Obs and Guidelines

Obs and Guidelines

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MEDICINE

Obs and Guidelines Podcast

A casual review of Obstetrics and Gynaecology clinical guidelines relevant to practice in New Zealand. Amazing cover artwork by Anna Lovisa - Ngā mihi nui! This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy.

15/11/2021

International evidence-based guideline for the assessment and management of polycystic ovary syndrome 2018

Replaces RANZCOG C-Gyn 26 Long term consequences of PCOS as of October 2021 https://www.monash.edu/__data/assets/pdf_file/0004/1412644/PCOS_Evidence-Based-Guidelines_20181009.pdf Disclaimer: This podcast reflects our personal views and not the views of RANZCOG, or any RANZCOG committees or boards. This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Appreciation: Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

57 min
18/09/2021

Management of breech presentation (C-Obs 11)

RANZCOG guideline July 2021 (guideline published September 2021) Disclaimer: This podcast reflects our personal views and not the views of RANZCOG, or any RANZCOG committees or boards. This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Appreciation: Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

38 min
17/09/2021

Term Prelabour Rupture of Membranes (Term PROM) (C-Obs 36)

RANZCOG guideline July 2021 (guideline published September 2021) Disclaimer: This podcast reflects our personal views and not the views of RANZCOG, or any RANZCOG committees or boards. This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Appreciation: Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

28 min
14/08/2021

HOW Collaborative position paper on thrombocytopenia in pregnancy

HOW Collaborative position paper on the management of thrombocytopenia in pregnancy Position paper published in ANZJOG Jan 2021. https://doi.org/10.1111/ajo.13303 Causes Gestational (70-80%) Primary immune thrombocytopenia (ITP) (1-2%) Secondary ITP, eg due to human immunodeficiency virus (HIV), hepatitis C, systemic lupus erythematosus Congenital Drug-induced Type IIb von Willebrand’s disease (VWD) Antiphospholipid syndrome Splenic sequestration, eg liver disease, portal hypertension Bone marrow disorders Nutritional deficiency, eg vitamin B12/folate Pregnancy-associated microangiopathy Preeclampsia/haemolysis, elevated liver enzymes, low platelets syndrome (HELLP) Thrombotic thrombocytopenic purpura (TTP) Haemolytic uraemic syndrome (HUS) Acute fatty liver of pregnancy Sepsis DIC Spurious/Pseudothrombocytopenia (clumping) Initial investigations (if platelet count 50 for: Vaginal birth, Instrumental, Caesarean, Clexane use Target platelets >70 for allow regional anaesthesia (spinal is less traumatic than epidural) Stress steroids in labour: IV hydrocortisone 50 mg Q6H from established labour to 6 hours after birth. For caesarean, give 100 mg IV hydrocortisone at time of anaesthesia, then 6 hours post-birth Mode of birth: Lack of data to inform instrumental risks. ITP is associated with a small increase in neonatal thrombocytopaenia. This podcast is not endorsed by RANZCOG/ANZJOG and has no affiliation with RANZCOG/ANZJOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

23 min
20/07/2021

Prevention of congenital cytomegalovirus (CMV) infection (C-Obs 64)

RANZCOG guideline finalised March 2019. https://ranzcog.edu.au/womens-health/patient-information-guides/patient-information-pamphlets This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

25 min
21/06/2021

Genetic carrier screening (C-Obs 63)

RANZCOG guideline finalised March 2019. https://ranzcog.edu.au/womens-health/patient-information-guides/patient-information-pamphlets This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

32 min
19/06/2021

Vitamin and Mineral Supplementation and Pregnancy (C-Obs 25)

RANZCOG guideline finalised November 2019. Prescribing recommendations: Folic acid: 0.8 mcg PO daily (5 mg if BMI >30, prev NT defect, diabetes, risk of malabsorption, anticonvulsants) Iodine: 150 mcg PO daily Iron: Ferrous fumarate (60 mg elemental Fe) 200 mg PO daily, or on alternating days. Alternatively use Ferro-F-Tab (100 mg elemental Fe). Calcium carbonate: 1.25 g PO BD Cholecalciferol: 1.25mg x2 for loading dose followed by 1.25mg monthly (contains ~40,000 IU per dose) Vitamin K: 10 mg PO daily in last 4 weeks of pregnancy complicated by cholestasis (use IV formulation) B12: As part of multivitamin Multivitamins: Elevit, Blackmores Gold, Swisse, GO Healthy This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

22 min
17/06/2021

Managing menopausal symptoms (C-Gyn-9)

RANZCOG guideline finalised September 2020. MHT after cancer recommendations comparison: https://www.dropbox.com/s/jbxa3lpfx97m973/MHT%20after%20cancer%20recommendations%20comparison.pdf?dl=0 This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

42 min

8 Episodes

A casual review of Obstetrics and Gynaecology clinical guidelines relevant to practice in New Zealand. Amazing cover artwork by Anna Lovisa - Ngā mihi nui! This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy.

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Obs and Guidelines
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Obs and Guidelines