Obstetric Cholestasis – Summary of GTG 43 + Excerpts from the related TOG article Diagnosis of Obstetric Cholestasis /Intrahepatic Cholestasis of Pregnancy ( OC/ICP) – According to the RCOG Guideline- OC is diagnosed when there is Otherwise unexplained pruritus in pregnancy and abnormal liver function […]
Postpartum Mood Disorders can be divided into 3 categories- 1. Baby blues 2. Postnatal depression 3. Postpartum (or puerperal) psychosis Baby blues– affects 30 to 80% of women . Time period – usually day 3 to 10 after delivery. Usually peaks at day 5 . […]
Antenatal and Postnatal Mental Health Between 2010 and 2012, 16 women (0.67 per 100 000) were reported as dying from a psychiatric cause. In UK, suicide affects about 1 pregnancy in 100 000- It is a leading cause of maternal death. Risk Assessment- At the […]
( From Hypertension in pregnancy: diagnosis and management NICE guideline, 2019) a full assessment should be carried out in a secondary care setting by a trained healthcare professional. Antihypertensive of choice- As for chronic Hypertension. Timing of delivery- as for chronic hypertension. Postpartum care- As […]
PRECOG GUIDELINE recommendations This guideline has been made to guide what action should be taken if a pregnant woman presents with New onset Hypertension , Proteinuria or Symptoms. NEW ONSET HYPERTENSION WITHOUT PROTEINURIA DBP 90 or more, but less than 100, No symptoms Hospital Step […]
Skin Conditions in Pregnancy – Medical Conditions in Pregnancy Due to the immune changes during pregnancy, a woman’s susceptibility to some skin conditions increases during pregnancy. The hormonal and physiological changes in pregnancy also lead to skin changes( like melasma, acne,changes in nails and hair) […]
Epilepsy in pregnancy – Medical Conditions in Pregnancy Abbreviations used- AED– Anti Epileptic Drug WWE – Women with epilepsy SUDEP– Sudden Unexpected Death in Epilepsy Epilepsy in pregnancy has received much attention in the 2020 MBRRACE (Mothers and Babies: Reducing Risk through Audits and Confidential […]
Summary of the RCOG guideline. ( The recommendation in the guideline are based on differing levels of evidence. For the sake of conciseness, the levels of evidence have not been mentioned) Herpes Simplex infection in the neonate may be – Localized or Disseminated. Localized Infection […]
The Management of Ovarian Hyperstimulation Syndrome ( OHSS) – Subfertility, Early Pregnancy Summary of Green-top Guideline No. 5 OHSS is a complication of fertility treatment ( pharmacological ovarian stimulation to increase the number of oocytes) . Types of OHSS- Early OHSS – usually presents within […]
Summary of the RCOG Guideline ( GTG 53, July 2015) Female genital mutilation- refers to ‘all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Practized as a tradition in several countries, […]