Middlemore Middle School
By Sam Holford
Middlemore Middle SchoolMar 16, 2021
A review of the updated CMDHB maternal mental health guideline
Dermatoses of pregnancy
Smokefree cessation at CMDHB
Dr Emma Parry presents NIPT
ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/Statement%20and%20guidelines/Clinical-Obstetrics/Prenatal-screening_1.pdf?ext=.pdf
pubmed.ncbi.nlm.nih.gov/25358606/
raisingchildren.net.au/disability/guide-to-disabilities/assessment-diagnosis/down-syndrome
www.youtube.com/watch?v=Z5TtopYX1Gc (sensitivity and specificity)
NTD, FASD, Hydrops - Dr Haylee Boyens
With SAQs
Pre-eclampsia - Dr Kerrie Hides
A comprehensive discussion on PET from the basics to the clinical realities.
Endometrial cancer - Dr Steph Sequeira
The down low on endometrial cancer
Gynae Onc Referrals - Dr Sam Holford
Just Google "Auckland Gynae Onc referral" for resources for making a good gynae onc referral, including the latest referral form.
https://nationalwomenshealth.adhb.govt.nz/healthprofessionals/referrals-and-information/gynaecology/
Tips for referrers: https://nationalwomenshealth.adhb.govt.nz/assets/Womens-health/Documents/Referrals-and-info/ADHB-Gynae-Oncology-Tips-for-Referrers.pdf
SGA pathway - Dr Lana Hughes
Lana runs through the NZMFM SGA pathway for 34 weeks and beyond and goes through some exam stuff. Rock on.
Obstetric Cholestasis - Dr Anna Brownson
The low down on the salty itch. From everyone's favourite bud: Dr AB herself!
Exercise in pregnancy - Dr Si Okana
Keep cross fitting (if that's your thing).
Sickle cell disease - Dr Lindsey Harbour
Dr Lindsey Harbour presents sickle cell disease in pregnancy.
Preterm birth & cervical cerclage - Graham Tydeman
The Scottish guru & visiting MFM Dr Tydeman runs through the latest on preterm birth.
Journal Club C/SOAP
Should we add azithromycin prophylaxis prior to emergency Caesarean section? Ureaplasma are a common cause for endometritis, is sensitive to azithromycin, but not to cephalosporins. This trial found a significant reduction in infectious morbidity. So is it a no brainer? The boffins duke it out.
Tita AT, Szychowski JM, Boggess K, Saade G, Longo S, Clark E, Esplin S, Cleary K, Wapner R, Letson K, Owens M. Adjunctive azithromycin prophylaxis for cesarean delivery. New England Journal of Medicine. 2016 Sep 29;375(13):1231-41.
Adnexal masses - Angela Cross & Debbie Chen
Dr Debbie Chen goes through the must knows of adnexal masses. Dr Angela Cross then covers some clinical realities and shares her top tips to the surgical approach.
Journal Club - ANODE: Antibiotics for instrumental birth
This week the boffins discuss the ANODE trial, published in The Lancet this year. This was a large multi centre placebo-controlled trial that found a reduction in infective morbidity when a single dose of IV Augmentin was given within 6 hours of instrumental birth.
Knight M, Chiocchia V, Partlett C, Rivero-Arias O, Hua X, Hinshaw K, Tuffnell D, Linsell L, Juszczak E, Enderby H, Thakar R. Prophylactic antibiotics in the prevention of infection after operative vaginal delivery (ANODE): a multicentre randomised controlled trial. The Lancet. 2019 May 13.
Thyroid Disease in Pregnancy - Dr Emilie Robertson
Nuts and bolts of thyroid disease in pregnancy.
Here are the slides, which include SAQs and MCQs with model answers.
CMV and Syphilis - Dr Claire Lilly
Dr Claire Lilly presents a couple of topical perinatal infections: CMV & Syphilis. RANZCOG released a new guideline recently on CMV, and syphilis rates are up across Australia and New Zealand.
Check out this recent syphilis review article: BMJ 2019;365:l4159 (Published 28 June 2019)
RANZCOG C-Obs-64 Prevention of congenital cytomegalovirus (CMV) infection
Polycystic ovarian syndrome - Dr Delia Smith
Dr Delia Smith highlights aspects of the 2018 International evidence-based guideline for the assessment and management of Polycystic Ovary Syndrome (PCOS). 4 past RANZCOG SAQs are also discussed.
Slides from the talk (including some links to other learning resources - a youtube video, RANZCOG guideline, O&G chapters)
Diabetes in pregnancy - Dr Henna Lakhdhir
Dr Heena Lakhdhir runs us through the practical aspects of glucose control.
Impact of birth on the pelvic floor - Dr Albert De Decker
Dr Albert De Decker brings us up to date with the mechanisms of pelvic floor injury related to vaginal birth.
Dr Kerrie Hides demonstrates a forceps technique that minimises the risk of anal sphincter injury.