Welcome to the Obstetrics Resource Centre, with free access to the latest research in the field.
All content is independently selected by the Editors, Professor James O. Drife from Leeds, UK, and Professor Jim Thornton from Nottingham.
The Obstetrics Resource Centre provides you with original articles, reviews, selected must-reads, lectures and a congress planner.
The American College of Obstetricians and the Society for Maternal-Fetal Medicine have released new joint guidelines for the management of first labours with the aim of reducing Caesarean deliveries.They recommend that prolonged latent phase of labour, of whatever duration, should not be an indication for Caesarean, and that the diagnosis of the active phase should not be made until 6 cm ...
The Australian National University in Canberra is seeking to appoint a Professor of obstetrics and Gynaecology.Details here: http://www.perrettlaver.com/candidates Quoting reference 1478.
Andrea Luigi Tranquilli 1955-2014The Professor of Obstetrics and Gynaecology in Ancona, and current President of the International Society for the Study of Hypertension in Pregnancy (ISSHP), died on 12th January 2014. I ...
Selected EJOG papers
The right way to perform an episiotomy Episiotomy is no longer universal but remains a common procedure that has to be performed correctly. In the UK, mediolateral is preferred to midline incision as it is less likely to cause anal sphincter damage. But mediolateral episiotomy can also harm the sphincter unless the angle of the incision, when the perineum is stretched, is greater than 60o from the midline. This study found that 90% of doctors and midwives were unaware of this fact. Those who were supervised for at least ten episiotomies before independent practice performed better. Mediolateral episiotomy: are trained midwives and doctors approaching it from a different angle? By Ka Woon Wong, Karthigan Ravindran, James M. Thomas and Vasanth Andrews
Women’s evaluation of their obstetric care Patient satisfaction is becoming increasingly important as an indicator of quality of care, but is hard to assess when care is delivered by networks of clinicians. There are surprisingly few validated measures of satisfaction with care during labour and birth. This paper describes the development of a Pregnancy and Childbirth Questionnaire, from focus group interviews to validation. Satisfaction was highest among women who received midwife-only care, followed by those who received obstetrician-led care from the beginning of their pregnancy. Development of the Pregnancy and Childbirth Questionnaire (PCQ): evaluating quality of care as perceived by women who recently gave birth By Sophie E.M. Truijens, Antoinette M. Pommer, Pieter J. van Runnard Heimel, Corine J.M. Verhoeven, S. Guid Oei and Victor J.M. Pop
Surgical technique at caesarean section Surgeons learn by watching their teachers and selecting the best of their techniques. Once learned, habits are hard to change. Recently several aspects of caesarean section have come under the scrutiny of evidence-based medicine, and the latest is reflection of the utero-vesical peritoneum, called in the USA “creation of a bladder flap”. Many of us believed that this is essential to protect the bladder from surgical injury, but this meta-analysis concludes that omitting this step reduces operating time without increasing the rate of complications. Omission of the bladder flap at caesarean section reduces delivery time without increased morbidity: a meta-analysis of randomised controlled trials By Heidi A. O’Neill, Grace Egan, Colin A. Walsh, Amanda M. Cotter and Stewart R. Walsh
About the Editors
26 March - 29 March
SGI 61st Annual Scientific Meeting Society for Gynaecologic Investigation, Florence, Italy
28 March - 30 March
RCOG World Congress in Obstetrics and Gynaecology, Hyderabad, India
3 April - 4 April
2014 Scientific Meeting of Faculty of Sexual & Reproductive Healthcare. Faculty of Sexual & Reproductive Healthcare & Royal College of Obstetricians and Gynecologists (RCOG), Belfast, UK