Obstetrics, Gynaecology and Reproductive Medicine RSS feed: Current Issue. Obstetrics, Gynaecology and Reproductive Medicine is the continuously updated review for obstetricians, gynaecologists and reproductive medicine specialists (formerly Current Obstetrics & Gynaecology). Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area. Over any three year period, a subscription will ensure access to up-to-date information on the full range of obstetrics, gynaecology and reproductive medicine topics. The layout of the journal, including the design and colour, enables fast assimilation of key information. For ease of reference, Obstetrics, Gynaecology and Reproductive Medicine is available in print and online formats. Formerly Current Obstetrics & Gynaecology http://www.obstetrics-gynaecology-journal.com/?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. All rights reserved. Obstetrics, Gynaecology and Reproductive Medicine1751-7214207July 2010 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000965/abstract?rss=yesEditorial Board10.1016/S1751-7214(10)00096-5Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0iihttp://www.obstetrics-gynaecology-journal.com/article/PIIS175172141000076X/abstract?rss=yesAbstract: It is essential that those proving antenatal and intrapartum care understand what constitutes normal labour. This allows complications that can arise at any stage to be recognized early and can help prevent serious sequelae. This review covers the physiology, mechanisms and evidence based management of normal labour.Mechanisms and management of normal labourTara Selman, Tracey Johnston10.1016/j.ogrm.2010.04.005Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Reviews201206http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000734/abstract?rss=yesAbstract: Women are seeking treatment for stress urinary incontinence more readily due to increasing awareness of minimally invasive surgical solutions and greater expectations of pelvic floor health with advancing age. Surgery for stress urinary incontinence should only be undertaken in women following a comprehensive assessment and when conservative treatments have failed. The current evidence favours a retropubic mid-urethral tape procedure using the bottom-up approach, or colposuspension. At present there is not enough long term data on the transobturator tape technique, however, short-term data show equal efficacy as the retropubic tape. Pubovaginal slings using autologous rectus sheath fascia have the highest success rate, but also have significantly higher incidence of operative morbidity and voiding problems. Urethral bulking agents are a safe alternative, especially in those women where more invasive surgery is not desired. It is important to counsel that they have a lower success rate and repeat injections are often needed.Surgical management of stress urinary incontinenceAshish Pradhan, Rohna Kearney10.1016/j.ogrm.2010.04.002Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Reviews207211http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000771/abstract?rss=yesAbstract: This is a practical review of termination of pregnancy, but in the introduction the authors have traced the origins of induced abortion (termination of pregnancy; TOP) and the development of societal and legal thinking on the subject in the United Kingdom, which led to the Abortion Act in 1967. This legalization of abortion has had a major effect upon morbidity and mortality arising from TOP. Since that time attempts have been made to alter the terms of the Act, with variable success. The terms of the Act are discussed, followed by a description of modern methodology of TOP. Best practice is detailed, as is the mode of action of abortifacients and issues regarding surgical technique. Whatever the gestation, the woman requesting TOP should be offered a choice of method, but the earlier the abortion is undertaken, the lower the rate of complication, and certain techniques may be more suitable in different circumstances. There are recommendations with respect to available facilities in a termination service – these are explained. Finally, some problematic issues are discussed.Termination of pregnancyAisling S. Baird, Charlotte C. Porter10.1016/j.ogrm.2010.04.006Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Reviews212218http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000746/abstract?rss=yesAbstract: Women with a previous caesarean section should be counselled antenatally about delivery options. The success rate of vaginal birth after caesarean section (VBAC) is 72–76%. The risk of uterine rupture is 22–74/10 000. Continuous foetal monitoring, intravenous access and accessibility to theatre are required in all VBAC cases.Pregnant women with HIV infection should be cared for by a multidisciplinary team. Mother to child transmission of HIV can be reduced to less than 1% with interventions. Antiretroviral therapy is commenced in the second trimester. Mode of delivery is dependent on viral load. Breast feeding should be avoided and babies require postnatal antiretroviral therapy.Cardiotocograph tracings are categorized as normal, suspicious or pathological. Foetal blood sampling is warranted with a pathological tracing, and can be done from early stages of cervical dilatation. At full dilatation, foetal blood sampling can allow more time for head descent to avoid performing a difficult instrumental delivery.Abnormal labourCharlotte Mahoney, Rebekah Samangaya, Melissa Whitworth10.1016/j.ogrm.2010.04.003Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Case-Based Learning219224http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000758/abstract?rss=yesAbstract: Appraisal has been in place for 8 years and is a contractual requirement for career grade doctors. It will become central to the process of revalidation laid down by the GMC. It is principally a formative process although recently summative elements have been included. The enhanced appraisal processes for revalidation includes multi-source feedback. Evidence to date from multi-source feedback shows that communication, team working, leadership and management are areas in need of improvement. However, clinical skills, compassion and teaching are rated highly. A successful appraisal requires a constructive approach from both parties and thorough preparation. The outcome should be an achievable personal development plan. If approached positively an appraisal will produce benefits for both the individual and organisation.Appraisal – a developing processDavid Churchill10.1016/j.ogrm.2010.04.004Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Ethics/Education225226http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410000722/abstract?rss=yesSelf-assessmentAlec McEwan10.1016/j.ogrm.2010.04.001Obstetrics, Gynaecology and Reproductive Medicine 20, 7 (2010)2010-07-01Obstetrics, Gynaecology and Reproductive Medicine2010-07-01207S1751-7214(10)X0007-0Self-Assessment227228