Pregabalin and birth defects
The Drugs in pregnancy and lactation page has been updated with information about the possible teratogenic effects of pregabalin.
Obstetrics
Umbilical cord clamping
The Normal labour & delivery page has been updated with information indicating that holding the baby at vaginal level whilst waiting to clamp the umbilical cord is no longer considered necessary. Fetal transfusion is unchanged by placing the baby on the mother’s stomach.
US in suspected pregnancy
A short segment on US in suspected pregnancy has been added to the Pregnancy page. Of particular note is the suggestion that using a high frequency linear probe may detect significantly more IUPs than a curvilinear transabdominal probe. Tabbut, M, Harper, D, Gramer, D, et al. High-frequency linear transducer improves detection of an intrauterine pregnancy … Read more
Bakri balloon for PPH
The Post partum haemorrhage page has been updated with information about the Bakri balloon.
Shoulder dystocia – HELPERR
The section on shoulder dystocia on the Abnormal presentations page has been updated with the HELPERR abbreviation.
Repeat US features of failed pregnancy
The Miscarriage page has been updated with information regarding the features of repeat US that are highly predictive of failed pregnancy. Preisler, J, Kopeika, J, Ismail, L, et al. Defining safe criteria to diagnose miscarriage: prospective observational multicentre study. BMJ 2015;351 http://www.bmj.com/bmj/351/bmj.h4579.full.pdf.
Absent IUP and adnexal mass on TVUS
The test characteristics of an absent IUP and adnexal mass on TVUS have been added to the Abnormal vaginal bleeding page.
US features of a normal gestational sac
The US features of a normal gestational sac have been added to the Ectopic pregnancy page.
US features of a pseudogestational sac
The US features of a pseudogestational sac have been added to the Ectopic pregnancy page.
US features of pregnancy
Additional details about the US features of pregnancy have been added to the Pregnancy page.
Estimation of gestational age
Additional details about how to estimate gestational age have been added to the Pregnancy page.
Perineal trauma
A short section on perineal trauma following labour has been added to the Other complications of labour page
Doxylamine for hyperemesis gravidarum
Details of the use of doxylamine for the treatment of vomiting in early pregnancy have been added to the Hyperemesis gravidarum page.
Post partum haemorrhage
The Post partum haemorrhage page has been updated to reflect that oxytocin is the preferred pharmacological agent, with some other minor modifications.
Cardiac arrest in pregnancy
The Advanced cardiac life support page has been updated with additional information about managing cardiac arrest in the pregnant patient.