Clinical Questions 2020-21

Below are the clinical questions received by meeting the staff at WMUH Queen Mary Maternity Unit and attending haematology/O&G MDT meetings during Apr 2020- Mar 2021. Please contact us for more details.  Last updated 05/05/21.

Rupture of uterine leiomyoma
Prolonged latent phase of labour
Water for labour and birth
Language used in the birth setting
Rate of still birth associated with 42 week gestations
Sleep apnoea in pregnancy
Molar pregnancy in scar ectopics 
Prucalopride use in pregnancy
Spontaneous fallopian tube rupture
Management of constipation in pregnancy
Inhaled nitrous oxide and neurological damage
Pregnancy in a woman with a liver transplant
Restless legs syndrome and pregnancy
Intrauterine device insertion at caesarean section
Congenital Bilateral Hydrosalpinges
Lyme disease in pregnancy
Hypermobility syndrome in pregnancy
Pemphigus vulgaris in pregnancy 
Sciatic nerve injury following intramuscular injection in the gluteal region
Porphyria and hormone replacement therapy
Propafenone in pregnancy
Nitrous oxide abuse in pregnancy
vedolizumab in pregnancy
Hypermobility in pregnancy and childbirth
Flunarazine in pregnancy
Maternal Obesity and Pregnancy and Birth Outcomes
Diazoxide in Pregnancy and Breastfeeding 
Hyperinsulinism-Hyperammonemia Syndrome in Pregnancy
Cladribine in pregnancy
Fungal infections and second trimester pregnancy loss
Management of caesarean scar defects
Takayasu Arteritis and Pregnancy
Management of Hypertriglyceridemia in Pregnancy
Limb-girdle muscular dystrophy in pregnancy
Keratoconus and vaginal delivery
Herpes transmission in labour
Risk of recurrent postpartum haemorrhage
Caesarean section and risk of postpartum haemorrhage
Risk of thrombosis in patients with lymphoedema in pregnancy
Compartment syndrome in pregnancy and the postpartum period
Proteinuria in pregnancy
Management of inflammatory arthritis in pregnancy
The ROM-Plus test for predicting rupture of membranes
Antidepressants and risk of postpartum haemorrhage
Recurrence of takotsubo cardiomyopathy (including in pregnancy)
Ovarian torsion in pregnancy
Preeclampsia and placenta growth factor
Eltrombopag in Pregnancy 
Rituximab in pregnancy
spontaneous abdominal bleeding associated with placenta Percreta/Accrete/Incerta.
Placenta accreta in early gestation
Advanced Maternal Age ( >40 years) and risk of preeclampsia
Routine induction of woman >40 years
Home blood pressure monitoring 
Screening and management of risk factors in IVF pregnancies
Normal labour in advanced maternal age (>40 years)
Advanced maternal Age (>40 years) and diabetes
What are the clinical benefits of biologics (monoclonal antibodies such as Tocilzumab, Anakinra) in the management of Covid-19
What are the associations between Covid-19 and thromboembolic events?
What are the links between spontaneous pre-term delivery and Covid-19?
Starvation ketoacidosis in pregnancy and COVID-19
Sterile water injections for labour pain
Oral glucose tolerance testing beyond 28 weeks pregnancy

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