Middlemore weekly O&G teaching
Presented by charge midwife Steph King
A brief review of common pregnancy-related skin conditions including pemphigoid gestationis.
Practical tips (+/- what happens when doctors try nicotine gum
Apologies that this cut out at 60min! (She talked for 80min total) follow the links below for some more helpful tips https://www.theatlantic.com/magazine/archive/2020/12/the-last-children-of-down-syndrome/616928/ https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/Statement%20and%20guidelines/Clinical-Obstetrics/Prenatal-screening_1.pdf?ext=.pdf https://pubmed.ncbi.nlm.nih.gov/25358606/ https://raisingchildren.net.au/disability/guide-to-disabilities/assessment-diagnosis/down-syndrome https://www.youtube.com/watch?v=Z5TtopYX1Gc (sensitivity and specificity)
A comprehensive discussion on PET from the basics to the clinical realities.
Just Google "Auckland Gynae Onc referral" for resources for making a good gynae onc referral, including the latest referral form. https://nationalwomenshealth.adhb.govt.nz/healthprofessionals/referrals-and-information/gynaecology/ Tips for referrers: https://nationalwomenshealth.adhb.govt.nz/assets/Womens-health/Documents/Referrals-and-info/ADHB-Gynae-Oncology-Tips-for-Referrers.pdf
Lana runs through the NZMFM SGA pathway for 34 weeks and beyond and goes through some exam stuff. Rock on.
The low down on the salty itch. From everyone's favourite bud: Dr AB herself!
Keep cross fitting (if that's your thing).
Dr Lindsey Harbour presents sickle cell disease in pregnancy.
The Scottish guru & visiting MFM Dr Tydeman runs through the latest on preterm birth.
Should we add azithromycin prophylaxis prior to emergency Caesarean section? Ureaplasma are a common cause for endometritis, is sensitive to azithromycin, but not to cephalosporins. This trial found a significant reduction in infectious morbidity. So is it a no brainer? The boffins duke it out. Tita AT, Szychowski JM, Boggess K, Saade G, Longo S, Clark E, Esplin S, Cleary K, Wapner R, Letson K, Owens M. Adjunctive azithromycin prophylaxis for cesarean delivery. New England Journal of Medicine. 2016 Sep 29;375(13):1231-41.
Dr Debbie Chen goes through the must knows of adnexal masses. Dr Angela Cross then covers some clinical realities and shares her top tips to the surgical approach. Download the slides.
This week the boffins discuss the ANODE trial, published in The Lancet this year. This was a large multi centre placebo-controlled trial that found a reduction in infective morbidity when a single dose of IV Augmentin was given within 6 hours of instrumental birth. Knight M, Chiocchia V, Partlett C, Rivero-Arias O, Hua X, Hinshaw K, Tuffnell D, Linsell L, Juszczak E, Enderby H, Thakar R. Prophylactic antibiotics in the prevention of infection after operative vaginal delivery (ANODE): a multicentre randomised controlled trial. The Lancet. 2019 May 13.
Nuts and bolts of thyroid disease in pregnancy. Here are the slides, which include SAQs and MCQs with model answers.
Dr Claire Lilly presents a couple of topical perinatal infections: CMV & Syphilis. RANZCOG released a new guideline recently on CMV, and syphilis rates are up across Australia and New Zealand. Check out this recent syphilis review article: BMJ 2019;365:l4159 (Published 28 June 2019) RANZCOG C-Obs-64 Prevention of congenital cytomegalovirus (CMV) infection ASID Management of Perinatal Infections
Dr Delia Smith highlights aspects of the 2018 International evidence-based guideline for the assessment and management of Polycystic Ovary Syndrome (PCOS). 4 past RANZCOG SAQs are also discussed. Slides from the talk (including some links to other learning resources - a youtube video, RANZCOG guideline, O&G chapters) 2018 International evidence-based guideline for the assessment and management of Polycystic Ovary Syndrome
Dr Heena Lakhdhir runs us through the practical aspects of glucose control.
Dr Albert De Decker brings us up to date with the mechanisms of pelvic floor injury related to vaginal birth. Dr Kerrie Hides demonstrates a forceps technique that minimises the risk of anal sphincter injury. Slides
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