CPD credits can be claimed for the following questions online via the TOG CPD submission system in the RCOG CPD ePortfolio. You must be a registered CPD participant of the RCOG CPD programme (available in the UK and worldwide) in order to submit your answers. Completion of TOG true/false questions can be claimed as a Specific Learning Event. Participants can claim two credits per set of questions if at least 70% of questions have been answered correctly. CPDparticipants are advised to considerwhether the articles are still relevant for their CPD, in particular if there are more recent articles on the same topic available and if clinical guidelines have been updated since publication. Please direct all questions or problems to the CPD Office. Tel: +44 (0)20 7772 6307 or email: cpd@rcog.org.uk. The blue symbol denotes which source the questions refer to including the RCOG journals, TOG and BJOG, and RCOG guidance, such as Green-top Guidelines (GTGs) and Scientific Impact Papers (SIPs). All of the above sources are available to RCOG Members and Fellows via the RCOG website. RCOG Members, Fellows andAssociates have full access to TOGcontent via theWileyOnline Library app (available for iOS andAndroid).
{"title":"CPD questions for volume 25 issue 1","authors":"","doi":"10.1111/tog.12858","DOIUrl":"https://doi.org/10.1111/tog.12858","url":null,"abstract":"CPD credits can be claimed for the following questions online via the TOG CPD submission system in the RCOG CPD ePortfolio. You must be a registered CPD participant of the RCOG CPD programme (available in the UK and worldwide) in order to submit your answers. Completion of TOG true/false questions can be claimed as a Specific Learning Event. Participants can claim two credits per set of questions if at least 70% of questions have been answered correctly. CPDparticipants are advised to considerwhether the articles are still relevant for their CPD, in particular if there are more recent articles on the same topic available and if clinical guidelines have been updated since publication. Please direct all questions or problems to the CPD Office. Tel: +44 (0)20 7772 6307 or email: cpd@rcog.org.uk. The blue symbol denotes which source the questions refer to including the RCOG journals, TOG and BJOG, and RCOG guidance, such as Green-top Guidelines (GTGs) and Scientific Impact Papers (SIPs). All of the above sources are available to RCOG Members and Fellows via the RCOG website. RCOG Members, Fellows andAssociates have full access to TOGcontent via theWileyOnline Library app (available for iOS andAndroid).","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47007900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The latest report from the UK and Ireland Confidential Enquiries into Maternal Deaths and morbidity, the ninth in the now annual report format, includes surveillance and Confidential Enquiries covering the period 2018–2020. The report also includes reviews into the care of women who died during or after pregnancy in the Republic of Ireland as well as the UK. Following the annual topic-specific format, this report includes topic-specific reviews into the care of women who died from cardiovascular causes, hypertensive disorders and early pregnancy disorders and the care of women who died from mental health-related causes and accidents in 2020. The report also includes a Morbidity Confidential Enquiry into the care of women with diabetic ketoacidosis in pregnancy. Messages for improving the care of women with hypertensive disorders were also identified from reviews of babies who died or had brain injury conducted by the Healthcare Safety Investigation Branch (HSIB).
{"title":"Key messages from the UK and Ireland Confidential Enquiries into Maternal Death and Morbidity 2022","authors":"M. Knight","doi":"10.1111/tog.12853","DOIUrl":"https://doi.org/10.1111/tog.12853","url":null,"abstract":"The latest report from the UK and Ireland Confidential Enquiries into Maternal Deaths and morbidity, the ninth in the now annual report format, includes surveillance and Confidential Enquiries covering the period 2018–2020. The report also includes reviews into the care of women who died during or after pregnancy in the Republic of Ireland as well as the UK. Following the annual topic-specific format, this report includes topic-specific reviews into the care of women who died from cardiovascular causes, hypertensive disorders and early pregnancy disorders and the care of women who died from mental health-related causes and accidents in 2020. The report also includes a Morbidity Confidential Enquiry into the care of women with diabetic ketoacidosis in pregnancy. Messages for improving the care of women with hypertensive disorders were also identified from reviews of babies who died or had brain injury conducted by the Healthcare Safety Investigation Branch (HSIB).","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48288513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Reilly, Samantha B. Doyle, S. Hamilton, M. Kilby, F. Mone
Fetal placental mosaicism, of which confined placental mosaicism is a subtype, occurs in 2–3% of pregnancies. Confined placental mosaicism may lead to a false positive result on non‐invasive prenatal testing (NIPT) for common aneuploidies. The risk of mosaicism in a chorionic villus sample (CVS) following a positive NIPT result is 2, 4, 22 and 59% for trisomy 21, 18, 13 and 45, X respectively. Following a positive NIPT result in the absence of a significant fetal structural anomaly (FSA), care is required in selecting the optimal diagnostic invasive test. Discussion of the limitations and implications is essential and referral to clinical genetics may be warranted.
{"title":"Pitfalls of prenatal diagnosis associated with mosaicism","authors":"K. Reilly, Samantha B. Doyle, S. Hamilton, M. Kilby, F. Mone","doi":"10.1111/tog.12850","DOIUrl":"https://doi.org/10.1111/tog.12850","url":null,"abstract":"Fetal placental mosaicism, of which confined placental mosaicism is a subtype, occurs in 2–3% of pregnancies. Confined placental mosaicism may lead to a false positive result on non‐invasive prenatal testing (NIPT) for common aneuploidies. The risk of mosaicism in a chorionic villus sample (CVS) following a positive NIPT result is 2, 4, 22 and 59% for trisomy 21, 18, 13 and 45, X respectively. Following a positive NIPT result in the absence of a significant fetal structural anomaly (FSA), care is required in selecting the optimal diagnostic invasive test. Discussion of the limitations and implications is essential and referral to clinical genetics may be warranted.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44451468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Timmons, G. Partridge, A. Mckelvey, H. Lyall, M. Morosan, L. Freeman
Pregnancy‐induced changes in haemodynamic physiology can place considerable strain on cardiac function in some women with valvular disease. Regurgitant valve lesions are usually better tolerated in pregnancy than stenotic lesions, although the risk of obstetric complications is increased in both. Pre‐conception counselling is essential for all women with valvular disease. Optimising anticoagulation is a particular challenge in women with mechanical valves.
{"title":"Valvular heart disease in pregnancy","authors":"P. Timmons, G. Partridge, A. Mckelvey, H. Lyall, M. Morosan, L. Freeman","doi":"10.1111/tog.12857","DOIUrl":"https://doi.org/10.1111/tog.12857","url":null,"abstract":"Pregnancy‐induced changes in haemodynamic physiology can place considerable strain on cardiac function in some women with valvular disease. Regurgitant valve lesions are usually better tolerated in pregnancy than stenotic lesions, although the risk of obstetric complications is increased in both. Pre‐conception counselling is essential for all women with valvular disease. Optimising anticoagulation is a particular challenge in women with mechanical valves.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48877412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the move towards ubiquitous human papillomavirus (HPV) primary screening and increasing coverage with HPV vaccination, the prevalence of HPV‐associated cervical cancers is predicted to decrease. Clinicians must be aware of HPV‐independent adenocarcinomas, which are likely to increase as a proportion of the total diagnosed cervical adenocarcinomas. Advances in histopathology, immunohistochemistry and molecular genetics have increased our understanding of the spectrum of gastric‐type and other rare HPV‐independent adenocarcinomas. Clinical outcome and prognosis of HPV‐independent adenocarcinoma is worse than the HPV‐associated adenocarcinoma. There is a paucity of evidence‐based guidelines tailored to management of HPV‐independent adenocarcinomas.
{"title":"Human papillomavirus‐independent cervical cancer and its precursor lesions","authors":"I. Aggarwal, Y. Yeo, Zheng Yuan Ng","doi":"10.1111/tog.12855","DOIUrl":"https://doi.org/10.1111/tog.12855","url":null,"abstract":"With the move towards ubiquitous human papillomavirus (HPV) primary screening and increasing coverage with HPV vaccination, the prevalence of HPV‐associated cervical cancers is predicted to decrease. Clinicians must be aware of HPV‐independent adenocarcinomas, which are likely to increase as a proportion of the total diagnosed cervical adenocarcinomas. Advances in histopathology, immunohistochemistry and molecular genetics have increased our understanding of the spectrum of gastric‐type and other rare HPV‐independent adenocarcinomas. Clinical outcome and prognosis of HPV‐independent adenocarcinoma is worse than the HPV‐associated adenocarcinoma. There is a paucity of evidence‐based guidelines tailored to management of HPV‐independent adenocarcinomas.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nidhi Goswami, Kalpana Upadhyay, P. Briggs, Elizabeth Osborn, N. Panay
The spectrum of premenstrual disorders is related to hormonal changes in the menstrual cycle and are experienced by nearly 40% of women. Approximately 3–8% of women are affected by severe premenstrual syndrome, including premenstrual dysphoric disorder (PMDD); a chronic, debilitating disorder with severe emotional and physical symptoms and functional impairment. PMDD significantly affects women's quality of life; recent evidence suggests that 86% of patients have considered suicide, with 30% having attempted suicide at least once. In 2019, PMDD was added to the International Statistical Classification of Diseases and Related Health Problems, (ICD–11), which validates PMDD as a legitimate diagnosis and acknowledges growing scientific and medical understanding of this previously under recognised condition. Symptom relief can often be achieved through medical management, therefore it is important to increase awareness among healthcare professionals at all levels.
{"title":"Premenstrual disorders including premenstrual syndrome and premenstrual dysphoric disorder","authors":"Nidhi Goswami, Kalpana Upadhyay, P. Briggs, Elizabeth Osborn, N. Panay","doi":"10.1111/tog.12848","DOIUrl":"https://doi.org/10.1111/tog.12848","url":null,"abstract":"The spectrum of premenstrual disorders is related to hormonal changes in the menstrual cycle and are experienced by nearly 40% of women. Approximately 3–8% of women are affected by severe premenstrual syndrome, including premenstrual dysphoric disorder (PMDD); a chronic, debilitating disorder with severe emotional and physical symptoms and functional impairment. PMDD significantly affects women's quality of life; recent evidence suggests that 86% of patients have considered suicide, with 30% having attempted suicide at least once. In 2019, PMDD was added to the International Statistical Classification of Diseases and Related Health Problems, (ICD–11), which validates PMDD as a legitimate diagnosis and acknowledges growing scientific and medical understanding of this previously under recognised condition. Symptom relief can often be achieved through medical management, therefore it is important to increase awareness among healthcare professionals at all levels.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43798139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarek El Shamy, Eleanor Sein, Sunita Sharma, C. Domoney
Articles in the Tips and Techniques section are personal views from experts in their field on how to carry out procedures in obstetrics and gynaecology.
提示和技术部分的文章是各自领域专家关于如何执行妇产科程序的个人观点。
{"title":"Postpartum perineal wound dehiscence","authors":"Tarek El Shamy, Eleanor Sein, Sunita Sharma, C. Domoney","doi":"10.1111/tog.12846","DOIUrl":"https://doi.org/10.1111/tog.12846","url":null,"abstract":"Articles in the Tips and Techniques section are personal views from experts in their field on how to carry out procedures in obstetrics and gynaecology.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48869619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Articles in the Tips and Techniques section are personal views from experts in their field on how to carry out procedures in obstetrics and gynaecology.
提示和技巧部分的文章是本领域专家对如何进行妇产科手术的个人观点。
{"title":"Management of Bartholin's cyst and abscess","authors":"A.A. Bati‐Paracha, M. Sharma","doi":"10.1111/tog.12847","DOIUrl":"https://doi.org/10.1111/tog.12847","url":null,"abstract":"Articles in the Tips and Techniques section are personal views from experts in their field on how to carry out procedures in obstetrics and gynaecology.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49532468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Timmons, Victoria A. Wallis, Shawn Walker, D. Alleemudder
While most breech babies are delivered by caesarean section, a small number are born vaginally. Detailed counselling and an accoucher skilled in vaginal breech birth (VBB) are essential for offering the modality. External cephalic version (ECV) is safe, acceptable to most women, has few contraindications and increases vaginal birth rates. Undiagnosed term breech presentation can largely be prevented by routine third‐trimester ultrasound. Research is needed to evaluate the efficacy of VBB simulation training in clinical practice.
{"title":"Management of term breech presentation","authors":"P. Timmons, Victoria A. Wallis, Shawn Walker, D. Alleemudder","doi":"10.1111/tog.12845","DOIUrl":"https://doi.org/10.1111/tog.12845","url":null,"abstract":"While most breech babies are delivered by caesarean section, a small number are born vaginally. Detailed counselling and an accoucher skilled in vaginal breech birth (VBB) are essential for offering the modality. External cephalic version (ECV) is safe, acceptable to most women, has few contraindications and increases vaginal birth rates. Undiagnosed term breech presentation can largely be prevented by routine third‐trimester ultrasound. Research is needed to evaluate the efficacy of VBB simulation training in clinical practice.","PeriodicalId":51862,"journal":{"name":"Obstetrician & Gynaecologist","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48603362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：