8 episodes
Obs and Guidelines Obs and Guidelines
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- Health & Fitness
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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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! -
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! -
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! -
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! -
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! -
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!
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