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Induction just before term… Is it better?
A recent large trial from the United States has shown that induction at 39 weeks for low-risk pregnancies reduces the risk of Caesarean section. There was also a reduction in need for neonatal respiratory support in the first 72 hours of life for babies whose mothers were induced at 39 weeks. This is a very large and […] Read more
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Vaginal Pessaries
Vaginal pessaries still have a place. A recent publication reviewed by Ginsberg confirmed that pessaries do have a place in treatment of Vaginal Prolapse. Patients can manage their prolapse either by doing nothing or having surgery or having vaginal pessary inserted. Pessaries are successful in removing prolapse symptoms. This study is a validation of the […] Read more
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
For some time Gynaecologists have been aware that many cases of ovarian cancer arrive from the fallopian tubes. The fallopian tubes simply transport eggs from the ovaries to the uterus, but they do not produce any hormones and therefore do not play a role in menopause. For this reason many women have their tubes removed […] Read more
In the past hysterectomy was the only reliable way to treat heavy periods. The ACSQHC (Australian Commission on Safety and Quality in Health Care) has become aware of the high rates of hysterectomy in Australia. Hysterectomy is a major operation. Often lesser therapies such as hormones, Mirena coil or endometrial ablation can be tried first […] Read more