Clinical Questions 2017 -18

Below are the clinical questions received by meeting the staff at WMUH Queen Mary Maternity Unit and attending haematology/O&G MDT meetings. Apr 2017- Mar 2018. Please contact us for more details.  Last updated 07/04/18.
Intrapartum care of partial mole pregnancy
oligohydramnios and spontaneous   pneumothorax
Conception following Busulfan and Cyclophosphamide Chemotherapy
In patients who recover following acute kidney injury, are they more likely to develop chronic renal failure?
Effects of mental health in pregnancy on offspring
Substance misuse in pregnancy
Recurrent thrombotic thrombocytopenic purpura (TTP) in pregnancy
placental mesenchymal dysplasia
Valsalva manouver vs spontaneous pushing in second stage labour
Lithotomy vs. other positions for second stage labour in women who have an epidural
Spontaneous rupture of membranes and rate of spontaneous onset of labour
Hysteroscopy and miscarriage/surgical management of miscarriage/ ERPC and hysteroscopy
Fetomaternal haemorrhage (rare causes) or association with amniotic fluid embolism
Routine ultrasound scanning at 34 or 36 weeks (third trimester) in low risk pregnancies
PROM at term and rates of infection per 24 hours
Amniotic Fluid Embolism
Hysterosalpingography (accuracy for confirming tubal ligation)
Role of GPs in antenatal care (frequency of visits and at what stage of gestation)
Management of submucosal fibroids in postmenopausal women
Effect of music in maternity waiting areas
Prevention of venous thromboembolism in women who have first trimester miscarriage or termination
 Effect of Schistosomiasis (bilharzia) in Pregnancy
 Pulmonary Leiomyomatous Hamartoma
 Motor neuron disease and pregnancy
 Riluzole in pregnancy
 Timing of Propess removal
Outpatient use of Propess for labour induction
Induction at 40 weeks in women with IVF pregnancies
Stelara (Ustekinumab) in pregnancy
Artificial rupture of membranes in a non-labour ward setting
Recurrence of Peripartum Cardiomyopathy in Future Pregnancies
Facial injuries associated with forceps delivery
Pulmonary hypertension in pregnancy
What percentage of histology from bilateral tubal ligation shows incomplete transection?
Lactate of ≥4 mmol/l as a trigger for sepsis.  What is the evidence for this? Normal lactate for woman in labour/post c-section
Facial arteriovenous malformation in pregnancy (modes of delivery, anaesthetic issues, exacerbation caused by pregnancy)
External Cephalic Version and maternalfetal haemorrhage/anti-D/Kleihaur test
VTE and first trimester abortion/miscarriage. Prothrombotic state following first trimester abortion/miscarriage
Vaginal cleansing prior to emergency caesarean sections
Intraoperative glove changing and caesarean section postoperative infections
Cell salvage at vaginal birth
Management of Chronic histiocytic intervillositis (particulalry in subsequent pregnancies)
Neurofibromatosis in pregnancy (complications to include preeclampsia and intrauterine growth retardation)
Pregnancy outcome for kidney donors or women with a solitary kidney
Renal outcomes in people with a solitary kidney (excluding donor kidneys)
Povidone iodine for the Prevention of Puerperal Sepsis
Massive obstetric haemorrhage
Stelara (Ustekinumab) in pregnancy
Celox in pregnancy/postpartum haemorrhage
Multiple Sclerosis and High-Dose Vitamin D
Association between PAPP-A and fetal growth restriction
Are growth scans required for woman with a low PAPP-A?
Is there evidence of deterioration of retinitis pigmentosa following vaginal birth?
Coronary artery dissection in pregnancy/postpartum period
Peripartum cardiomyopathy without symptoms of heart failure and rapid recovery
Preoperative diagnosis of leiomyosarcoma
Severe pain following laparoscopic clip sterilisation
Postplacental intrauterine device insertion at caesarean section
Effect of uterine scar dehiscence on mode of delivery/risk of uterine rupture
Klippel-Trenaunay syndrome (KTS) in pregnancy
Low sodium (Hyponatremia) and pre eclampsia
Ultrasound of uterine scars for predicting future or current pregnancy outcome
Intravenous iron and postpartum anemia
Validated quality of life tools in the postnatal period (particularly any which assess the impact of postnatal anaemia)
Post ECV monitoring – how long and when?
Frequency of post ECV re-version
Evidence of the efficay of moxibustion and acupunture in turning a breech presentation to cephalic
Spontaneous Resolution of Chiari Malformation with Syringomyelia
Evidence on the benefits of administering intravenous magnesium sulphate for gestations between 24-24 weeks
Impact of iron deficiency anaemia on pregnancy and neonatal outcomes
Paracetamol masking  fever in maternal sepsis
Plasminogen Activator Inhibitor 1 4G Mutation and Pregnancy Loss
Paternal stress in response to traumatic delivery
Gaucher’s disease and pregnancy
Mode of birth and genital warts
Disclaimer: Results of database and or Internet searches are subject to the limitations of both the database(s) searched and the search request. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the results. we make no representations and give no warranties with respect to the accuracy or completeness of the information. By giving you this information we are not giving any form of advice or recommendation and we do not intend you to rely upon it when making (or refraining from making) any decision.
Latest News

Image result for newWMUH Library Discovery Tool

Check out our guide for a brief overview, how to access and use the Discovery tool. Trouble accessing or have questions?  Please contact us

BMJ Best Practice, clinical decision support tool is now available. Access it on the Trust intranet without password, access remotely with NHS OpenAthens, download the app to access on mobile devices anywhere. See the  user guide for details.

Access to DynaMed is available via Cerner EPR. Contact us for more details.

Latest Staff Publications lists:

WMUH

CWMH (can download only on the Trust computers)

Institutional Repository of Staff Publications

Latest Health Management Bulletin

Upcoming Events
Oct
9
Wed
9:30 am Drop in Training Sessions @ Library study room
Drop in Training Sessions @ Library study room
Oct 9 @ 9:30 am – 4:00 pm
Drop-in sessions will take place between 9:30am-12pm and 1:30-4pm for the following: ·         Introduction to Library Discovery Tool ·         Introduction to BMJ Best Practice ·         Introduction to Searching Healthcare Databases (HDAS) ·         Advanced Database Searching ·         Literature Search Assistance ·        
Oct
11
Fri
10:00 am Reflective Reading for Nurses an... @ eLearning Room
Reflective Reading for Nurses an... @ eLearning Room
Oct 11 @ 10:00 am – 11:00 am
This session is aimed at nurses and midwives undertaking NMC revalidation by providing attendees with 2.5 hours of valuable CPD!  It will give nurses and midwives the opportunity to read, discuss and to critically reflect upon a published paper using
Oct
15
Tue
2:30 pm Appraising Research Papers for B... @ eLearning Room
Appraising Research Papers for B... @ eLearning Room
Oct 15 @ 2:30 pm – 4:00 pm
This course is for Trust staff only. Not all published research is reliable! If you want to be confident reading and utilising published research you need to understand its content and be able to objectively assess its quality. Run as
Oct
17
Thu
10:30 am Appraising Research for beginner... @ Library, Education Centre
Appraising Research for beginner... @ Library, Education Centre
Oct 17 @ 10:30 am – 12:00 pm
Learners are required to read a prescribed research paper in advance of attending the session. A copy of the Critical Appraisal Skills Programme (CASP) checklist will be supplied. No prior knowledge of critical appraisal or statistical concepts is required. The session
Oct
18
Fri
9:30 am Drop in Training Sessions @ Library study room
Drop in Training Sessions @ Library study room
Oct 18 @ 9:30 am – 4:00 pm
Drop-in sessions will take place between 9:30am-12pm and 1:30-4pm for the following: ·         Introduction to Library Discovery Tool ·         Introduction to BMJ Best Practice ·         Introduction to Searching Healthcare Databases (HDAS) ·         Advanced Database Searching ·         Literature Search Assistance ·        
Oct
22
Tue
9:30 am Drop in Training Sessions @ Library study room
Drop in Training Sessions @ Library study room
Oct 22 @ 9:30 am – 4:00 pm
Drop-in sessions will take place between 9:30am-12pm and 1:30-4pm for the following: ·         Introduction to Library Discovery Tool ·         Introduction to BMJ Best Practice ·         Introduction to Searching Healthcare Databases (HDAS) ·         Advanced Database Searching ·         Literature Search Assistance ·        
Oct
31
Thu
2:30 pm Finding the Evidence: Introducti... @ eLearning Room
Finding the Evidence: Introducti... @ eLearning Room
Oct 31 @ 2:30 pm – 4:00 pm
This session will equip learners with the skills to formulate an effective database search strategy and to search for evidence using the NHS healthcare databases (HDAS).  The training is delivered using a mixture of facilitator presentation, live search demonstrations and
Nov
7
Thu
9:30 am Drop in Training Sessions @ Library study room
Drop in Training Sessions @ Library study room
Nov 7 @ 9:30 am – 4:00 pm
Drop-in sessions will take place between 9:30am-12pm and 1:30-4pm for the following: ·         Introduction to Library Discovery Tool ·         Introduction to BMJ Best Practice ·         Introduction to Searching Healthcare Databases (HDAS) ·         Advanced Database Searching ·         Literature Search Assistance ·        
Nov
13
Wed
9:30 am Drop in Training Sessions @ Library study room
Drop in Training Sessions @ Library study room
Nov 13 @ 9:30 am – 4:00 pm
Drop-in sessions will take place between 9:30am-12pm and 1:30-4pm for the following: ·         Introduction to Library Discovery Tool ·         Introduction to BMJ Best Practice ·         Introduction to Searching Healthcare Databases (HDAS) ·         Advanced Database Searching ·         Literature Search Assistance ·        
Nov
15
Fri
2:30 pm Reflective Reading for Nurses & ... @ eLearning Room
Reflective Reading for Nurses & ... @ eLearning Room
Nov 15 @ 2:30 pm – 3:30 pm
This session is aimed at nurses and midwives undertaking NMC revalidation by providing attendees with 2.5 hours of valuable CPD! It will give nurses and midwives the opportunity to read, discuss and to critically reflect upon a published paper using a
Open Athens
OpenAthens Registration
NHS Evidence
Health Care Databases  (Login with your OpenAthens)
Journals (Login with your OpenAthens)