Current opinion in obstetrics & gynecology
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The aim of this article is to review the clinical challenges of obesity in obstetrics from the anaesthetist's viewpoint. ⋯ Effective communication and good teamwork between an anaesthetist and an obstetrician are essential for the care of obese parturients. A more liberalized use of regional techniques may be a means of further reducing the anaesthesia-related maternal mortality.
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Curr. Opin. Obstet. Gynecol. · Aug 2006
Surgical and radiological management of uterine fibroids in the UK.
Uterine fibroids remain the most common benign gynaecological pathology and a frequent reason for gynaecological referral and treatment. The range of available treatments is currently undergoing a minor revolution with the introduction of nonsurgical therapies, but their role remains to be established. ⋯ Greater utilization of less invasive endoscopic or vaginal procedures for the management of uterine fibroids seems a reasonable target. In the longer term, it is likely that the various nonsurgical techniques which shrink fibroids and thereby reduce symptoms will have an increasingly important role in the treatment of this common condition.
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Curr. Opin. Obstet. Gynecol. · Dec 2005
ReviewDiagnostic and therapeutic capabilities of ultrasound in the management of pelvic pain.
This review discusses the current diagnostic and therapeutic role of ultrasound in the management of pelvic pain. ⋯ Experience is a key factor in the ability of transvaginal ultrasound to characterize common gynaecological disorders with accuracy. Therapeutic ultrasound provides an alternative to surgery.
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Curr. Opin. Obstet. Gynecol. · Dec 2005
Faking it? Simulation in the training of obstetricians and gynaecologists.
This paper discusses the use of simulation as a training tool in obstetrics and gynaecology. ⋯ At present simulation is very much underused as a training tool in medicine, and features little in the postgraduate training curriculum. In obstetrics and gynaecology simulation could be used as an educational tool to assist in (1) transfer of knowledge, (2) practising diagnostic and simple practical skills, (3) surgical skills training, (4) emergency drill training and (5) human factors and team training. Whereas simulation should not be perceived as a replacement for training with real patients, educators should embrace the opportunities that simulation provides and integrate it into current training programmes to maximize training opportunities and patient safety.
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The purpose of this review is to aid the healthcare practitioner in caring for children, girls, and women who have undergone female genital mutilation or who are at risk for female genital mutilation. ⋯ The fundamental understanding of female genital mutilation will allow the clinician to address the emotional and physical needs of the children, girls, and women who have undergone this traditional practice or who are at risk for undergoing this practice. This understanding will allow the practitioner to individualize the history and physical examination, and to provide appropriate management with recognition and treatment of complications. Increased knowledge of the laws against female genital mutilation will allow the healthcare provider to educate and advise at-risk girls and women as well as their parents.