100

High Quality Women’s Health Care: A Proposal for Change by the Royal College of Obstetricians and Gynaecologists (RCOG) concludes that the combined force of the NHS reforms, workforce and financial pressures against a backdrop of rising demand, increasing complexity and changes in demographics means that the delivery of women’s health care in the current configuration cannot be sustained. (Source: NHS Networks)

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VIDEO: UK 'has too many hospital births'

BBC News | Health | UK Edition — Thu, 14 Jul 2011 09:53:29 +0100

Maternity care across the UK needs a radical rethink, according to a report by the Royal College of Obstetricians and Gynaecologists (RCOG). (Source: BBC News | Health | UK Edition)

UK 'has too many hospital births'

BBC News | Health | UK Edition — Thu, 14 Jul 2011 01:27:08 +0100

Maternity care across the UK needs a radical rethink, according to the Royal College of Obstetricians and Gynaecologists. (Source: BBC News | Health | UK Edition)

Shoulder dystocia training effects

American Journal of Obstetrics and Gynecology — Mon, 11 Jul 2011 04:00:00 +0100

We have some questions and comments on the interesting article by Inglis et al. Did their protocol permit initial gentle downward traction as required by the American College of Obstetricians and Gynecologists and the Royal College of Obstetricians and Gynaecologists definition? (Source: American Journal of Obstetrics and Gynecology)

Prevalence of physical activity among healthy pregnant women in Ireland

International Journal of Gynaecology and Obstetrics — Sun, 19 Jun 2011 23:00:00 +0100

Regular exercise is promoted for its overall health and obstetric benefits. Both the American College of Obstetricians and Gynecologists (ACOG) and the Royal College of Obstetricians and Gynaecologists (RCOG) recommend 30minutes of daily moderate-intensity physical activity for pregnant women . Literature regarding the levels of physical activity among pregnant women in the USA reports that only 15% of women exercise during pregnancy—a significantly lower proportion than the 45% quoted for the general population . (Source: International Journal of Gynaecology and Obstetrics)

Highlights from this issue

Archives of Disease in Childhood - Fetal and Neonatal Edition — Sat, 11 Jun 2011 23:00:00 +0100

Fetal awareness and fetal pain Few involved in the care of extremely preterm infants born at the limits of viability would doubt their capacity to experience discomfort in some way even though it is impossible to relate this meaningfully to all of the dimensions of pain in older children and adults. In a provocative editorial Martin Ward Platt discusses fetal pain and awareness prior to 24 weeks gestation in relation to the evidence review on the subject that was published by the Royal College of Obstetricians and Gynaecologists in 2010. See page F236 Minimally invasive surfactant therapy Following several influential randomised controlled trials, many more preterm infants are now managed with CPAPas their primary respiratory support without first being intubated and given prophylactic sur...

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Fetal awareness and fetal pain: the Emperor's new clothes

Archives of Disease in Childhood - Fetal and Neonatal Edition — Sat, 11 Jun 2011 23:00:00 +0100

In June 2010, the Royal College of Obstetricians and Gynaecologists (RCOG) published Fetal Awareness – Review of Research and Recommendations for Practice.1 The College's purpose was to update their 1997 publication2 in the light of more recent evidence, and also to provide "information for women and parents". Although they use the term ‘fetal awareness’, both publications predominantly address the issue of whether or not the fetus feels pain, and at what gestational ages this might be so. The conclusions of the summary of the evidence review are set out in box 1, and the main practice points derived from this are set out in box 2. The report caused a considerable furore in the media, where it was widely portrayed as being a political rather than a scientific document tha...

RCOG Release: Learning From The Past To Shape The Future

Health News from Medical News Today — Wed, 08 Jun 2011 09:00:00 +0100

To commemorate cervical screening awareness week (6 - 12 June), the Royal College of Obstetricians and Gynaecologists (RCOG) Information Services department is holding an exhibition in its library. Drawn from its Heritage Collections, the exhibition features books, press clippings, photographs and correspondence from RCOG members who were involved in the early and current development of cervical screening. One such example is Dr Muriel June Scudamore FRCOG, who moved to Canada in the 1960s as Director of the Exfoliative Cytology Department at Henderson General Hospital, Ontario... (Source: Health News from Medical News Today)

Current management of endometrial hyperplasia—a survey of United Kingdom consultant gynaecologists

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Mon, 30 May 2011 04:00:00 +0100

Conclusion: Our survey shows that complex endometrial hyperplasia is managed conservatively in UK, with oral progestogens or LNG-IUS, and atypical endometrial hyperplasia is managed with hysterectomy. An RCT, between oral progestogens and LNG-IUS for endometrial hyperplasia, is required to identify the optimum therapy. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)

RCOG Release: Doctors Have A Life Too, UK

Health News from Medical News Today — Fri, 20 May 2011 15:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) has released its Working Party report Getting a Life: Work-Life Balance in Obstetrics and Gynaecology. The report provides useful, practical advice to obstetricians and gynaecologists on how to achieve work-life balance. Recent studies have demonstrated that, because of the very nature of their work, doctors can come under significant stress throughout their careers. While stress may affect anyone, when it is admitted to, it is often perceived as a personal weakness... (Source: Health News from Medical News Today)

RCOG Release: Electronic Fetal Monitoring Project Launched To Improve Birth Outcomes And Reduce Medical Litigation, UK

Health News from Medical News Today — Thu, 19 May 2011 09:00:00 +0100

Improving birth outcomes and reducing medical litigation costs are the aims behind the new Electronic Fetal Monitoring (eFM) project, launched today by the Royal College of Obstetricians and Gynaecologists (RCOG), the Royal College of Midwives (RCM) and e-Learning for Healthcare. Approximately 300,000 pregnant women undergo electronic intrapartum fetal monitoring (cardiotocography, CTG) in the UK annually. It is used to monitor the fetal heartbeat and uterine contractions. Medical litigation costs in this area are on the increase... (Source: Health News from Medical News Today)

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GPs able to reassure women over missed contraceptive pills

Pulse Today Clinical Updates — Thu, 19 May 2011 08:45:00 +0100

GPs can reassure women that there is no need to take additional precautions if only one active contraceptive pill is missed, according to revised guidance from the Royal College of Obstetricians and Gynaecologists. (Source: Pulse Today Clinical Updates)

Comparison of traditional and novel measures of body composition and vascular function in women with polycystic ovary syndrome

Journal of Human Nutrition and Dietetics — Fri, 06 May 2011 21:12:16 +0100

Conclusions: Novel measures of body composition and vascular function do not currently add value to a risk assessment in women with PCOS and a combination of traditional measures, including BMI, waist circumference and blood pressure should be used as CVD risk markers.References: Cibula, D., Cifkova, R., Fanta, M. et al. (2000) Increased risk of non‐insulin dependent diabetes mellitus, arterial hypertension and coronary artery disease in perimenopausal women with a history of the polycystic ovary syndrome. Hum. Reprod. 15, 785–9.Han, T.S., van Leer, E.M., Seidell, J.C. & Lean, M.E.J. (1995) Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. Br. Med. J. 311, 1401–5.Royal College of Obstetricians and Gy...

Summary of guidelines for infertility investigations and referral

Pulse Today Clinical Updates — Fri, 15 Apr 2011 11:01:00 +0100

View this easy-to-follow summary of the Royal College of Obstetricians and Gynaecologists guidance on fertility-related investigations and referral (Source: Pulse Today Clinical Updates)

RCOG infertility guidelines for investigation and referral by GPs

Pulse Today Clinical Updates — Wed, 13 Apr 2011 16:01:00 +0100

The Royal College of Obstetricians and Gynaecologists has produced a protocol for GP investigation and referral of infertility. (Source: Pulse Today Clinical Updates)

Editor's highlights

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Tue, 29 Mar 2011 20:41:45 +0100

Medical trainees today have limited opportunities to experience medicine in other European countries. Undergraduates are allowed a short time away from their own medical school but they often choose to travel outside Europe and experience a different style of medicine. Europe's centres of excellence, besides their rich historical diversity, have much to teach one another about medical science and clinical practice—as they regularly demonstrate in the EJOGRB. We are pleased to see that trainees in our specialty are maintaining international links through the European Network of Trainees in Obstetrics and Gynecology (ENTOG). Their 21st European Meeting and Exchange Program will take place in the UK on 2–7 May. Trainees will visit hospitals in London and attend both a social gathering and...

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New Website Launched To Assist Doctors In Their Training And Development

Health News from Medical News Today — Fri, 25 Mar 2011 09:00:00 +0100

An online educational resource to assist doctors specialising in obstetrics and gynaecology, www.StratOG.net, has been relaunched this week featuring over 90 online tutorials, lectures and assessments. Developed by the Royal College of Obstetricians and Gynaecologists (RCOG), the new StratOG.net website offers trainees and consultants resources they can access anywhere in the world. The site will be continually updated by RCOG Fellows, Members and clinicians with specialist knowledge... (Source: Health News from Medical News Today)

Management and outcome of HIV in pregnancy

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Fri, 25 Mar 2011 00:00:00 +0100

Since the widespread use of highly active anti-retroviral therapy (HAART) in pregnancy, vaginal delivery has become an option for an increasing number of women. There is, however, a paucity of data available to inform the management of labour in these women. We conducted a retrospective case note review examining the management and outcome of pregnancies in women with HIV at a tertiary centre. Between January 2006 and December 2008, a total of 63 women (HIV stage 1) delivered 66 live singleton births. One miscarriage and one unexplained stillbirth occurred which were not included in the analysis. Cases were managed according to UK guidelines from the Royal College of Obstetricians and Gynaecologists . At the time of antenatal booking, 22 women were already taking HAART, and the remaining w...

Conference call

Clinical Chiropractic — Tue, 01 Mar 2011 00:00:00 +0100

One week ago, as I write, I was sitting in the lecture theatre of the Royal College of Obstetricians and Gynaecologists listening to a range of invited speakers and college members showcase their research. Chiropractic Evidence 2011 augmented the usual hiatus between the annual President's Lecture and the formal annual general meeting; its proceedings are, by now, available online (www.clinchiropractic.com/inpress). The need for such conferences was highlighted by the keynote speaker, Professor Martin Underwood, whose presidential lecture framed the need for research evidence; emphasized the increasingly neglected role of clinical experience and patient expectations in evidence-based practice; and reviewed the evidence in some of areas that have been causing controversy from medial epicond...

Ascites ultrafiltration and concentration-reinfusion in severe ovarian hyperstimulation syndrome.

British Journal of Hospital Medicine — Tue, 01 Mar 2011 00:00:00 +0100

Authors: Liangfei A, Liangbin X, Wangming X, Jing Y Mild forms of ovarian hyperstimulation syndrome are common in women undergoing in-vitro fertilization, affecting up to 33% of in-vitro fertilization cycles; 3-8% of cycles are complicated by moderate or severe ovarian hyperstimulation syndrome (Royal College of Obstetricians and Gynaecologists, 2006). To treat severe ovarian hyperstimulation syndrome, albumin and other colloid solutions are used intravenously to increase the perfusion pressure (Manaka et al, 1995; Balasch et al, 1996), heparin to restore coagulation (Balasch et al, 1996) and dopamine to increase renal blood flow (Brinsden et al, 1995), but these all have limited effects. PMID: 21475099 [PubMed - in process] (Source: British Journal of Hospital Medicine)

RCOG Release: Reduced Fetal Movements - New Green-Top Guideline

Health News from Medical News Today — Sun, 27 Feb 2011 08:00:00 +0100

New advice for clinicians on the management of women with reduced fetal movements (RFM) during pregnancy has been published by the Royal College of Obstetricians and Gynaecologists (RCOG). This is the first edition of this guideline and looks at how women should be aware of their baby's movement patterns in the womb. It also gives advice to clinicians and reviews the risk factors and factors influencing maternal perception... (Source: Health News from Medical News Today)

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Women aged 35 are six times more likely to suffer fertility problems that women aged 25

Gurgle — Fri, 28 Jan 2011 23:54:23 +0100

A new study from the Royal College of Obstetricians and Gynaecologists has found that women aged 35 are six times more likely to have problems conceiving compared to those ten years younger. (Source: Gurgle)

WHO surgical safety checklist: for maternity cases only

NeLM - News — Mon, 15 Nov 2010 00:00:00 +0100

Source: National Patient Safety Agency (NPSA) Area: News A WHO surgical safety checklist specific for maternity cases has been developed by the NPSA in conjunction with the Royal College of Obstetricians and Gynaecologists. Please see the link below for details. (Source: NeLM - News)

What guidance is there available on the use of vitamin K for the management of obstetric cholestasis?

NeLM - Medicines Q and A — Tue, 26 Oct 2010 23:00:00 +0100

Source: South West Medicines Information and Training Area: Evidence > Medicines Q & A There are currently two published authoritative guidance documents on the management of obstetric cholestasis. Both give recommendations on the use of vitamin K in the management of obstetric cholestasis. The Royal College of Obstetricians and Gynaecologists recommend the use of water-soluble vitamin K (menadiol sodium diphosphate) when used for the management of obstetric cholestasis. The UK Teratology Information Service document cites the Royal College of Obstetricians and Gynaecologists recommendations for the use of water-soluble vitamin K for the management of obstetric cholestasis Limitations A discussion of the neonatal toxicity associated with the use of vitamin K duri...

RCOG Release: RCOG Pilots Its ATSM At The Corniche Hospital, UK

Health News from Medical News Today — Sun, 24 Oct 2010 07:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) has selected Corniche Hospital in Abu Dhabi, the UAE as the first site outside the UK to be accredited to provide training in the RCOG's Advanced Training Skills Module (ATSM) in Maternal Medicine. As part of its commitment to improving clinical and educational standards in the UK and internationally, this programme supports postgraduate medical training overseas. It will be run to the same high standards as in the UK and enables doctors from the region to travel closer to home, instead of to the UK, for training... (Source: Health News from Medical News Today)

Light drinking during pregnancy 'does children no harm'

Guardian Unlimited Science — Tue, 05 Oct 2010 23:01:02 +0100

Study reporting on group now aged five says none suffered as a result of their mothers having an occasional drink while pregnantLight drinking in pregnancy does babies no harm in the long run, according to a substantial new study which challenges the government's advice that women should abstain completely for nine months.The study showed that the children of mothers who drank one or two units of alcohol a week during pregnancy have suffered no ill-effects by the time they are five. They do not have behavioural difficulties and nor are they behind in their intellectual development.The work is published online today in the Journal of Epidemiology and Community Health. It should help to give women credible information on which to base their choice, said joint author Dr Yvonne Kelly of Univer...

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Evaluating Professional Society Guidelines on Vaginal Birth After Cesarean

Seminars in Perinatology — Wed, 29 Sep 2010 20:48:08 +0100

The objective was to compare national guidelines regarding vaginal birth after cesarean. Along with the American College of Obstetricians and Gynecologists practice bulletin, guidelines from the Royal College of Obstetricians and Gynaecologists and the Society of Obstetricians and Gynecologists of Canada were reviewed and compared. Although the 3 organizations agree on most of the risk factors for uterine rupture and failed vaginal birth after cesarean (VBAC), there were some variances in the recommendations to women with 2 previous cesareans and those who required oxytocin augmentation. A disagreement was also present in regard to the availability and requirement of resources to allow a trial of labor after a previous cesarean. Although concerns could be raised about how the literature is...

The management of unacceptable bleeding patterns in etonogestrel-releasing contraceptive implant users

Contraception — Mon, 20 Sep 2010 00:00:00 +0100

This article was developed in accordance with methodology used for producing Royal College of Obstetricians and Gynaecologists' Green Top Guidelines.The Cochrane Library (including the Cochrane Database of Systematic Reviews, DARE and EMBASE) and Medline (1966–2010) were searched using the relevant MeSH terms, including all subheadings, and this was combined with a keyword search. Search words included “progestogen only contraceptives,” “contraceptive implants,” “progestogen implants,” “etonogestrel implants,” “irregular bleeding,” “unpredictable bleeding,” “bleeding irregularity” and “bleeding pattern,” and the search was limited to humans and English language. Enquiries for relevant information were also made to the pharmaceutical industry and researcher...

Maternal critical care: what’s in a name?

International Journal of Obstetric Anesthesia — Mon, 13 Sep 2010 23:00:00 +0100

The Intensive Care National Audit and Research Centre (ICNARC), an organisation collecting and analysing data from adult general critical care units in the UK, recently published a detailed report on the admission of currently and recently pregnant women to participating units in 2007. The report was commissioned by the Joint Standing Committee (JSC) of the Royal College of Anaesthetists and Royal College of Obstetricians and Gynaecologists, together with the Obstetric Anaesthetists’ Association (OAA), as it has long been recognised that, although there are useful data from 50 years of maternal mortality reports resulting in recommendations that have improved maternity care, data are also needed on sick mothers who do not die. Whilst the ICNARC report provides useful information on women...

Fertility study on mice eggs raise hope for older mothers

Guardian Unlimited Science — Thu, 02 Sep 2010 20:32:00 +0100

UK research identifying loss of key protein in mice eggs is seen as a breakthrough that may help prevent birth defectsScientists have made a breakthrough in understanding why older women become less fertile, suffer a miscarriage or have a baby with Down's syndrome.The discovery could ultimately lead to treatments that would increase the chances of a successful pregnancy for growing numbers of would-be mothers in their late 30s and early 40s.Researchers led by Dr Mary Herbert, an expert in reproductive biology at Newcastle University's Institute for Ageing and Health, have identified why some older women produce abnormal eggs, according to findings published in the journal Current Biology.It has been known for a long time that would-be mothers who are nearing the end of their fertility are ...

RCOG Release: Ultrasound Training Programme For Obstetricians And Gynaecologists Launched

Health News from Medical News Today — Tue, 17 Aug 2010 15:00:00 +0100

A new competence-based ultrasound training programme that is compulsory for doctors undergoing speciality training in obstetrics and gynaecology is now being implemented nationally. It has been agreed that much of the training will be delivered by sonographers following discussions between the Royal College of Obstetricians and Gynaecologists (RCOG) and the Society and College of Radiographers (SCoR)... (Source: Health News from Medical News Today)

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New Video Resources Help Trainees Deal With Tricky Situations In The Workplace

Health News from Medical News Today — Mon, 09 Aug 2010 10:00:00 +0100

A series of videos exploring bullying, harassment and undermining behaviour in the workplace have been launched by the Royal College of Obstetricians and Gynaecologists. The videos have been produced in response to the GMC's Annual Trainee Survey published in 2009, which revealed that a significant number of trainees in obstetrics and gynaecology have felt undermined at some point in training. These new videos give valuable insight into difficult situations trainee doctors may experience and how they can be constructively dealt with... (Source: Health News from Medical News Today)

RCOG Release: Royal College Appoints New Chief Executive

Health News from Medical News Today — Sun, 25 Jul 2010 08:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) is delighted to announce the appointment of its new Chief Executive Mr Ian Wylie. Ian worked in the NHS and local government before moving to the King's Fund, where he was director of corporate affairs for six years. From 2001-05 he was Chief Executive of the British Dental Association, and in 2006 became Chief Executive of the TreeHouse Trust. For the past year he has been living and working in Hong Kong, where he is currently responsible for service planning and development for the Hong Kong Hospital Authority... (Source: Health News from Medical News Today)

National survey on management of weight reduction in PCOS women in the United Kingdom

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Mon, 19 Jul 2010 23:00:00 +0100

Conclusions: The results suggest that the information provided to women with PCOS on weight management is variable, and highlight the need for specific guidelines and further research on weight management in women with this condition. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)

Births at night examined

NHS News Feed — Fri, 16 Jul 2010 17:26:00 +0100

Conclusion This is a well-conducted study that has analysed Scottish medical records on over one million single, full-term births to determine whether there were any association between time of birth and risk of newborn death. A particular strength of this study is the accuracy of the records used: the Scottish morbidity record reportedly has an almost 99% completion since the late 1970’s and receives regular quality assurance checks; the Stillbirth and Infant Death Survey is completed using the General Register Office, and is reportedly 100% complete. Though there was an increased risk of newborn death out-of-hours, mostly related to deaths due to lack of oxygen during delivery, these results must be interpreted in the appropriate context: The risk of newborn death, regardless of bi...

RCOG Release: Information For Women On Post-Operative Recovery Launched

Health News from Medical News Today — Tue, 13 Jul 2010 20:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) launches its series of patient information leaflets aimed specifically at women recovering from gynaecological surgery, to help them plan for a return to fitness, including work. These leaflets, produced in partnership with the Department of Work and Pensions (DWP), cover a range of post-operative care options and advice for women including: how to look after yourself when you have had a hysterectomy and recovering from a pelvic floor operation... (Source: Health News from Medical News Today)

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The development of a new speciality training programme in obstetrics and gynaecology in the UK

Best Practice and Research. Clinical Obstetrics and Gynaecology — Sun, 11 Jul 2010 23:00:00 +0100

In 2004, the Royal College of Obstetricians and Gynaecologists (RCOG) established a working group of experienced Fellows, Members, trainees and educationalists, who were responsible for writing and coordinating the development of a new curriculum in obstetrics and gynaecology. The curriculum would underpin the new 7-year speciality training programme. In December 2006, the UK Postgraduate Medical Education and Training Board approved the curriculum. In August 2007, the new Speciality Training and Education programme in Obstetrics and Gynaecology was launched.The curriculum forms the backbone of the 7-year speciality training programme in obstetrics and gynaecology. The programme is divided into three levels of training: basic, intermediate and advanced. The programme is competency-based ra...

Pregnant women who drink may reduce sperm count of sons

Guardian Unlimited Science — Tue, 29 Jun 2010 08:04:54 +0100

Men whose mothers drank the most alcohol while pregnant had sperm counts a third lower on average than those whose mothers hardly drank or abstainedWomen who drink alcohol while they are pregnant may be harming the fertility of their unborn sons, researchers say.Expecting mothers who consumed more than 4.5 alcoholic drinks a week were more likely to have sons with lower sperm counts than those who drank little or none at all, their study suggests.Men whose mothers drank the most had sperm counts a third lower on average than those whose mothers hardly drank in pregnancy or completely abstained.It is too early to say whether a mother's alcohol consumption directly harms her son's future sperm count, but the finding might go some way towards explaining why sperm quality has declined in recen...

The E-learning revolution in obstetrics and gynaecology

Best Practice and Research. Clinical Obstetrics and Gynaecology — Sun, 27 Jun 2010 23:00:00 +0100

The explosion of information technology has created new opportunities and tools to assist the trainee in the process of learning. This chapter describes how the Royal College of Obstetricians and Gynaecologists (RCOG) is embracing the opportunities provided by this technology to create interactive and engaging learning programmes designed to support trainees in achieving the knowledge, skills and attitudes required to practise. It considers how the RCOG has developed a number of online initiatives to support training, the drivers for doing so and presents some ideas for future developments. (Source: Best Practice and Research. Clinical Obstetrics and Gynaecology)

Fetus Cannot Feel Pain Before 24 Weeks, Says Royal College Of Obstetricians And Gynaecologists, UK

Health News from Medical News Today — Sun, 27 Jun 2010 17:00:00 +0100

Two Working Party reports have been released by the RCOG (Royal College of Obstetricians and Gynaecologists), UK: 1. Fetal Awareness, and 2. Termination of Pregnancy of Fetal Abnormality. The first one updates the previous report published in 1997, while the second replaces the 1996 report. Both reports were commissioned by the DoH (Department of Health, UK), after recommendations by the House of Commons Science and Technology Committee in 2008. A wide range of stakeholders were involved in producing these documents, including scientists, doctors, midwives and lay representatives... (Source: Health News from Medical News Today)

Two Working Party Reports Released By RCOG: Fetal Awareness and Termination of Pregnancy for Fetal Abnormality

Health News from Medical News Today — Fri, 25 Jun 2010 10:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) releases two Working Party reports today: Fetal Awareness and Termination of Pregnancy for Fetal Abnormality. The first updates the previous report published in 1997, while the latter replaces the 1996 report. Both documents were commissioned by the Department of Health, following recommendations by the House of Commons Science and Technology Committee in 2008. A wide range of stakeholders including scientists, doctors, midwives and lay representatives were involved in producing these reports... (Source: Health News from Medical News Today)

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RCOG Release: O&G Trainees Say EWTD Is Affecting Their Training

Health News from Medical News Today — Thu, 24 Jun 2010 08:00:00 +0100

At a presentation to be delivered at the British International Congress of Obstetrics and Gynaecology in Belfast, a survey of trainees will highlight how the European Working Time Directive (EWTD) has had a negative impact on junior doctor training. The Royal College of Obstetricians and Gynaecologists (RCOG) 5th Trainees' Survey shows how the EWTD, six months after its implementation, has in some instances been detrimental to postgraduate medical training. The survey was sent to all individual O&G trainees on the RCOG's register and 964 responses were received... (Source: Health News from Medical News Today)

NICE issues clinical guideline (CG102) on the management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care

NeLM - Guidelines — Tue, 22 Jun 2010 23:00:00 +0100

Source: NICE Area: Evidence > Guidelines The National Institute for Health and Clinical Excellence (NICE) in association with the Royal College of Paediatrics and Child Health and the Royal College of Obstetricians and Gynaecologists have published clinical guidelines on the management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care. With respect to pre-hospital management of suspected meningococcal disease (meningitis with non-blanching rash or meningococcal septicaemia the following recommendations have been made: . Give parenteral antibiotics (intramuscular or intravenous benzylpenicillin) at the earliest opportunity, either in primary or secondary care, but do not delay ur...

RCOG Release: NHS Cultural Shift Is Needed In The Provision Of Services For Women, UK

Health News from Medical News Today — Mon, 21 Jun 2010 12:00:00 +0100

The President of the Royal College of Obstetricians and Gynaecologists (RCOG) will today call upon the new Coalition Government to listen and to work with its doctors to change the NHS for the better. This comes on the day the College releases the results of its pre-election member poll at the 32nd British International Congress of Obstetrics and Gynaecology (BICOG) in Belfast. Prior to the elections, RCOG members were asked for their views on a range of issues concerning the provision of healthcare services within the specialty1... (Source: Health News from Medical News Today)

Classification and management of extensive obstetric perineal injuries in the Czech and Slovak Republics

International Journal of Gynaecology and Obstetrics — Mon, 31 May 2010 23:00:00 +0100

Conclusions: There is great inconsistency in the classification and management of extensive obstetric perineal injuries. Uniform recommendations should be created and accepted, not only in the Czech and Slovak Republics, but worldwide. (Source: International Journal of Gynaecology and Obstetrics)

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Care during the third stage of labour: A postal survey of UK midwives and obstetricians

BioMed Central — Thu, 20 May 2010 23:00:00 +0100

Conclusions: Active management of the third stage of labour is widely used by both obstetricians and midwives in the UK. Syntometrine is usually used for vaginal births and oxytocin for caesarean births; when this is given and when the cord is clamped varies. (Source: BioMed Central)

Acupuncture does not relieve childbirth pain, finds study

Guardian Unlimited Science — Tue, 27 Apr 2010 23:05:04 +0100

Research suggests results from complementary therapy during labour may be placebo effectPregnant women hoping to give birth without drugs have been known to adopt any number of natural remedies, from water baths to self-hypnosis and extreme screaming, to minimise the agony of labour.But a study published today finds there is no evidence that acupuncture, another popular complementary therapy, reduces the pain of childbirth.Experts say growing numbers of pregnant women are turning to the practice, which involves needles being inserted into the skin to relieve pain. But research suggests it does not work during labour.The finding, which has already prompted a vigorous debate about the value of acupuncture, came from British and Korean researchers who examined previous studies of its use in l...

Acupuncture does not relieve childbirth pain

Guardian Unlimited Science — Tue, 27 Apr 2010 23:05:04 +0100

Editor's highlights

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Thu, 15 Apr 2010 23:00:00 +0100

Each European country has its own professional association of obstetricians and gynaecologists, looking after the interests of women and specialists in that country. Language barriers often make interaction difficult but many of these organisations are becoming more international in outlook. The French College of Gynaecologists and Obstetricians, for example, recently published one of its guidelines, translated into English, in this Journal and we shall be publishing another one, on stress urinary incontinence, next month. In the UK, the Royal College of Obstetricians and Gynaecologists (RCOG) has translated ten of its guidelines into Russian and these are now available on its website. The RCOG is working to make them more accessible to Russian-speakers who search the web using the Cyrilli...

Research Grants Manager - Wellbeing of Women

Society for Endocrinology — Mon, 12 Apr 2010 12:00:00 +0100

Wellbeing of Women is the only medical research charity to cover all aspects of women’s obstetric and gynaecological health, and are the official charity partner of the Royal College of Obstetricians and Gynaecologists and a member of AMRC. Wellbeing of Women awards grants to research projects in the three main areas of women’s reproductive health: gynaecological cancers, all aspects of pregnancy and birth, and quality of life issues such as period problems, menopause and incontinence. Currently around £1m is invested each year over 2 grant rounds. They are seeking a Research Grants Manager to ensure that the charity’s grants process is administered to the highest standard in keeping with the quality of the projects funded, to help develop an impactive research stra...

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Review of subspeciality training in obstetrics and gynaecology

Best Practice and Research. Clinical Obstetrics and Gynaecology — Thu, 08 Apr 2010 23:00:00 +0100

Subspeciality training in obstetrics and gynaecology in the United Kingdom was introduced more than 25 years ago following a report published by a working party of the Royal College of Obstetricians and Gynaecologists (RCOG) in 1982. There are now over 400 accredited subspecialists and over 150 approved subspeciality training programmes. It is timely to consider whether there are sufficient or too many subspeciality training programmes and whether some of the training resource should be directed towards delivery of advanced training skills modules (ATSMs). It is 5 years since the establishment of the Postgraduate Medical Education and Training Board (PMETB), which has responsibility for all postgraduate medical education and training, which includes the subspecialities. This has changed th...

A Historical Record Of Obstetrics - An Exhibition Of The Roy Dobbin Collection - Royal College Of Obstetricians And Gynaecologists

Health News from Medical News Today — Tue, 23 Mar 2010 07:00:00 +0100

The Royal College of Obstetricians and Gynaecologists' (RCOG) library is exhibiting its most valuable collection of antiquarian books for a limited time period. These rare books were acquired by the College in 1935. The collection was previously owned by Roy Dobbin, Foundation Fellow of the then British College of Obstetricians and Gynaecologists. Professor Dobbin, born in Ireland in 1873, moved to Egypt in 1906 after being appointed as Chair of Obstetrics and Gynaecology at Cairo University... (Source: Health News from Medical News Today)

CKS topic review: HIV infection and AIDS

NeLM - Guidelines — Tue, 23 Mar 2010 00:00:00 +0100

Source: Clinical Knowledge Summaries (CKS) Area: Evidence > Guidelines This CKS topic covers the primary care management of HIV infection and AIDS, including screening, diagnosis (the major challenge for primary care), complications, adverse effects of antiretroviral drugs, and respite/palliative care. It is based on guidelines published by the Medical Foundation for AIDS & Sexual Health (MedFASH), the British Association for Sexual Health and HIV (BASHH), the British HIV Association (BHIVA), the Faculty of Sexual and Reproductive Health of the Royal College of Obstetricians and Gynaecologists (FSRH), and the Health Protection Agency (HPA), as well as policies published by the Department of Health. (Source: NeLM - Guidelines)

The Royal Pharmaceutical Society Appoints New Chief Executive

Health News from Medical News Today — Tue, 09 Mar 2010 20:00:00 +0100

The Royal Pharmaceutical Society today announced the appointment of Helen Gordon as Chief Executive of the new Professional Leadership Body. Mrs Gordon will join the Society on the 1st of July. Mrs Gordon comes to the Society from her current position as Chief Executive of the Royal College of Obstetricians and Gynaecologists. Prior to leading the RCOG for the past five years, Mrs Gordon was Chief Executive of Queen Mary's Sidcup NHS Trust from 2000-2005. RPSGB President, Steve Churton said: "I am delighted to welcome Helen to the Society at this pivotal time in its history... (Source: Health News from Medical News Today)

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Management of the infertile couple: an evidence-based protocol

Reproductive Biology and Endocrinology — Sat, 06 Mar 2010 00:00:00 +0100

Conclusions: The study deploys a new strategy to translate the research findings and evidence-base recommendations into a simplified focused guide to be applied on routine daily practice. It is an approach to disseminate the recommended medical care for infertile couple to the practicing clinicians. (Source: Reproductive Biology and Endocrinology)

Woman's fertility restored after chemo

NHS News Feed — Thu, 25 Feb 2010 10:34:00 +0100

Conclusion As the authors say, this recent success raises the number of children born as a result of re-implanting frozen then thawed ovarian tissue to nine, globally. Six were conceived with the help of IVF and three conceived naturally. This is undoubtedly encouraging news but it remains a very small number of cases. Given the extremely small number of women that have given birth using this technique, many questions remain over which women would be the most suitable candidates and which would be most likely to achieve success. Further research is needed to establish how successful further ovarian re-transplants are in a greater number of women and whether there are any adverse health risks to the mother or the child. There is no indication in this report of how many additional women hav...

From cure to kill | David Wilson

Guardian Unlimited Science — Mon, 08 Feb 2010 15:00:00 +0100

The claims that two 18th-century doctors were murderers raise some uncomfortable questions for the medical professionThe claim made in the Observer that the 18th-century obstetricians William Hunter and William Smellie were probably serial killers, given that they obtained the corpses of the pregnant women that they experimented upon through "burking" – having people murdered to order – came as a shock to many medics. Anthony Kenny, for example, curator of the museum of the Royal College of Obstetricians and Gynaecologists, described the claim as "absolutely staggering".Yet, why the surprise? The medical profession has regularly been mired in ignominy as far as serial killers are concerned – whether we are discussing GPs from our own time such as Harold Shipman (who murdered at least...

Uncomfortable questions for doctors

Guardian Unlimited Science — Mon, 08 Feb 2010 15:00:00 +0100

Founders of British obstetrics 'were callous murderers'

Guardian Unlimited Science — Sun, 07 Feb 2010 00:06:53 +0100

William Hunter and William Smellie commissioned a regular supply of corpses so they could study the physical effects of pregnancy, argues a respected historianThey are giants of medicine, pioneers of the care that women receive during childbirth and were the founding fathers of obstetrics. The names of William Hunter and William Smellie still inspire respect among today's doctors, more than 250 years since they made their contributions to healthcare. Such were the duo's reputations as outstanding physicians that the clienteles of their private practices included the rich and famous of mid-18th-century London.But were they also serial killers? New research published in the Journal of the Royal Society of Medicine (JRSM) claims that they were. A detailed historical study accuses the doctors ...

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What evidence is available for the use of antidepressants for the management of menopausal hot flushes?

NeLM - Medicines Q & A — Tue, 02 Feb 2010 00:00:00 +0100

Source: Wessex Drug and Medicines Information Centre Area: Evidence > Medicines Q & A . To help reduce hot flushes, women should be encouraged to take regular exercise, reduce stress and wear lighter clothing. Any trigger factors should be avoided. . Antidepressants are unlicensed for the management of hot flushes but may be considered for women who have contra-indications to or concerns about HRT. Limited evidence from a recent meta-analysis suggests that venlafaxine, paroxetine, citalopram or fluoxetine are effective in reducing the frequency and severity of menopausal hot flushes. . The Royal College of Obstetricians and Gynaecologists suggests that the most convincing data available are for venlafaxine at a dose of 37.5mg twice daily. Furthe...

New Good Practice Guidance - Labour Ward Solutions - Royal College of Obstetricians and Gynaecologists

Health News from Medical News Today — Thu, 28 Jan 2010 10:00:00 +0100

The RCOG has published a new Good Practice guidance document entitled Labour Ward Solutions. This document is aimed mainly at those responsible for implementing the Royal College of Obstetricians and Gynaecologists and Clinical Negligence Scheme for Trusts (CNST) maternity standards. It highlights the many challenges and issues that arise from the process of expanding consultant presence on the labour ward and presents facts, helpful tips and potential pitfalls that may be encountered by those responsible for implementing changes. Labour Ward Solutions can be downloaded here... (Source: Health News from Medical News Today)

Free obs and gynae event offer

BMA daily feed — Fri, 08 Jan 2010 15:30:46 +0100

Medical students can get free tickets for a Royal College of Obstetricians and Gynaecologists event promoting the specialty as a potential career option this month (Source: BMA daily feed)

Safer births : supporting maternity services to improve safety

Thu, 07 Jan 2010 00:00:01 +0100

The Safer Births initiative, a partnership between The Kings Fund, Royal College of Midwives, Royal College of Obstetricians and Gynaecologists, Centre for Maternal and Child Enquiries, NHS Litigation Authority and the National Patient Safety Agency, aims to improve the safety of maternity services in England. This resource outlines the project brief, describes a number of regional events held by the Safer Births team in 2009, and provides links to related reports. The site includes the names and positions of the project team and a short description of each organisational partner. (Source: Latest Internet resources added to Intute: Health and LifenSciences nursing gateway)

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Academy of Medical Educators - Professional Standards launched

MEDEV News — Mon, 21 Dec 2009 00:00:00 +0100

The Academy's Professional Standards for Medical Educators were launched on 17 December 2009 at an event at the Royal College of Obstetricians and Gynaecologists in London. The Professional Standards are now available as a downloadable pdf and in booklet form. To receive your copy please contact info@medicaleducators.org (Source: MEDEV News)

CKS topic review: Premenstrual syndrome

NeLM - Obstetrics and Gynaecology — Tue, 15 Dec 2009 00:00:00 +0100

Source: CKS Area: Evidence > Disease Focused Reviews This CKS topic covers the management of premenstrual symptoms, including mood symptoms. It is based on recommendations in the Royal College of Obstetricians and Gynaecologists' 'green-top guideline' Management of premenstrual syndrome. (Source: NeLM - Obstetrics and Gynaecology)

Global Challenges: The Need To Prioritise Women's Health Care

Women's Health / OBGYN News From Medical News Today — Wed, 09 Dec 2009 11:00:00 +0100

In his presentation at the Royal College of Obstetricians and Gynaecologists (RCOG) 8th International Scientific Meeting in Abu Dhabi on Tuesday, Dr Tony Falconer, RCOG Senior Vice President - International Office, will discuss global challenges in women's health... (Source: Women's Health / OBGYN News From Medical News Today)

Her Highness Sheikha Fatima Bint Mubarak Awarded RCOG Honorary Fellowship

Health News from Medical News Today — Wed, 09 Dec 2009 10:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) wishes to announce the admission of Her Highness Sheikha Fatima bint Mubarak as an Honorary Fellow of the RCOG, in recognition of her contribution to improving the wellbeing of women in the United Arab Emirates (UAE). The Honorary Fellowship was awarded during the Opening Ceremony of the RCOG 8th International Scientific Meeting in Abu Dhabi on the 6th of December. Her Highness Sheikha Fatima bint Mubarak is currently Chairwoman of the General Women's Union of UAE and Supreme Chairperson of the Family Development Foundation... (Source: Health News from Medical News Today)

RCOG Endometriosis Millennium Fund

Society for Endocrinology — Tue, 10 Nov 2009 12:00:00 +0100

Via rdfunding.org.uk. The Endometriosis Millennium Fund, administered by the Royal College of Obstetricians and Gynaecologists (RCOG) was established to stimulate and encourage research, clinical or laboratory based, in the field of endometriosis, or to encourage clinicians to acquire extra clinical skills to manage patients with the disease. Up to £5,000 is available to a Member of the College or a member of the RCOG Trainees Register, who is resident and working within the British Isles. Applications for grants are invited for the following: To provide monies to fund a pilot project, clinical or laboratory based in the field of endometriosis, or to provide monies to fund an extension of an existing project researching endometriosis; or To provide a contribution towards a travell...

CONFERENCE: Screening and Risk Prediction in Women’s Health

WHO Maternal, Newborn and Child Health — Mon, 09 Nov 2009 08:55:00 +0100

Organizer: UCL Elizabeth Garrett Anderson Institute for Women's Health & the Royal College of Obstetricians and Gynaecologists (RCOG) Event dates: 9-11 November 2009 Venue: The Royal College of Obstetricians and Gynaecologists, London, UK (Source: WHO Maternal, Newborn and Child Health)

CONFERENCE: 2nd International Meeting Innovations and Progress in Healthcare for Women

WHO Maternal, Newborn and Child Health — Mon, 09 Nov 2009 08:55:00 +0100

Organizer: University College London Institute for Women’s Health (UCL IfWH) in partnership with the Royal College of Obstetricians and Gynaecologists (RCOG) Event dates: 9-11 November 2009 Venue: London (Source: WHO Maternal, Newborn and Child Health)

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Domestic use of foetal heart monitors putting babies at risk

Guardian Unlimited Science — Fri, 06 Nov 2009 00:05:16 +0100

• Expectant mothers should not rely on devices• Inexperienced users often hear their own heartbeatFoetal heart monitors, which growing numbers of expectant parents use at home to listen to their unborn child's heartbeat, are potentially dangerous to the mother and baby's health, doctors warn today.The devices are routinely used in hospitals by doctors and midwives to assess a baby's health in utero. They have also become increasingly popular in recent years among parents, some of whom rent one or buy one from high street shops or chemists for use at home.But doctors writing in the British Medical Journal warn that parents-to-be may receive false reassurance that a baby is well and they might delay seeking urgent medical help. They cite the case of a pregnant woman in Sussex who noticed...

Domestic foetal heart monitors put babies at risk

Guardian Unlimited Science — Fri, 06 Nov 2009 00:05:16 +0100

Consultant presence in the hospital

Obstetrics, Gynaecology and Reproductive Medicine — Sun, 01 Nov 2009 00:00:00 +0100

Ideally all women suffering an obstetric complication or a gynaecological emergency should be attended by a fully trained specialist. In the UK, this means a consultant or Certificate of Completion of Specialist Training (CCST) holder. The Royal College of Obstetricians and Gynaecologists (RCOG) is working towards this. The number of hours of consultant presence on the labour ward recommended by the College was set out in the document ‘Safer Childbirth’. Another document – ‘Standards in Maternity Care’ – clearly recommends an incremental increase in consultant presence on the labour ward up to 168 hours a week in those units delivering more than 6000 babies a year. Increasing consultant presence will provide higher levels of care to women and, in theory, will also provide bette...

Implementation of guidelines on oxytocin use at caesarean section: A survey of practice in Great Britain and Ireland

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Mon, 26 Oct 2009 00:00:00 +0100

Conclusions: Clinicians’ approach to the use of oxytocin at the time of caesarean delivery varies between countries. Even in countries with on-site visits to ensure guideline implementation (e.g. Clinical Negligence Scheme for Trusts in England), deviations from guideline recommendations exist. These variations may reflect a lack of robust evidence and the need for future research in this area. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)

RCOG Issues New Guidance On Vitamin Supplementation In Pregnancy

Health News from Medical News Today — Wed, 21 Oct 2009 11:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) Scientific Advisory Committee has released a new opinion paper on vitamin supplementation during pregnancy. The paper examines the evidence for vitamin supplementation and provides guidance for pregnant women in the UK. (Source: Health News from Medical News Today)

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Editors’ highlights

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Tue, 22 Sep 2009 23:00:00 +0100

With summer gone and Christmas still to come, November is a month of long dark nights in Europe. These are good for academic work and discussion, and in some countries this is a busy time for local and regional meetings. In London the Academic Association of Obstetrics and Gynaecology (AAOG) is about to hold its fourth annual meeting. It evolved from an older organisation, the Association of Professors of Obstetrics and Gynaecology, with the purpose of being a voice for academics in our specialty in the British Isles. The AAOG works closely with the Royal College of Obstetricians and Gynaecologists, and as well as developing research networks and sharing good practice in education, a major aim is recruiting and developing new academics for the future. We all know that a specialty focus is ...

Abortions may pose risk to future babies

Guardian Unlimited Science — Tue, 15 Sep 2009 23:05:23 +0100

• Later children could be low-weight, says study• Authors caution against misrepresentationsWomen who have an abortion may run an increased risk of subsequently giving birth to premature or low-weight babies, according to a study that will further fuel the abortion debate.The review of a large amount of research, carried out in Canada, is likely to be seized on by the anti-abortion lobby as evidence that termination is damaging to future babies. However, the authors say there could be a number of reasons for their findings, of which the most likely is physical damage to the cervix caused by older methods of abortion.The study found that women who had an abortion in the first or second trimester had a 35% increased risk of a low birth weight baby and a 36% raised risk of a pre-term baby...

Variations In Treating Heavy Menstrual Bleeding Found

Health News from Medical News Today — Mon, 14 Sep 2009 08:00:00 +0100

The Office for Research and Clinical Audit (ORCA) at the Royal College of Obstetricians and Gynaecologists (RCOG) has published the results of a study into the treatment of women with heavy menstrual bleeding in England. The study found that the use of surgery was four-times greater in some regions compared to other parts of England. (Source: Health News from Medical News Today)

A retrospective one-year single-centre survey of obstetric red cell transfusions

International Journal of Obstetric Anesthesia — Wed, 02 Sep 2009 23:00:00 +0100

Conclusions: Overall there appeared to be a low threshold for red cell transfusion, with 31% of transfusions occurring despite a haemoglobin >7g/dL and in the absence of ongoing bleeding or symptoms of anaemia. Such transfusions are deemed inappropriate according to the Royal College of Obstetricians and Gynaecologists guidelines. The main recommendations are to implement an educational programme and guidelines in all obstetric units, reduce blood use and encourage documentation of appropriate consent. (Source: International Journal of Obstetric Anesthesia)

CKS Topic Minibite: Pelvic inflammatory disease

NeLM - Gastroenterology — Mon, 24 Aug 2009 23:00:00 +0100

Source: CKS Area: Evidence > Guidelines This Topic Minibite from the Clinical Knowledge Service (CKS) covers the management of acute pelvic inflammatory disease (PID) in patient aged above 13 years. It is based on guidelines on the management of acute pelvic inflammatory disease from the Royal College of Obstetricians and Gynaecologists the British Association for Sexual Health and HIV, and the European guideline for the management of pelvic inflammatory disease. (Source: NeLM - Gastroenterology)

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National inpatient diagnostic hysteroscopy survey

Gynecological Surgery — Mon, 27 Jul 2009 21:56:39 +0100

Abstract This survey was undertaken to determine the common practise patterns of how hysteroscopy is carried out in the UK. We believe this will help to develop a consensus and set national guidelines in accordance with the way we undertake this procedure. In addition; we aim to assess the operators understanding of hysteroscope optics related to this procedure. The study was conducted in a teaching hospital in the southwest of England, UK. Postal questionnaires were sent within the first week of June 2007 to 1,000 consultant gynaecologists in the UK. The surveyed gynaecologists were selected from the Royal college of Obstetricians and Gynaecologists (RCOG) register of Fellows and Members. The questionnaire included questions regarding common preoperative preparation, oper...

RCOG/RCM Statement - Advice On Swine Flu And Pregnancy

Health News from Medical News Today — Tue, 21 Jul 2009 07:00:00 +0100

Update 20 July 2009: Statement from the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM) about the recent news about advice for pregnant women in Australia and New Zealand. (Source: Health News from Medical News Today)

Promoting Safer Childbirth - A Sri Lankan Success Story: Royal College of Obstetricians and Gynaecologists

Health News from Medical News Today — Mon, 06 Jul 2009 09:00:00 +0100

Despite recent internal conflict, Sri Lanka has emerged as a success story in promoting safer childbirth. The country's significant decline in maternal deaths will be presented today at the Royal College of Obstetricians and Gynaecologists (RCOG) South Asia Day. The conference gathers together a group of international experts to discuss maternal and child health in South Asia. (Source: Health News from Medical News Today)

The Long Road To Safe Motherhood In Nepal - Royal College of Obstetricians and Gynaecologists

Health News from Medical News Today — Mon, 06 Jul 2009 09:00:00 +0100

Women in Nepal face the highest risk of maternal death in South Asia. The country's high rates of maternal death and reproductive morbidity will be discussed at the Royal College of Obstetricians and Gynaecologists (RCOG) South Asia Day. (Source: Health News from Medical News Today)

Reducing Maternal Death In Bangladesh - Royal College of Obstetricians and Gynaecologists

Health News from Medical News Today — Mon, 06 Jul 2009 09:00:00 +0100

New strategies to reduce maternal death in Bangladesh will be presented at the Royal College of Obstetricians and Gynaecologists (RCOG) South Asia Day. The conference gathers together a group of international experts to discuss ways to achieve Millennium Development Goals 4 (reduce child mortality) and 5 (improve maternal health). (Source: Health News from Medical News Today)

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South Asia Day - Historic Meeting To Promote Millennium Development Goals 4 And 5: Royal College of Obstetricians and Gynaecologists

Health News from Medical News Today — Mon, 06 Jul 2009 09:00:00 +0100

A group of international experts will meet at the Royal College of Obstetricians and Gynaecologists (RCOG) on the occasion of South Asia Day to discuss ways to achieve Millennium Development Goals 4 (reduce child mortality) and 5 (improve maternal health). (Source: Health News from Medical News Today)

[Comment] Long-term outcome of placental-site trophoblastic tumours

LANCET — Thu, 02 Jul 2009 23:00:00 +0100

In The Lancet today, Peter Schmid and colleagues describe their long-term experience in the UK of the management of placental-site trophoblastic tumours. The report comes from the gestational trophoblastic disease centres at Charing Cross Hospital in London and Weston Park Hospital in Sheffield that serve patients with gestational trophoblastic disease in the UK, by mandate of the Royal College of Obstetricians and Gynaecologists and the Department of Health. Placental-site trophoblastic tumour is the second most rare of gestational trophoblastic neoplasms, accounting for only 0·5% of patients with gestational trophoblastic disease worldwide. (Source: LANCET)

Shoulder Dystocia: Comparison of the ACOG Practice Bulletin with Another National Guideline

American Journal of Perinatology — Tue, 30 Jun 2009 16:34:02 +0100

Amer J PerinatolDOI: 10.1055/s-0029-1224864ABSTRACTOur objective was to compare national guidelines regarding shoulder dystocia. Along with the American College of Obstetricians and Gynecologists (ACOG) practice bulletin on shoulder dystocia, guidelines from England, Canada, Australia, and New Zealand were reviewed. The Royal College of Obstetricians and Gynaecologists (RCOG) guideline agrees with the ACOG definition of shoulder dystocia, but there are variances in the management of suspected macrosomia and resolution of impacted shoulders. How recommendations are categorized differ also. Only 53% (20 of 38) of eligible references are cited by both publications. The two national guidelines on shoulder dystocia have differences and disagreements with each other, raising concerns about how t...

Complications of laparoscopic surgery

Obstetrics, Gynaecology and Reproductive Medicine — Thu, 25 Jun 2009 08:02:13 +0100

Abstract: Laparoscopic surgery has become the mainstay of surgical management of many benign and some malignant gynaecological conditions. Safety is of the highest priority in any surgical procedure and the next generation of laparoscopic surgeons require both practical and theoretical training in order to maximise surgical success and minimise complications. Training has become more structured and credentialed, with input from the Royal College of Obstetricians and Gynaecologists and other bodies to devise comprehensive educational objectives and guidance. These case-based scenarios illustrate some of the common problems encountered in laparoscopic surgery and highlight ‘best practice’ in the speciality. (Source: Obstetrics, Gynaecology and Reproductive Medicine)

Guideline on preventing entry-related gynaecological laparoscopic injuries: post-publication reflections of the senior author

Gynecological Surgery — Tue, 23 Jun 2009 06:04:24 +0100

Abstract A few months ago, the Royal College of Obstetricians and Gynaecologists of the UK published the latest clinical guideline relevant to gynaecological surgery entitled “Preventing entry-related gynaecological laparoscopic injuries”, which is freely available for all to read on the college website. The preparation of this document not only took a long time, requiring a considerable amount of literature research, but also very arduous because we were required to make constant changes to the manuscript as a result of the comments and criticisms from the three lead reviewers of the Guidelines and Audit Committee but mainly from having to satisfy the objections of no less than 20 separate peer reviewers. By and large, the document has been well received by our collea...

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I'll have children when I like not when I'm told

Telegraph Health — Fri, 19 Jun 2009 17:46:59 +0100

The Royal College of Obstetricians has advised women to have their children by the age of 35. Spare us the hectoring says Bryony Gordon. (Source: Telegraph Health)

RCOG Releases New Model For Medical Revalidation

Health News from Medical News Today — Mon, 25 May 2009 10:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) has released a new model for medical revalidation this week. The Working Party Report on Recertification outlines recommendations for the recertification of obstetricians and gynaecologists working in the UK. The RCOG has also released an enhanced Continuing Professional Development (CPD) Programme. (Source: Health News from Medical News Today)

Doctor Knows Best - Royal College Of Obstetricians And Gynaecologists

Health News from Medical News Today — Thu, 14 May 2009 14:00:00 +0100

In a commentary published in BJOG: An International Journal of Obstetrics and Gynaecology, doctors discuss the types of information pregnant women would welcome and why the advice provided to women by doctors is considered trustworthy. (Source: Health News from Medical News Today)

Postcoital bleeding: A study of the current practice amongst consultants in the United Kingdom

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Tue, 21 Apr 2009 20:24:06 +0100

Conclusion: The results highlight the wide variations in managing women with PCB. Given the well-reported association with serious pathology, it may be prudent to standardise the management in the UK based on the best available evidence. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)

Female hairiness health warning (BBC News Online, 17 April 2009)

Society for Endocrinology — Fri, 17 Apr 2009 12:00:00 +0100

A report issued by the Royal College of Obstetricians and Gynaecologists warns that excessive hairiness in women is not just a cosmetic problem but is likely to be a sign of an underlying endocrine condition.Full article (Source: Society for Endocrinology)

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2.8 Million Pound Grant To Raise Standards In Maternal And Newborn Health

Health News from Medical News Today — Fri, 10 Apr 2009 11:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) and the Liverpool School of Tropical Medicine (LSTM) have been awarded Â£2.8m to improve maternal and newborn health in five target countries Zimbabwe, Kenya, Bangladesh, India and Sierra Leone. (Source: Health News from Medical News Today)

£2.8 million grant to raise standards in maternal and newborn health

Liverpool School of Tropical Medicine - Latest News — Thu, 09 Apr 2009 14:56:12 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) and the Liverpool School of Tropical Medicine (LSTM) have been awarded £2.8m to improve maternal and newborn health in five target countries - Zimbabwe, Kenya, Bangladesh, India and Sierra Leone. (Source: Liverpool School of Tropical Medicine - Latest News)

Royal College of Obstetricians and Gynaecologists Joseph Hoet Research Award 2009

Society for Endocrinology — Tue, 31 Mar 2009 12:00:00 +0100

The Diabetes Pregnancy Study Group (DPSG, Royal College of Obstetricians and Gynaecologists) has announced the sixth Joseph Hoet Research Award (JHRA) to be presented at their annual meeting in Rome, Italy, 25-28 September 2009. The JHRA award is awarded for excellence in research in the field of diabetes and pregnancy (basic or clinical) and contribution to the advancement of knowledge in the field. The award consists of a commemorative plaque, a diploma certificate and Euro 5,000, sponsored by Novo Nordisk Pharma. The award is open to candidates not less than 50 years of age on 1 January 2009. The recipient of the prize will be expected to deliver the Joseph Hoet Lecture during the annual DPSG meeting. For further information about the awards, please contact Dr Per Ovesen at the Aarhu...

Postcoital bleeding: A study of the current practice amongst consultants in the United Kingdom.

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Fri, 27 Mar 2009 04:00:00 +0100

CONCLUSION: The results highlight the wide variations in managing women with PCB. Given the well-reported association with serious pathology, it may be prudent to standardise the management in the UK based on the best available evidence. PMID: 19329241 [PubMed - as supplied by publisher] (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)

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Exercise to reduce vasomotor and other menopausal symptoms: A review.

Maturitas — Thu, 12 Mar 2009 04:00:00 +0100

Authors: Daley AJ, Stokes-Lampard HJ, Macarthur C Many women are reluctant to consider HRT as a therapeutic option for menopausal symptoms and are keen to use non-pharmacological treatments. Evidence from randomised controlled trials (RCTs) concerning the effects of aerobic exercise on vasomotor and other menopausal symptoms is limited but what evidence we do have suggests that aerobic exercise can improve psychological health and quality of life in vasomotor symptomatic women. In addition, several RCTs of middle-aged/menopausal-aged women have found that aerobic exercise can invoke significant improvements in several common menopause-related symptoms (e.g. mood, health-related QoL and insomnia), relative to non-exercise comparison groups. There is some evidence that alternative forms ...

Exercise to reduce vasomotor and other menopausal symptoms: A review

Maturitas — Mon, 02 Mar 2009 00:00:00 +0100

Abstract: Many women are reluctant to consider HRT as a therapeutic option for menopausal symptoms and are keen to use non-pharmacological treatments. Evidence from randomised controlled trials (RCTs) concerning the effects of aerobic exercise on vasomotor and other menopausal symptoms is limited but what evidence we do have suggests that aerobic exercise can improve psychological health and quality of life in vasomotor symptomatic women. In addition, several RCTs of middle-aged/menopausal-aged women have found that aerobic exercise can invoke significant improvements in several common menopause-related symptoms (e.g. mood, health-related QoL and insomnia), relative to non-exercise comparison groups. There is some evidence that alternative forms of low intensity exercise such as yoga are b...

The obstetrician and gynaecologist and the European Computer Driving Licence

Health Informatics Journal — Fri, 13 Feb 2009 05:00:00 +0100

The objective of the study was to determine awareness of the ECDL amongst members of the Royal College of Obstetricians and Gynaecologists. An anonymous postal survey was conducted with members and fellows of the College in three UK regions. A total of 720 questionnaires were posted, and the response rate was 47.9 per cent. A fifth of all respondents were not aware of the ECDL at all, and only 10 per cent were trained in the ECDL. However, more than third had some other formal training in IT skills. Half the respondents suggested that the questionnaire had prompted them to train for the ECDL. Much needs to be done to increase awareness of the ECDL and offer incentives for its takeup. (Source: Health Informatics Journal)

Intrauterine growth restriction: comparison of American College of Obstetricians and Gynecologists practice bulletin with other national guidelines.

American Journal of Obstetrics and Gynecology — Fri, 13 Feb 2009 05:00:00 +0100

CONCLUSION: The differences in the 2 guidelines suggest that there is variance in how 2 committees synthesize the literature and issue recommendations. PMID: 19217594 [PubMed - as supplied by publisher] (Source: American Journal of Obstetrics and Gynecology)

The fertility wardens are the enemies of female liberation

Guardian Unlimited Science — Wed, 04 Feb 2009 00:01:00 +0100

The last resort of a bored welfare state is baby control. Mao ordered one baby per family. The British government's green adviser, Jonathon Porritt, wants it to demand just two. India's Rajiv Gandhi came close to enforced sterilisation. America is raging over a clinic enabling a mother to produce octuplets.I served for five years on the Human Fertilisation and Embryology Authority and resigned with one conclusion ringing in my ears. If you want to deny women control over their bodies, you can rely on liberal-minded women (who dominated the authority) to do it for you. To them, other women were not to be trusted with their eggs or their wombs. Anyone seeking help to have a baby must be put under state control, for their own good of course.Assisted fertility is one of the most profitable are...

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Fertility experts in ethics warning over egg freezing

Guardian Unlimited Science — Sun, 01 Feb 2009 00:01:00 +0100

It has been hailed as "liberation for women", but now the country's leading fertility experts are to express serious moral and medical doubts about women freezing their eggs to suit their lifestyles and aspirations. The Royal College of Obstetricians and Gynaecologists and the British Fertility Society are finalising a joint statement warning that women in their 20s and 30s should think carefully before undergoing such a procedure so that they can pursue their careers before trying for a child in their 40s. Professor Bill Ledger, professor of obstetrics and gynaecology at Sheffield University and a member of the Human Fertilisation and Embryology Authority, said it was legitimate for a young woman with cancer to have her eggs frozen before chemotherapy seriously damaged her childbearing po...

All you need to know about having octuplets

Guardian Unlimited Science — Wed, 28 Jan 2009 00:01:00 +0100

1. How do octuplets happen?Not easily. Human females are designed to release one egg per month - even a release of two eggs, which could lead to twins, is unusual (that, after all, is why women have just the two nipples - in species where multiple births are common, the females are better endowed with feeding equipment). For a woman to conceive eight babies naturally, she would need to release maybe four or five eggs (extremely unlikely), and all or most of the eggs, once fertilised, would have to go on to split to form twins or triplets (again, this would be mind-bogglingly rare).What's more likely is for octuplets to be conceived as a result of fertility treatment, if a number of fertilised eggs were returned to the womb and these went on to split into two or three babies. (This couldn't...

HIV in Pregnancy : information for you

Mon, 26 Jan 2009 03:30:01 +0100

This patient information leaflet is aimed at those who have been diagnosed with HIV and are pregnant or planning to become pregnant. It explains the most effective treating a patient during pregnancy and labour, and how to protect the baby from HIV when it is in the womb, during birth and the first few weeks of its life. Produced by the Royal College of Obstetricians and Gynaecologists. (Source: Latest Internet resources added to Intute: Health and LifenSciences nursing gateway)

Pandemic Influenza - Are Maternity Services Prepared?

Health News from Medical News Today — Tue, 09 Dec 2008 17:00:00 +0100

A joint Royal College of Obstetricians and Gynaecologists (RCOG) and Department of Health conference examines the causes and consequences of a possible flu pandemic in the UK. Historical studies of a previous influenza pandemic have noted that those living in metropolitan areas and those in certain age groups were more susceptible to the flu virus. (Source: Health News from Medical News Today)

Free Public Lecture, RCOG Consumer's Forum: Birthing Choices, What Is The Best Option For You?

Health News from Medical News Today — Sun, 09 Nov 2008 08:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) Consumers' Forum is hosting a free public lecture, Birthing Choices: What is the best option for you?, in London at 6.30pm, Thursday 04 December. (Source: Health News from Medical News Today)

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Light drinking in pregnancy may be good for baby boys, says study

Guardian Unlimited Science — Fri, 31 Oct 2008 00:14:11 +0100

Boys born to mothers who drank lightly during pregnancy are better behaved and score more highly in tests at the age of three than the sons of women who abstained, according to a study published today.Researchers found there was no link between light drinking in pregnancy - defined as one to two units a week, or on occasion - and any behavioural or cognitive problems in children at the age of three.Surprisingly, the University College London study found that some of the children of light-drinking mothers appeared to be doing better than the babies of those who abstained.Boys born to mothers who drank lightly were 40% less likely to have conduct problems and 30% less likely to be hyperactive, even when the differences between social and economic circumstances were taken into account. They a...

'The Future Of Public Health' Launch Of The Royal Society For Public Health'

Public Health News From Medical News Today — Mon, 29 Sep 2008 08:00:00 +0100

On Tuesday 23rd September over 350 guests helped celebrate the birth of the Royal Society for Public Health (RSPH) at a prestigious afternoon event at the Royal College of Obstetricians and Gynaecologists. The launch represented the merger of the Royal Society of Health (RSH) and the Royal Institute of Public Health (RIPH) and marked the start of an exciting new chapter for the two organisations. (Source: Public Health News From Medical News Today)

Idiopathic mesenteric thrombosis following Caesarean section

Irish Journal of Medical Science — Thu, 25 Sep 2008 07:19:14 +0100

We describe a patient requiring a resection of 150 cm of gangrenous small bowel after uncomplicated elective Caesarean section. The only risk factor for thrombosis was recovery from an elective Caesarean section, a condition classified by the Royal College of Obstetricians and Gynaecologists as “low risk”1. Death from thromboembolism is the leading cause of maternal mortality2 and should always be considered with unusual post partum symptoms. Early diagnosis of mesenteric vascular occlusion is difficult and recent evidence suggests that elevated GST isoenzyme may be helpful3. In all cases of MVT anti-coagulation is the basis of treatment. Patients who are not anti-coagulated after surgery have a recurrence rate of 25 per cent compared with 13 per cent of heparinised post-...

Study Links Obesity To Recurrent Miscarriage

Obesity / Weight Loss / Fitness News From Medical News Today — Wed, 24 Sep 2008 15:00:00 +0100

New research released at the Royal College of Obstetricians and Gynaecologists (RCOG) 7th International Scientific Meeting in Montreal, has found that obesity significantly increases the risk of a subsequent pregnancy loss in women with recurrent miscarriages. (Source: Obesity / Weight Loss / Fitness News From Medical News Today)

HPV Vaccine - Is The Right Information Reaching The Right People?

Health News from Medical News Today — Fri, 19 Sep 2008 16:00:00 +0100

New research released at the Royal College of Obstetricians and Gynaecologists (RCOG) 7th International Scientific Meeting in Montreal, has investigated awareness of the HPV vaccination programme amongst women including availability, effectiveness and whether they would recommend it to others. HPV is responsible for 70% of all cervical cancers. (Source: Health News from Medical News Today)

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What Impact Does "Fertility Tourism" Have On The NHS?

Health News from Medical News Today — Fri, 19 Sep 2008 16:00:00 +0100

New research presented at the Royal College of Obstetricians and Gynaecologists (RCOG) 7th International Scientific Meeting in Montreal has looked at the impact of higher order multiple pregnancies (triplets or above) within the NHS and the link with fertility treatment received overseas. (Source: Health News from Medical News Today)

Abstracts of the Royal College of Obstetricians and Gynaecologists 7th International Meeting 2008, 17-20 September 2008, Montreal, Canada.

BJOG : An International Journal of Obstetrics and Gynaecology — Mon, 01 Sep 2008 04:00:00 +0100

Authors: PMID: 18798908 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

RCOG Release: Imaging Mother And Child Worldwide

Pregnancy News From Medical News Today — Thu, 28 Aug 2008 08:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) will host an evening lecture by award-winning photographer and filmmaker Nancy Durrell McKenna on 4 September. The event is organised by the Royal Photographic Society and is part of their International Awards. Ms McKenna was awarded the Combined Royal Colleges Medal in 2007. (Source: Pregnancy News From Medical News Today)

Fertility : assessment and treatment for people with fertility problems

Thu, 31 Jul 2008 10:57:02 +0100

This National Institute for Clinical Excellence (NICE) guideline on fertility problems was developed by the National Collaborating Centre for Women's and Children's Health in 2004. This is the full version of the guideline which is 236 pages long. Aimed at health professionals, guidance is given on : initial advice to people concerned about delays in conception; defining infertility; assessment and referral; principles of care; investigations; medical and surgical management of male and female fertility problems; in vitro fertilisation treatment; donor insemination; oocyte donation; cryopreservation in cancer treatment and follow-up of children born as a result of assisted reproduction. There is a summary of the evidence-based recommendations, a practice algorithm, glossary of terms and au...

British Doctors Foster Better Ties In Iraq To Reduce Toll Of Maternal And Neonatal Mortality

Health News from Medical News Today — Sun, 06 Jul 2008 09:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) will sign a Memorandum of Understanding (MoU) with the Ministry of Higher Education and Scientific Research, Kurdistan Regional Government, Iraq (HESR) in London. The MoU aims to improve maternal and neonatal healthcare in the Kurdistan Region, through education and clinical standards setting. (Source: Health News from Medical News Today)

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RCOG Releases Standards In Maternity And Gynaecology, UK

Pregnancy News From Medical News Today — Wed, 02 Jul 2008 09:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) releases two important documents focusing on women's healthcare. The documents are: - Standards for Maternity Care. A report from a working party, jointly produced by the RCOG, and Royal College of Anaesthetists, Royal College of Midwives, and Royal College of Paediatrics and Child Health. (Source: Pregnancy News From Medical News Today)

Post-operative abdominal adhesions—awareness of UK gynaecologists—a survey of members of the Royal College of Obstetricians and Gynaecologists

Gynecological Surgery — Tue, 24 Jun 2008 07:55:51 +0100

Abstract With the recent publication of the European Society of Gynaecological Endoscopy consensus position on adhesion reduction, all members of the Royal College of Obstetricians and Gynaecologists were sent a postal survey with the aim to understand and benchmark UK gynaecological surgeons’ attitudes and actions on adhesions. As expected, of the 356 who responded, gynaecological surgeons (72%) were the majority. Over 85% of respondents agreed that adhesions develop after any type of gynaecological surgery, and more than 50% considered adhesions were now the most common complication of abdominal surgery. Approximately four out of five respondents agreed that all gynaecological patients should be informed of the risk of adhesions and 61% noted that they routinely inform...

Hysteroscopy training in the UK: the trainees’ perspective

Gynecological Surgery — Tue, 20 May 2008 06:18:15 +0100

Abstract The advanced hysteroscopy special skills module has been developed by the Royal College of Obstetricians and Gynaecologists (RCOG) in association with the British Society of Gynaecologic Endoscopists (BSGE). It is mainly aimed at senior specialist registrars in obstetrics and gynaecology in their final two years of training, but it can also be undertaken by non-training posts in the same field. By completion of the module, ideally within a year, trainees are expected to have reached independent competence in performing both diagnostic, as well as operative hysteroscopy. A survey was done on trainees attending the mandatory course at the RCOG (intermediate/advanced hysteroscopic surgery course in 2006), which is part of the requirement for obtaining the Advanc...

In women who have their antenatal booking appointment with a midwife, are GPs required to perform auscultation of the fetal or the mother's heart beat during the pregnancy?

NLH Question Answering Service — Wed, 07 May 2008 09:36:34 +0100

We searched the NLH Women's Health Specialist Library, TRIP and NLH Guidelines databases and the Royal College of Obstetricians and Gynaecologists website for antenatal guidelines but found no recommendations concerning listening to heart sounds in the mother (in uncomplicated pregnancies). Concerning listening to the fetus' heart beat, the NICE guideline on antenatal care states:"1. (Source: NLH Question Answering Service)

In women who have their antenatal booking appointment with a midwife, are GPs required to perform auscultation of the fetal or the mother's heart beat during the pregnancy?

NLH Question Answering Service — Tue, 06 May 2008 17:21:42 +0100

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Antenatal guidelines recommend iron + folic acid for anaemia in pregnancy with a normal MCV. What is the recommended dose of folic acid in this situation?

NLH Question Answering Service — Thu, 01 May 2008 17:36:16 +0100

The PatientPlus website contains an article on anaemia in pregnancy and in which it states:"The Royal College of Obstetricians and Gynaecologists advise that women should be offered screening for anaemia at booking and at 28 weeks gestation. 1 Hb ≤10. (Source: NLH Question Answering Service)

Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications

Surgical Endoscopy — Thu, 10 Apr 2008 06:51:16 +0100

Conclusions Despite widespread awareness of laparoscopic entry guidelines, there remains considerable variation in the techniques adopted in clinical practice. Unless practice concurs with recommended guidance, women undergoing laparoscopy will be exposed to increased unnecessary operative risk. Laparoscopic entry-related injury in an uncomplicated woman is considered negligent practice according to UK legal case law. Content Type Journal ArticleDOI 10.1007/s00464-008-9871-6Authors Rajesh Varma, Guy’s and St. Thomas’ NHS Foundation Trust, St. Thomas’ Hospital Department of Women’s Health 10th Floor, North Wing, Westminster Bridge Road London SE1 7EH UKJanesh K. Gupta, Birmingham Women’s Hospital Department of Obstetrics and Gynaecology 2nd Floor Birmingham ...

The local adaptation of national recommendations for preventing early-onset neonatal Group B Streptococcal disease in UK maternity units

Journal of Health Services Research and Policy — Tue, 01 Apr 2008 04:00:00 +0100

Conclusions There are considerable differences in the GBS protocols used in maternity units in the UK despite the availability of a national guideline. Consequently, some high-risk women may not receive IAP while some women without risk factors are treated needlessly. While local adaptation may be for legitimate reasons, the processes used in some units seem to require improvement. (Source: Journal of Health Services Research and Policy)

Royal College Issues Guidance On The Management Of Premenstrual Syndrome, UK

Health News from Medical News Today — Thu, 28 Feb 2008 11:00:00 +0100

The Royal College of Obstetricians and Gynaecologists (RCOG) has issued guidance on the management of premenstrual syndrome (PMS). The new document Green-top Guideline No.48: Management of Premenstrual Syndrome reviews the diagnosis and management of PMS, including complementary therapies, and is the first guidance to be issued on the topic. (Source: Health News from Medical News Today)

RCOG To Celebrate 50 Years Of Ultrasound, UK

Health News from Medical News Today — Thu, 28 Feb 2008 11:00:00 +0100

2008 sees the 50th anniversary of a world first - the publication of the first paper on the use of ultrasound in obstetrics and gynaecology. Ultrasound has caused a revolution in medical care and in celebration the Royal College of Obstetricians and Gynaecologists (RCOG) is hosting a daylong commemorative event on Friday, 29 February. (Source: Health News from Medical News Today)

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New guidance on the effects of cancer treatment on reproductive functions

Society for Endocrinology — Mon, 21 Jan 2008 12:00:00 +0100

The Royal College of Physicians, The Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists in the UK have published new guidance on the effects of cancer treatment on reproductive functions. Approximately 11,000 patients in the 15–40 age group are diagnosed with cancer each year, and for many of these younger cancer patients fertility is or will become extremely important. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. More information is available via the link below. RCP website (Source: Society for Endocrinology)

Guidance issued on the effects of cancer treatment on reproductive functions

NeLM Headline News — Fri, 18 Jan 2008 00:00:00 +0100

NHS networks reports that new guidance produced by the Royal College of Physicians, the Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists provides the latest information on the effects of cancer treatment on reproductive functions. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. The guidance can be purchased from the RCP for £18 – see guidance link above. (Source: NeLM Headline News)

The effects of cancer treatment on reproductive functions

NHS Networks — Thu, 17 Jan 2008 15:19:06 +0100

New guidance produced by the Royal College of Physicians, the Royal College of Radiologists and the Royal College of Obstetricians and Gynaecologists provides the latest information on the effects of cancer treatment on reproductive functions. Approximately 11,000 patients in the 15–40 age group are diagnosed with cancer each year, and for many of these younger cancer patients fertility is or will become extremely important. The report aims to improve standards of management of fertility for these patients, calling for nationwide provision and funding, and for a scientific approach to future developments. This guidance is essential reading for all clinicians and health professionals involved in cancer care. For more information and to purchase a copy, call 0207 935 1174 ext.358 or...

RCOG Toasts Achievements Of Medical Students And Young Doctors, UK

Pregnancy News From Medical News Today — Wed, 09 Jan 2008 10:00:00 +0100

On Thursday, 24 January 2008, the Royal College of Obstetricians and Gynaecologists (RCOG) will host the Medical Student and Young Doctors' Annual Awards Evening in London.This free event, entitled "Celebrating Success and Commitment to the Specialty of Women's Health", will acknowledge the achievements of those embarking on their career in obstetrics and gynaecology. (Source: Pregnancy News From Medical News Today)

In a patient with 5 days of 'spotting' prior to her menses starting, which would you considar as the 1st day of her cycle?

NLH Question Answering Service — Wed, 02 Jan 2008 17:28:47 +0100

In answering this question, we do not know the age of the patient, the method of contraception she might be using and whether or not the spotting is occurring on a regular basis. We searched the NLH Women's Health Specialist Library, the TRIP and Medline databases, GPNotebook and the website of the Royal College of Obstetricians and Gynaecologists but found little robust information on this issue. (Source: NLH Question Answering Service)

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What are the statistical chances of a successful pregnancy in a 26 year old lady who has had a Left salpingoophrectomy for an ectopic pregnancy who has a retroverted uterus but no established risk factors for ectopic pregnancy?

NLH Question Answering Service — Wed, 05 Dec 2007 16:46:34 +0100

Unfortunately, we cannot answer this question. We searched the NLH Library for Women's Health, the TRIP and Medline databases and the website of the Royal College of Obstetricians and Gynaecologists but found no guidelines or studies reporting successful pregnancy rates in patients who have undergone a unilateral salpingo-oophorectomy (with or without a retroverted uterus). (Source: NLH Question Answering Service)

Is there any clear guideline for follow up of women with pre eclampsia post natally? How long and how often should we monitor their BP and how should we reduce/stop their antihypertensives?

NLH Question Answering Service — Mon, 19 Nov 2007 12:51:19 +0100

The Royal College of Obstetricians and Gynaecologists issued a guideline on the management of severe eclampsia/eclampsia in March 2006. They recommend:"Anti-hypertensive medication should be continued after delivery as dictated by the blood pressure. (Source: NLH Question Answering Service)

In external cephalic version of a foetus, are there any neurological risks to the foetus?

NLH Question Answering Service — Wed, 14 Nov 2007 11:50:16 +0100

The Royal College of Obstetricians and Gynaecologists recently (December 2006) published a guideline on external cephalic version [1] and this included a section on safety:"Women should be counselled that ECV has a very low complication rate. Women should be alerted to potential complications of ECV. (Source: NLH Question Answering Service)

Royal College of Obstetricians and Gynaecologists

RDFunding RSS feed — Sat, 03 Nov 2007 13:30:07 +0100

The ENTOG Exchange and Meeting Amount: Unspecified Closing Date : 30 November 2007 Ethicon Travel Awards Amount: Unspecified Closing Date : 31 January 2008 Green-Armytage and Spackman Travelling Scholarship Amount: less than £5K Closing Date : 31 March 2008 (Source: RDFunding RSS feed)