Free access to the latest research

 

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.

 

Selected EJOG Papers

  • Comment by the editor:  Trachelorrhaphy after failed cerclage
    Cervical insufficiency has a high risk of recurrence and is traditionally treated with transvaginal cervical cerclage.  If this fails, one option is abdominal cervical cerclage, but another, less widely used, option is transvaginal trachelorrhaphy – reconstruction of the internal cervical os.   In this series of 16 patients treated by trachelorrhaphy (and first-trimester cerclage) there were 9 term deliveries, 7 preterm deliveries and an 84% fetal survival rate. The authors recommend trachelorrhaphy as safe, reproducible and easy to learn.   

    Trachelorraphy in cases of recurrent second trimester loss and prior failed vaginal cerclage

    D. Korb, J.-F. Oury, O. Sibony

    European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 126 - 129

  • Comment by the editor:  Renal transplantation and other risk factors
    Most pregnancies in renal transplant recipients are successful but there is a high risk of complications like pre-eclampsia, low birth weight and premature birth.  The reasons for this extend beyond the transplant itself.  This report from a tertiary centre found that 77% of patients pregnant after renal transplantation had a broad range of additional risk factors, ranging from urinary leakage to previous heart transplantation.  Even so, multidisciplinary care can still achieve successful outcomes in these ultra-high-risk pregnancies.

    Ultra-high-risk pregnancies in women after renal transplantation

    Alex Farr, Yvonne Bader, Peter W. Husslein, Georg Györi, Ferdinand Mühlbacher, Markus Margreiter

    European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 72 - 76

  • Comment by the editor:  LLETZ and preterm delivery
    Removal of cervical tissue increases the risk of preterm birth, but studies differ on whether the risk varies with the depth of tissue removed at large loop excision of the transformation zone (LLETZ).   In this study, women who had undergone LLETZ were matched with controls who had had cervical punch biopsies.  The LLETZ group had a threefold higher risk of preterm birth but the risk was not related to the volume of tissue removed.  This will reassure clinicians that LLETZ should still be performed with adequate tissue margins.

    Predictive value of volume of cervical tissue removed during LLETZ on subsequent preterm delivery: a cohort study

    Sarah J. Kitson, Emma Greig, Enid Michael, Marie Smith

    European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 51 - 55


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About the Editors

  • James O. Drife

    James Drife is Emeritus Professor of Obstetrics and Gynaecology at the University of Leeds, UK. He has written widely on...
  • Jim Thornton

    Jim Thornton is Professor of Obstetrics and Gynaecology, at Nottingham University, and deputy director of the Nottingham Clinical Trials Unit...