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Early diagnoses of placental problems including placenta previa and placenta accreta are helpful with outcomes for mothers and babies. Placenta previa and accreta are in fact low lying or infiltrating. They are more common after a previous caesarean section or procedures such as IVF. The RCOG has renewed its guidelines in a view to improving […] Read more
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Endometriosis
The National Institute of Clinical Excellence (I.C.E.) have issued a new guideline on endometriosis. This is a common condition which affects 1 in 10 women. Sometimes diagnosis can be difficult. This condition mimics conditions such as pelvic inflammatory disease, irritable bowel syndrome or even fibroids. Endometriosis is associated both with infertility and with pain. Early […] Read more
Under these guidelines commercial surrogacy remains prohibited. As far as sex selection for non-medical purposes goes, this is the province of State and Territory governments which are responsible for regulating the clinical practice of ART. This is a complex area and much discussion is taking place internationally. Further legislative progress in this area is hoped […] Read more
The role of both uterine natural killer cells uNK (cells) and peripheral blood natural killer cells remains controversial. A recent paper in the British Journal of Obstetrics and Gynaecology highlights the lack of uniformity in establishing normal ranges. Treatments available include intravenous haemoglobin or useful glucocorticoids such as Prednisolone. The results from glucocorticoids are at […] Read more
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Corticosteroid therapy in IVF
Immune suppressant steroids such as Prednisone have been used for patients with multiple miscarriages and with repeated I.V.F. failures. An article by Robertson in Human Reproduction, September 2nd 2016, surveys a role of steroids in assisted reproduction. While steroids may be of value in patients with immunological problems, there would seem very little evidence to […] Read more