MRCOG Part 1

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, [...]

<p>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.</p>

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 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 <a href="https://www.youtube.com/redirect?event=video_description&amp;redir_token=QUFFLUhqa0lUQ3M1cHZxTnI2UWlqV0ZMZXRBalVFU2NwUXxBQ3Jtc0ttekI1RmZwMDJsZUpOdnFQVk9LMmxGRWkxU1E0WlVEUlYxdTd0SmxHUU9lRzVIc1NuU2EwanlXaWxDMVNWekY4Yk5OVXM0VFZnNXlkXzFnZExudFFXM3ZrWnBOdDFZenNyalFZbjZTSU5zTEZwZXdLTQ&amp;q=https%3A%2F%2Fwww.thelancet.com%2Fseries%2Fmiscarriage">https://www.thelancet.com/series/misc...</a> [...]

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 <a href="https://www.youtube.com/redirect?event=video_description&amp;redir_token=QUFFLUhqbXpsRFJEZDJfNDJhZ29qSThXUE5udGZfUlVxd3xBQ3Jtc0ttV0hRTldNbWxEclFjdzU5QXVWN2xXWndNT3FPcDFHTU1xdjc1cVJaTXNPMEowUlYtZ2RVWFBGV2RYd1p6bHBENmVJc0JnSVVLRGZ6ajhoaUt6SVVvdmZhRTF5QnloSVZqa0pQenJ6aGxYSjFkUUMtNA&amp;q=https%3A%2F%2Fwww.thelancet.com%2Fseries%2Fmiscarriage">https://www.thelancet.com/series/misc...</a>

Couples who have suffered a miscarriage would want to know if a future miscarriage can be prevented. Arri Coomarasamy, Professor of Gynaecology at the University of Birmingham and the Director of the Tommy’s National Centre for Miscarriage Research, explains that there is a profound misconception out there that all miscarriages are “nature’s way of dealing with a pregnancy that is not normal”, and therefore nothing could be done to prevent them. This is incorrect. The various steps that can be taken to reduce the risk of miscarriage are shared in a series of 3 articles published in the Lancet [...]

Couples who have suffered a miscarriage often have three questions: why did it happen? will it happen again?, and what can be done to prevent it happening in the future? Arri Coomarasamy, Professor of Gynaecology at the University of Birmingham and the Director of the Tommy’s National Centre for Miscarriage Research, addresses these questions. The answers are based on a series of 3 articles published in the Lancet. Professor Coomarasamy dispels the myth that a miscarriage is ‘one of those things’ about which nothing can be done. Treatment with the hormone progesterone, for example, can rescue many pregnancies in [...]

RCOG Green Top Guideline: Gestational Trophoblastic Disease (GTD) for the MRCOG. MRCOG Mastery in 10 Questions! A deep dive into the RCOG Green Top Guideline on GTD, covering partial molar pregnancy, complete molar pregnancy, invasive mole, choriocarcinoma, placental site trophoblastic tumour, epitheliod trophoblatsic tumour, hydatidiform mole, chemotherapy, epidemiology, genetics, diagnosis, treatment, follow-up and more! The incidence of GTN quoted in this video (1 in 50,000 live births) is an underestimate. Recent studies suggest the incidence of GTN to be around 1 in 5,000 live births.

RCOG Green Top Guideline: Recurrent Miscarriage for the MRCOG exam. 10 Questions to MRCOG Mastery, brought to you by ACE Courses (www.acecourses.co.uk). What is the definition of recurrent miscarriage? What are the risk factors? What tests do you offer? What treatments are available? Find out the answers to these questions and more! A must watch, based on the 2023 RCOG Green Top Guideline.