An Evidence-Based Clinical Textbook in Obstetrics and Gynaecology for MRCOG-2

2018 ◽  
Author(s):  
Richa Saxena
Keyword(s):  
Evidence Based ◽  
Obstetrics And Gynaecology

Oxford Textbook of Obstetrics and Gynaecology

2020 ◽  
Keyword(s):  
Clinical Practice ◽  
Pelvic Floor ◽  
Reproductive Medicine ◽  
Pelvic Floor Disorders ◽  
Evidence Based ◽  
Treatment Algorithms ◽  
Obstetrics And Gynaecology ◽  
Neonatal Problems ◽  
Readable Text ◽  
Vital Resource

The Oxford Textbook of Obstetrics and Gynaecology is an up-to-date, objective, and readable text that covers the full speciality of obstetrics and gynaecology. This comprehensive and rigorously referenced textbook will be a vital resource in print and online for all practising clinicians. Larger sections on the basics in obstetrics and gynaecology, fetomaternal medicine, management of labour, gynaecological problems, and gynaecological oncology are complemented by specialist sections on areas such as neonatal care and neonatal problems, reproductive medicine, and urogynaecology and pelvic floor disorders, to name a few. The evidence-based presentation of current diagnostic and therapeutic methods is complemented in the text by numerous treatment algorithms, giving the reader the knowledge and tools needed for effective clinical practice.

scholarly journals Hyperemesis gravidarum in the primary care setting: Cross-sectional study of general practitioners

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0119
Author(s):  
Melanie Nana ◽  
Holly Morgan ◽  
Haroon Ahmed ◽  
Catherine Williamson
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Hyperemesis Gravidarum ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Confidence Levels ◽  
Obstetrics And Gynaecology ◽  
In Pregnancy

BackgroundHyperemesis gravidarum (HG), if untreated, can lead to malnutrition, dehydration and Wernicke’s encephalopathy. Fetal complications include low birth weight and neurodevelopmental delay. Recent evidence supports increased rates of termination of pregnancy and suicidal ideation. Drivers included difficulty in accessing medications which thus contributed to poor perception of care.AimIdentify factors that may influence prescribers’ confidence and knowledge regarding pharmacological therapy for HG.Design & settingCross-sectional study of qualified GPs (General Practitioners) and GP trainees in Wales.MethodDistribution of a 22-item online survey. Statistical analysis was carried out using SPSS.Results241 responses were received with 216 included in the analysis (59% qualified GPs, 41% GP trainees). In total, 93% of respondents correctly identified cyclizine as being safe in pregnancy, but no other drug recommended in the Royal College of Obstetrics and Gynaecology guidance was considered safe by more than 58%. Those reporting higher confidence levels in managing HG were more likely to correctly report guideline recommended drugs as safe in pregnancy (P=0.04). Additional qualifications related to obstetrics and gynaecology and/or prior clinical experience increased confidence levels (P=0.0001 and P=0.0002 respectively). Only 19% of participants routinely screened for signs of mental health complications and prior experience/education did not increase likelihood of this happening. 87% of participants would like additional education/access to evidence-based resources.ConclusionThis study demonstrates a demand for improved dissemination of evidence-based education to support those working in primary care. The extent to which HG is covered in pre-existing educational programmes should also be revisited.

scholarly journals Incomplete Staging in Ovarian Cancer

2020 ◽  
Author(s):  
Jogchum Beltman ◽  
P Laven ◽  
JE Bense ◽  
Maaike van der Aa ◽  
MC Vos ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Lymph Nodes ◽  
Early Stage ◽  
Pelvic Lymph Node Dissection ◽  
Surgical Staging ◽  
Evidence Based ◽  
National Guidelines ◽  
Obstetrics And Gynaecology ◽  
Analysis Technique ◽  
Do So

Abstract Objective Incomplete surgical staging of patients with early stage epithelial ovarian cancer (EOC) has been reported in up to 85% of cases, when based on the International Federation of Obstetrics and Gynaecology (FIGO) staging procedure. The aim of the present retrospective study was to clarify the reasons for incomplete staging.Methods The PRISMA (Prevention Recovery Information System for Monitoring and Analysis) technique was used to evaluate cases with FIGO I-IIa EOC based on incomplete staging from five gynecologic oncologic center hospitals in the Netherlands in the period 2010-2014.Results Fifty cases with an incomplete surgical staging of EOC according to national guidelines were included. The most common reasons for incomplete staging were insufficient random biopsies of the peritoneum (n=34, 68%), and less than ten lymph nodes being resected and/or found at pathology (n=16, 32%). The most mentioned reasons for not performing biopsies were forgetting to do so, and believing that after careful inspection and palpation, taking biopsies is irrelevant and/or already are being taken while performing a hysterectomy (cul-de-sac, bladder). The value of contralateral pelvic lymph node dissection in case of a unilateral ovarian malignancy was also doubted, influencing the number of lymph nodes resected.Conclusion The most important reasons for incomplete staging in EOC are, besides omitting elements by accident, questioning the importance of obligatory elements of the staging procedure. A structured list of staging steps during surgery and more evidence based consensus concerning these obligatory elements might increase the number of complete staging procedures in EOC.

Obstetrics and gynaecology

2016 ◽  
Keyword(s):  
Evidence Based Medicine ◽  
Menopausal Symptoms ◽  
Evidence Based ◽  
Surgical Trials ◽  
Obstetrics And Gynaecology ◽  
Based Medicine ◽  
Improve Practice

Evidence-based medicine is deeply rooted in obstetrics and gynaecology, with many large, effective, often multinational trials providing evidence to improve practice and the care of women. This chapter focuses on a range of medical and surgical trials which have aimed to retain the fertility of patients, improve the prognosis of pregnancy, and treat women with menopausal symptoms.

scholarly journals Role of trans vaginal sonography with hysteroscopy in detection of uterine causes of abortions

2020 ◽  
Vol 9 (2) ◽  
pp. 618
Author(s):  
Shubhi Vishwakarma ◽  
Sonia Khari ◽  
Pooja Verma
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Treatment Strategies ◽  
Transvaginal Sonography ◽  
Evidence Based ◽  
Abnormal Finding ◽  
Obstetrics And Gynaecology ◽  
Endometrial Cavity ◽  
Vaginal Sonography

Background: Recurrent pregnancy loss (RPL) is one of the most frustrating and difficult areas in reproductive medicine because the aetiology is often unknown and there are only few evidence-based diagnostic and treatment strategies. Objective of this study was to compare the role of trans vaginal sonography with hysteroscopy in detection of uterine causes of abortions.Methods: This prospective cohort study was conducted in the department of obstetrics and gynaecology, Kasturba Hospital, Daryaganj, Delhi. The study was conducted from January 2016 to December 2016.Results: On transvaginal sonography majority of women i.e. 39(78%) patients had normal ultra-sonographic findings. 11(22%) showed various abnormal findings. Most commonly diagnosed abnormal finding on TVS was polyp, seen in 5(10%) patients. It was seen as a well-defined, uniformly hyperechoic mass within the endometrial cavity. normal hysteroscopic findings were seen in 27(54%) patients. Rest 23(46%) patients had abnormal uterine factors as diagnosed by hysteroscopy.Synechiae was detected in 9(18%) patients. It was the most common abnormality detected on hysteroscopy. Out of 9 patients who had synechiae, 2 had severe dense adhesions. In 6 patients, the adhesions were mild and flimsy. While minimal adhesions were noted in 1 patient, seen near the cornua.Conclusions: hysteroscopy is still the gold standard for diagnosis and most definitive procedure of choice if any kind of operative intervention is required.

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