Shoulder dystocia
The Abnormal presentations page has been updated with a review of the section on shoulder dystocia.
Obstetrics
Rh isoimmunisation
The Rh isoimmunisation page has been completely revised, re-organised and updated – including the current RANZCOG recommendations for obstetric use of Anti-D.
TVUS of yolk sac
The Pregnancy page has been updated with a TVUS image of an early gestation pregnancy and yolk sac.
Premature delivery survival rates
The Premature labour page has been updated with additional information about infant survival rates and rates of disability.
Therapeutic Mg levels – correction
The Hypertension in pregnancy and Hypomagnesaemia pages have been updated with a correction of the units for the therapeutic range of Mg. This is 1.5-3.5mmol/L or 4-8mg/dL – not 4-8mmol/L as previously stated. Thanks again to Farzad for picking this up.
TXA in PPH
The Post-partum haemorrhage page has been updated with additional information about the role of TXA, following the recent publication of the WOMAN trial. Apart from the trial having a study population mostly from relatively resource poor health systems (yes, I include the UK in this group), it also has the longest list of authors I … Read more
MgSO4 for eclampsia/pre-eclampsia added
The Hypertension in pregnancy page has been updated with the addition of the doses of MgSO4 for eclampsia and pre-eclampsia.
MgSO4 dose in eclampsia – correction
The MgSO4 dose for eclampsia on the Hypomagnesaemia page has been corrected. The dose is 4g over 10min (eclampsia) instead of 40mmol as previously stated. Thanks to Peter for spotting this.
Acute fatty liver of pregnancy
A short segment on Acute fatty liver of pregnancy has been added to the Hypertension in pregnancy page
Immunosuppressants in pregnancy
The Drugs in pregnancy and lactation page has been updated with information about the use of immunosuppressant medications in pregnancy.
Beta HCG
The Pregnancy page has been updated with additional information about the accuracy of beta HCG in the diagnosis of pregnancy. Related changes have been made to the Ectopic pregnancy and Abnormal vaginal bleeding pages.
Splenic artery aneurysms
The Other abdominal aneurysms page has been updated with additional information about splenic artery aneurysms.
Abdominal pain in pregnancy
A segment on Abdominal pain in the pregnant patient has been added to the Causes of abdominal pain page.
Diagnosis of labour
The Normal labour and delivery page has been updated with a segment on the diagnosis of labour
Braxton Hicks contractions
The Normal labour and delivery page has been updated with additional information about Braxton Hicks contractions.
Premature labour
The Premature labour page has been extensively revised and updated.
Antenatal steroids after 34 weeks gestation
The Premature labour page has been updated with information about the utility of antenatal steroids after 34 weeks gestation. Saccone, G, Berghella, V. Antenatal corticosteroids for maturity of term or near term fetuses: systematic review and meta-analysis of randomized controlled trials. BMJ 2016;355:i5044.
Nausea and vomiting in pregnancy
The Hyperemesis gravidarum page has been updated with some additional information about the incidence of nausea and vomiting in pregnancy and the association with reduced pregnancy loss. Hinkle, SN, Mumford, SL, Grantz, KL, et al. Association of Nausea and Vomiting During Pregnancy With Pregnancy Loss: A Secondary Analysis of a Randomized Clinical Trial. JAMA Intern … Read more
Anti-psychotics in pregnancy
The Drugs in pregnancy and lactation page has been updated with information about the relative safety of anti-psychotics (except risperidone) in pregnancy.
GTC abnormalities
The Electronic fetal monitoring in labour page has been updated with some additional information about GTG monitoring, in particular adding CTG that usually require immediate action.