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EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): iii-iii
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Neil McClure Source Type: journals

Acute colonic pseudo-obstruction after caesarean sectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 207-213 Key content: In acute colonic pseudo-obstruction (Ogilvie's syndrome) there is an adynamic ileus without mechanical obstruction, characterised by dilatation of the caecum and right colon. In obstetrics it is usually associated with caesarean section. Early diagnosis and appropriate treatment are imperative to avoid caecal rupture, faecal peritonitis and the associated high maternal mortality. Conservative and pharmacological therapies are effective in many women, but surgical intervention may be required. Learning objectives: To learn to recognise the condition. To understand ...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Aparna Kakarla Helena Posnett Asha Jain Mark George Alok Ash Source Type: journals

A clinical approach to the management of thrombosis in obstetrics. Part 1: screening and prophylaxis of venous thromboembolismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 215-221 Key content: Pregnancy and the puerperium are important risk factors for venous thromboembolism, but the presence of thrombophilia and a history of previous thrombosis are of greater significance. Selective screening in pregnancy of women with a personal or family history of thrombosis or a history of poor pregnancy outcome may be of value, as around 50% of such women will have acquired or inherited thrombophilia. There is a broad international agreement that low molecular weight heparin is the anticoagulant of choice in pregnancy, based on its widespread use over the last 10 ...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Farah Asghar Paul Bowman Source Type: journals

Is ultrasound safe?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 222-227 Key content: Although the general perception is that ultrasound imaging has no adverse effects on the mother or the fetus, evidence collated from laboratory studies has shown effects of potential clinical significance. Potential bioeffects of ultrasound can be either thermal or mechanical. The two safety indices most commonly used are the thermal index (TI) and the mechanical index (MI). Learning objectives: To learn about: The current thoughts on the bioeffects of ultrasound Types of safety indices Safety guidelines issued by recognised bodies Evidence of long-term adverse ef...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Jolly Joy Inez Cooke Mark Love Source Type: journals

Use of the new progestogens in contraception and gynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 229-234 Key content: There has been a continuing drive to develop 'cleaner' and more progesterone receptor-specific progestogens in the hope of enhancing certain qualities and minimising others, such as androgenic properties. In the last five to 10 years several new progestogens have become available, including: dienogest, drospirenone, nomegestrol acetate, nestorone and trimegestone. These new progestogens do offer more therapeutic choice but the real way forward appears to lie in the development and incorporation of these in novel delivery systems. Learning objectives: To learn abou...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Diana Mansour Source Type: journals

Young people and the Fraser guidelines: confidentiality and consentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 235-239 Key content: Under the Sexual Offences Act 2003, sexual intercourse and all forms of sexual touching of a minor are illegal in England and Wales. There is no legal obligation to report underage sex unless exploitation is suspected. Under the Fraser guidelines, a doctor is able to give contraceptive treatment or advice to a person under the age of 16 years, provided certain criteria are met. The duty of confidentiality owed to a person under 16 years of age is the same as that owed to any other person. All staff who deal with minors in a health setting need to be able to weigh ...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Charlotte F Fleming Source Type: journals

Patient confidentiality in STIs: current guidance and legal issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 240-244 Key content: Patient confidentiality is a key tenet in all areas of medicine. However, circumstances exist where confidentiality must be broken in the patient's or society's best interests. It is permissible to over-rule a patient's desire for anonymity where it could endanger the life of another health care professional or patient. Where a doctor has a serious communicable disease and there is reason to believe they are practising in a way that places patients or others at risk, there is a duty to inform an appropriate person at the doctor's place of work. As a general princi...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Sameena Kausar Caroline S Bradbeer Source Type: journals

Consent in assisted conceptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 245-250 Key content: The Human Fertilisation and Embryology Act 1990 specifies the conditions and ways in which human gametes and embryos may be used or stored in the UK. The HFEA Code of Practice covers issues of consent and quotes the relevant paragraphs of the Act for each section. The cornerstone of the regulation of assisted reproduction in the UK is the formal consent to the use and storage of gametes and embryos. This is recorded on forms HFEA (00)6 (for sperm and embryos) and (00)7 (for eggs and embryos). Learning objectives: To learn about the general principles of consent in...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Robert Sawers Sue Avery Source Type: journals

Laparoscopic management of tubal ectopic pregnancy: availability of trainingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 251-255 Key content: A recent RCOG guideline stated that, in a woman who is haemodynamically stable, a laparoscopic approach to the surgical management of tubal ectopic pregnancy is preferable to an open approach. Two national surveys showed that the technique was employed routinely in only 27% and 35% of cases. In surveys, trainees in obstetrics and gynaecology frequently commented that they needed more supervision by consultants when carrying out this procedure. Learning objectives: To learn about why improvements need to be made in training for this procedure. To learn about the op...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Najum S Qureshi Jo J Wiener Asoka NA Weerakkody Source Type: journals

Using an assessment centre to select doctors for postgraduate training in obstetrics and gynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the design and implementation of an assessment centre for selecting doctors into the postgraduate training programme in obstetrics and gynaecology in the South Yorkshire and South Humber Deanery. This is the first time this has been attempted in the UK. Learning objectives: Understand how an assessment centre is developed. Understand the rationale for the use of assessment centres in the selection process. Be in a position to set up an assessment centre for local recruitment. Please cite this article as: Randall R, Stewart P, Farrell K, Patterson F. Using an assessment centre to select doctors for postgraduate ...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Ray Randall Peter Stewart Kath Farrell Fiona Patterson Source Type: journals

Answers to questions for volume 8, number 2Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 263-267
Source: The Obstetrician - November 1, 2006 Category: OBGYN Source Type: journals

Questions for volume 8, number 4Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 268-270
Source: The Obstetrician - November 1, 2006 Category: OBGYN Source Type: journals

Ultrasound: The Requisites, 2nd editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 272-272 The latest edition of this textbook on ultrasound is an up-to-date exposition of general and obstetric ultrasonography. It would equally suit a trainee in radiology or in obstetrics and gynaecology. The first half covers general and vascular ultrasonography. The first chapter is one of the clearest and most practical explanations of the relevant physics I have read and this continues throughout the book. The second half is dedicated to ultrasonography in obstetrics and gynaecology, primarily covering obstetrics and early pregnancy scanning and containing a chapter covering the pelvis and uterus.
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Janet Ashworth Alison Ashworth Source Type: journals

International Handbook of Chlamydia, 2nd editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 272-272 This book deals almost exclusively with genital infection due to Chlamydia trachomatis serovars D to K. The book is divided into easily digestible chapters with a few having a very UK-centric slant. The chapters are well written and address their subject matter thoroughly. Multiple authors who are respected in their field have ensured that the views presented are well researched. However, occasionally their definitions can conflict. More diagrams would improve readability, especially in the chapter on trachoma. In my opinion, there is very little evidence provided in the chapt...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Ade Apoola Source Type: journals

Watch Me Grow! A Unique, 3-Dimensional, Week-by-Week Look at Baby's Behaviour and Development Inside the WombEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 272-272 This book is aimed at expectant parents and may also be a useful tool for midwives and practitioners providing antenatal care as an inexpensive aid to discussions about fetal development. It illustrates the benefits of scanning in visualising the face and extremities and is interspersed with information on in utero behaviour, linking this to postnatal life. It is simply written, with the fetus often in the first person. Each chapter commences with a description of the main areas of growth and development within each trimester. Detailed images taken from 3-D and 4-D ultrasound ...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Emma Treloar Timothy Draycott Source Type: journals

Quality and Risk Management in the IVF LaboratoryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 273-273 This is a clearly written introduction to quality and risk management looking specifically at issues faced by IVF laboratories, from authors with many years of experience in the specialty. They have succeeded in producing an account that is not only highly readable but also authoritative and well referenced. The book discusses the total quality management system (QMS) which, aside from being a requirement of regulatory bodies, brings clear benefits to working practice and service delivery as shown in many areas of industry and medical practice. The authors encourage readers to...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Alex Ross Daniel Brison Source Type: journals

Surgery, Assisted Reproductive Technology and Infertility: Diagnosis and Management of Problems in Gynecologic Reproductive Medicine, 2nd editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 273-273 The authoritative single author text is an increasingly rare phenomenon in specialist medical literature but this book, by a renowned reproductive surgeon and ART specialist, shows how the limitations of the genre can be overcome through a combination of breadth of coverage and attention to the evidence base. The emphasis throughout is on formulating management plans based on outcomes analysis, taking into account the likelihood of 'success', the cost of treatment for each option and cost-benefit analysis where appropriate. The focus is on treating the woman in her specific cl...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Rajneesh Mathur Source Type: journals

Menopause, Postmenopause and AgeingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 273-273 In the United Kingdom the average female life expectancy is 81 years, while the median age at the menopause is about 51 years. Women in the UK are, therefore, expected to live for approximately 30 years after the menopause. There is an increasing need to focus on health issues concerning older women. This compact book, published on behalf of the British Menopause Society, provides a valuable additional source of information on health problems after the menopause, such as dementia, ischaemic stroke, myocardial infarction, osteoporosis, osteoarthritis and urinary incontinence, a...
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: RK Bhathena Source Type: journals

@ TOGEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 274-275 In this issue of TOG we review MRCOG Part 2 related websites. Access to online Multiple Choice Questions (MCQs), Extended Matching Questions (EMQs) and essays, along with tutorials, can be a very useful adjunct to the revision process.
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: Katharine Edey Sonia Barnfield Julian Jenkins Source Type: journals

The sports pageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(4): 276-276
Source: The Obstetrician - November 1, 2006 Category: OBGYN Authors: James Drife Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): iii-iii
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Neil McClure Source Type: journals

Pregnancy and the eyeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 141-146 Changes in metabolism, hormone profile and blood circulation that normally occur during pregnancy can affect functioning of the mother's eyes. Visual changes in pregnancy are common and many are specifically associated with pregnancy itself. Knowledge of these ocular changes can help to differentiate the physiological changes from ocular manifestation of systemic disease and diseases pertaining to the eye in a pregnant woman. The effects of pregnancy on the eye are reviewed in this article. Please cite this article as: Sharma S, Wuntakal R, Anand A, Sharma TK, Downey G. Pregna...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Sushma Sharma Rekha Wuntakal Aashish Anand Tarun K Sharma Gabrielle Downey Source Type: journals

Cancer of the fallopian tubeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 147-152 Primary cancer of the fallopian tube is a rare malignancy of the female genital tract. The majority are papillary serous adenocarcinomas. Malignant epithelial lesions of the fallopian tube behave in a similar way to malignant epithelial ovarian tumours. Diagnosis of primary fallopian tube malignancies is difficult, especially in the earlier stages. Careful surgical and pathological staging is important. The management of fallopian tube cancer is similar to that of ovarian cancer. Although the overall survival at five years of women with epithelial tubal cancer is higher than f...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Pradip Kumar Goswami Richard Kerr-Wilson Keith McCarthy Source Type: journals

Symphysis pubis dysfunction: a practical approach to managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes recent developments and discusses the controversies surrounding its treatment. With an improved knowledge of the condition and incorporation of the recommendations in this article it is hoped that healthcare professionals will be able to reduce the severity of the symptoms in those women affected. Please cite this article as: Jain S, Eedarapalli P, Jamjute P, Sawdy R. Symphysis pubis dysfunction: a practical approach to management. The Obstetrician & Gynaecologist 2006;8:153-158.
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Smita Jain Padma Eedarapalli Pradumna Jamjute Robert Sawdy Source Type: journals

IVF: how can we reduce the risks of infection?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article looks at ways in which the risk of infection can be reduced, both by good clinical technique and by using antibiotic prophylaxis. Please cite this article as: Sowerby E, Parsons J. IVF: how can we reduce the risks of infection? The Obstetrician & Gynaecologist 2006;8:159-163.
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Emma Sowerby John Parsons Source Type: journals

What should we tell women preoperatively?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to show the significance of the consent process. It provides guidance on consent in gynaecological surgery and the areas that must be covered. The content of the preoperative discussion and the means of conveying information, including the risks of complications and unexpected surgical procedures, are considered. The competencies of doctors to provide information are discussed, as well as where to find sources of information. We conclude that the education and training requirements of doctors and medical students need to be addressed in relation to the information needs of women. In particular, doctors an...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Fidelma O'Mahony Ioannis Koutoukos Vijay Menon Source Type: journals

Molecular cytogenetics in obstetric practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 171-176 Results from the culture and full karyotyping of prenatal samples typically take at least 14 days to obtain. In contrast, results from the latest molecular cytogenetic techniques for the most common aneuplodies are available within 24-48 hours of receipt. A recent interim recommendation by the UK National Screening Committee was that new screening programmes for Down syndrome need not include follow-up karyotyping. In this article, the advantages and disadvantages of these tests are discussed. Evidence is available to support that they are accurate and efficient enough to be u...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Joy DA Delhanty Source Type: journals

Botulinum toxin type A: applications in urogynaecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the mechanism of action, potential indications for use, preoperative management and side effects. The techniques used are also described. Botulinum toxin type A injection has an excellent safety and tolerability profile across a wide range of urological uses, but there is a need for further evaluation with randomised, placebo-controlled trials. Please cite this article as: Sinha D, Arunkalaivanan AS. Botulinum toxin type A: applications in urogynaecology. The Obstetrician & Gynaecologist 2006;8:177-180.
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Deepali Sinha Angamuthu S Arunkalaivanan Source Type: journals

EMQs: a new component of the MRCOG Part 2 examEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the background to the decision to introduce Extended Matching Questions into the Part 2 MRCOG written examination. It outlines the customary structure of Extended Matching Questions, using two examples, and describes how they are written. The aims of the paper are to explain the educational and evaluative benefits of adding these questions to the range of examination formats, and to provide some tips to candidates on how to prepare for and successfully attempt them. Please cite this article as: Duthie S, Hodges P, Ramsay I, Reid W. EMQs: a new component of the MRCOG Part 2 exam. The Obstetrician & Gy...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Suresh Duthie Paul Hodges Ian Ramsay Wendy Reid Source Type: journals

The journal club: a modern model for better service and trainingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 186-189 In addition to enabling members to keep abreast of the current medical literature, a journal club is an important forum for teaching research methodology, clinical epidemiology and statistics, as well as providing opportunities for training in clinical decision making and gaining critical appraisal skills. It can be used to facilitate an evidence based approach to problem solving, as a tool for informing guideline development and to enable an exchange of insights regarding clinical problems. It also provides an opportunity for social interaction. In this paper we discuss the a...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Yousri Afifi James Davis Khalid Khan Mary Publicover Harry Gee Source Type: journals

Answers to questions for volume 8, number 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 190-195
Source: The Obstetrician - July 20, 2006 Category: OBGYN Source Type: journals

Questions for volume 8, number 3Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 196-198
Source: The Obstetrician - July 20, 2006 Category: OBGYN Source Type: journals

Adnexal masses in pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 199-199
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Mike Divers Source Type: journals

Author's replyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 199-199
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Chris Spencer Phil Robarts Source Type: journals

Obstetric and Gynaecology Ultrasound - A Self-Assessment GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 201-201 Written by a radiographer, this excellent new book is a study guide and self-assessment tool for trainees in the field of obstetric and gynaecological ultrasound. It will also be of interest to those wishing to keep up to date. The book is divided into three sections: questions, answers and an appendix with further information. In section one each set of questions begins with clearly laid out learning objectives and a short introduction, followed by a comprehensive range of short questions. Good quality line diagrams and high-resolution ultrasound images are used throughout to...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Ann Harper Source Type: journals

Handbook of Clinical Laboratory Testing During PregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 201-201 This book sets out to demonstrate all aspects of laboratory work that pertain to pregnancy, providing useful background detail for clinicians. Each chapter is written by an author with a particular interest in the subject and is thorough and well referenced. All the authors are North American and the emphasis is, understandably, on clinical practice in that part of the world. The majority of the information is easily transferable to our practice, although the different methods of expressing results may be a nuisance (for example, glucose levels expressed as mg/dl, rather than ...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Kevin Harrington Source Type: journals

Yen and Jaffe's Reproductive Endocrinology: Physiology, Pathophysiology and Clinical Management, 5th editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 201-201 This edition provides a comprehensive overview of reproductive pathophysiology and disorders - from pregnancy and birth to reproductive aging. Reflecting the advances in this field, 13 new chapters have been added, in addition to significant updates. The text is well illustrated and each chapter provides the relevant key references. The first chapter alone cites 667 references, illustrating the depth of knowledge presented. The book is divided into three parts. Part I covers the endocrinology of reproduction. Part II, covering pathophysiology and therapy, describes the underly...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Julian Jenkins Source Type: journals

Infectious Diseases in Obstetrics and Gynaecology, 5th editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 202-202 This large reference textbook, with over 700 pages, appendices and an index, is in its fifth edition and is a major revamp of the third edition. The book is in four sections: general considerations, organisms and two 'problem areas', i.e. obstetrics and gynaecology. While there are some exceptionally well referenced, up-to-date chapters such as that on immunological defence mechanisms of the female genital tract, in the bibliographies the references are not cited but listed as selected reading. The book has the feel of being experience based, not evidence based, and I do not h...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Ronald F Lamont Source Type: journals

Beyond the Disappointment of SexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 202-202 This book is written by eminent psychotherapist, Dr Christie-Brown. It explores the origins of difficulties within partnerships and, in particular, sexual relationships. There is an interesting section on the impact of fertility and infertility on relationships, which may provide a useful insight for fertility specialists, nurses and counsellors. I was a little disappointed that only one chapter was devoted to treating sexual disharmony, the aetiology of which had been explored in detail. A single method of management was described, which I have no doubt would be very valuable...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Dr Ralph Roberts Source Type: journals

MCQs for MRCOG Part 1: A Self-Assessment GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 202-202 As its title states, this is a 'self-assessment guide', requiring prior knowledge of the syllabus, rather than a learning text. There are 240 MCQs with the same structure as the MRCOG. Unlike the exam, the second half consists of the answers with explanations. The questions are a continuous text without subdivision into specific subjects. This encourages you to focus on the whole curriculum rather than your favourite topics, which is a common mistake during revision. The CD ROM provides a light and tasty alternative to the book and contains the MCQs in a random order. It tests...
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Margaret Wilson Source Type: journals

@ TOGEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 204-205 This month we have reviewed a selection of websites that are useful for clinicians with an interest in medical education. The importance of this area of medicine has grown in the last few years and it is, therefore, timely to review the resources available online. The websites included are generic sites aimed across specialties and include both postgraduate and undergraduate education.
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: Jane Mears Timothy Draycott Julian Jenkins Source Type: journals

Fine diningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(3): 206-206
Source: The Obstetrician - July 20, 2006 Category: OBGYN Authors: James Drife Source Type: journals

Magnetic resonance imaging of the fetusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides the background to the technique and discusses where it is most useful in clinical practice. The final section gives an overview of the future possibilities as experience with the technique increases. Please cite this article as: Whitby EH, Paley MNJ, Griffiths PD. Magnetic resonance imaging of the fetus. The Obstetrician & Gynaecologist 2006;8:71-77.
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Elspeth H Whitby Martyn NJ Paley Paul D Griffiths Source Type: journals

Cystoscopy for gynaecologistsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 78-85 Cystoscopy is a commonly employed procedure in both urological and gynaecological practice. Unfortunately, the practicalities of when and how to perform cystoscopy are often poorly taught during general gynaecological training. A basic understanding of the equipment as well as a systematic approach to performing cystoscopy is the key to gaining the full benefit of this procedure and ensuring no pathology is missed. The technique and indications for cystoscopy in routine gynaecological practice are discussed. Please cite this article as: Foon R, Elbiss H, Moran PA. Cystoscopy for...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Richard Foon Hassan Elbiss Paul A Moran Source Type: journals

Urodynamics: a mandatory preoperative investigation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 86-90 Urodynamic testing is the accepted method of investigating urinary incontinence. The Royal College of Obstetricians and Gynaecologists recommends urodynamic testing prior to surgery for stress urinary incontinence. However, there are no clear guidelines for its use prior to other forms of gynaecological surgery. This review gives an overview of urodynamics, their role and indications, and discusses the evidence for urodynamic testing in different clinical scenarios. Please cite this article as: Fowler G, Richmond D. Urodynamics: a mandatory preoperative investigation? The Obstet...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Gillian Fowler David Richmond Source Type: journals

Non-invasive prenatal diagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 91-95 Obtaining fetal material for molecular analysis without the need for invasive procedures has been a goal of fetal medicine for many years. This is becoming a reality now that circulating cell-free fetal nucleic acids can be detected in maternal plasma. Tests are already being used in clinical practice for the management of X-linked conditions through the determination of fetal sex and for red cell alloimmunisation by prediction of fetal rhesus D status. The sensitivity of this technique produces highly accurate results, thereby reducing the number of invasive procedures needed. ...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Sebastian Illanes Sherif Abdel-Fattah Peter Soothill Source Type: journals

An alternative approach to the menopauseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 96-102 Alternatives to hormone replacement therapy (HRT) for the relief of menopausal symptoms include lifestyle and dietary changes, over-the-counter nutritional supplements and complementary therapies, many of which are considered to be natural. However, there is a lack of evidence to confirm benefits or highlight possible adverse effects. In this article, the effectiveness and safety of these alternative therapies are discussed. Some prescribed medications are also considered. Alternatives are not generally as effective as HRT, but they can help to reduce some symptoms. Please cite...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Janet Brockie Source Type: journals

Advances in hysteroscopic sterilisationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 103-106 Hysteroscopic sterilisation performed in the outpatient setting avoids the risks and discomfort associated with the laparoscopic procedure. A variety of techniques has been assessed and discarded, mainly because of poor efficacy. More recently, the EssureR procedure has been shown to be easy to perform, acceptable to women and highly effective at five-year follow-up. However, concerns remain about the absolute irreversibility of this method of sterilisation. Other devices in development may prove to be equally effective but reversible. When introducing any new therapy it is im...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Andrew J Baxter Source Type: journals

Assessing practical skills in obstetrics and gynaecology: educational issues and practical implicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the current situation in obstetrics and gynaecology and the challenges ahead for the trainers who will be using the tools that are being developed. All doctors involved in obstetrics and gynaecology training need to embrace this important initiative and as a specialty we need to ensure that the tools introduced are reliable, valid and easy to use. Please cite this article as: Bisson DL, Hyde JP, Mears JE. Assessing practical skills in obstetrics and gynaecology: educational issues and practical implications. The Obstetrician & Gynaecologist 2006;8:107-112.
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Dina L Bisson Judith P Hyde Jane E Mears Source Type: journals

Update on human papillomavirus vaccinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Obstetrician & Gynaecologist 8(2): 113-116 While progress has been slow in the field of therapeutic vaccination, the subject of prophylactic vaccination has hit the headlines and generated much interest. Results from trials of prophylactic vaccination are exciting and demonstrate that virus-like particle vaccines are safe, immunogenic and effective at protecting against persistent human papilloma virus infection and intraepithelial neoplasia. However, a number of important and complex issues need to be addressed for successful implementation, including scientific, economic, epidemiological and psychosocial consideratio...
Source: The Obstetrician - July 8, 2006 Category: OBGYN Authors: Alison Fiander Source Type: journals