MRCOG Part 1

In the UK, women need to have had 3 miscarriages before they are provided specialist care. Arri Coomarasamy, Professor of Gynaecology at the University of Birmingham and the Director of the Tommy’s National Centre for Miscarriage Research, argues this is simply wrong. A series of 3 articles published in the Lancet shows that this practice is based more on tradition than evidence. Professor Coomarasamy and his team call for ‘every woman to have appropriate care after every miscarriage’. Find out more at https://www.thelancet.com/series/misc...

An analysis, led by Arri Coomarasamy, Professor of Gynaecology at the University of Birmingham and the Director of the Tommy’s National Centre for Miscarriage Research, published in a series of 3 articles in the Lancet has shown that Black women are at a high risk of miscarriage. It is not yet known if this is due to differences in biology, social circumstances, lifestyle factors, or other reasons. Professor Coomarasamy and his team are calling for further research, and discuss what can be done to reduce the risk of miscarriage in Black women. Find out more at https://www.thelancet.com/series/misc... [...]

Contraception after pregnancy in 10 questions and answers: an Essential MRCOG lesson by ACE Courses (www.acecourses.co.uk). Find the answers to many questions around the use of contraception just after child birth, including: when does a women need emergency contraception after childbirth? which emergency contraceptives are safe after childbirth in breastfeeding women? what regular contraceptions are available to breastfeeding women? can combined oral contraceptives be used in breastfeeding women? When can you use copper IUD after childbirth? Can DMPA be used after childbirth?

An MRCOG lesson on hereditary gynaecological cancers (BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, Lynch syndrome, Bowden syndrome and Peutz-Jeghers syndrome). An essential lesson for MRCOG.

The PRISM trial is the largest ever randomised trial in miscarriage prevention; it recruited more than 4000 women from 48 hospitals in the UK. It evaluated the effects of progesterone hormone in women with early pregnancy bleeding. Overall, there was a 3% increase in live birth rate with progesterone, compared with placebo, but the finding was associated with some statistical uncertainty (RR 1.03, 95% CI 1.00 to 1.07, p = 0.08). However, a clear benefit was found for women with the dual risk factors of early pregnancy bleeding and a history of (any number of) previous miscarriages (RR = 1.09, [...]

Respiratory physiology in pregnancy for the MRCOG exam. A 'sort-out' MRCOG lesson by ACE Courses. What respiratory variable go up, come down or remain the same during pregnancy, compared with pre-pregnancy state? An important MRCOG lesson from ACE Courses.

Haematological changes in pregnancy for the MRCOG exam. What haematological changes occur during pregnancy? What variables go up, go down or remain the same? Why? A key MRCOG mini-lecture by Professor Arri Coomarasamy.

Cardiovascular changes in pregnancy for the MRCOG exam. What cardiac variable go up, go down or remain the same in pregnancy compared with the pre-pregnancy state? Why? What are normal cardiac examination and ECG findings in pregnancy? Key MRCOG mini-lecture by Professor Arri Coomarasamy.

MRCOG lesson: Renal physiology in pregnancy. What renal function variables go up, go down or remain the same in pregnancy as pre-pregnancy state? And why? What happens to urea, creatinine, glomerular filtration rate and creatinine clearance in pregnancy? Find out from this mini-MRCOG lecture.

An MRCOG lesson on RCTs: Part B. In part A (please watch that video also!), we learnt about the quality features of an RCT. In this video, we learn about the common statistics we use in the reporting of RCTs. These include: Risk, Relative risk (or Risk Ratio, RR); Absolute risk difference (ARD); and Number Needed to Treat (NNT). We also look at what a Confidence Interval (CI) means. The statistics are illustrated with a simple numerical example. Enjoy!