Clinical questions 2018-19

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 2018- Mar 2019. Please contact us for more details.  Last updated 12/04/19.

Low-dose asprin and recurence of gout
Caesarean section at full dilatation
Effect of low-lying placenta detected at the 20 week scan on blood loss at delivery
Optimising pre pregnancy counselling for women with diabetes
Effect of ice packs on perineal pain following childbirth
Pressure ulcers in pregnancy
Raised BMI and fetal growth restriction
Maternal age and fetal growth restriction
Tocilizumab in pregnancy and lactation.
Mid stream urine (MSU) collection in pregnancy
Long term cardiotoxicity with use of Capecitabine
Latent Phase of Labour – diagnosising “active stage” at 6cm dilatation
BMI >35 and birth setting in multiparous women.  Are birth centres a safe option?
Domestic violence in pregnancy (training of midwives)
Evidence on the use of warm compresses on the perineum in second stage labour
Protein Z deficiency and pregnancy outcomes
Short Stature syndrome and pregnancy outcomes
Point of care pregnancy testing (blood test using urine strip)
HCG hormone (in PCOS) and false-positive pregnancy tests
Screening for gynaecological/endometrial cancer in Lynch syndrome
Laundering of cloth theatre hats/caps
Amiodarone in pregnancy
Normal uterus with additional uterine horn
Polycythemia and Fibroids or Leiomyoma
Parkinson Disease and Pregnancy
lymphocytic choriomeningitis virus in pregnancy
Serosal ectopic pregnancy
Meptazinol in labour
Endometriomas and Cancer Risk in Postmenopausal Women
Surgical retrieval and increased sperm DNA
Indication for sperm DNA fragmentation testing and management
Management of persistently thin endometrium (less than <10mm)
Direct oral anticoagulatnts (DOACs) and breastfeeding
Fetal blood sampling in labour (benefits and accuracy)
Subclinical hypothyroidism in pregnancy
Incidence of bladder perforation at diagnostic cystoscopy and bladder biopsy
Clopidogrel and breastfeeding
Videorecording in labour and birth
Uterine fibroids and sepsis
Primary Intestinal Lymphangiectasia (Waldmann’s Disease) and Pregnancy
IUGR monitoring intervals
Intrauterine Growth Restriction Surveillance Regimes
Cardiotocographt for the assesment of intrauterine growth restriction
Antenatal blood pressure monitoring for intrauterine growth restriction
MELD scores and liver cirrhosis in pregnancy
Liver cirrhosis in pregnancy
Management of C1 Esterase Inhibitor Deficiency in Pregnancy
Pre-pregnancy counseling in high risk pregnancy (negative effects)
Benefits of delayed cord clamping in term/preterm and extreme preterm babies
Diagnosis and Genetic Predispostion to Primary Intestinal Lymphangiectasia (Waldmann’s Disease)
Dinoprostone for the induction of labour in the prescence of a scarred uterus (particulalry in the setting of fetal death)
Perampanel (Fycompa) and Pregnancy
Peanut birthing ball in labour
Rivaroxaban for the prevention of VTE in lactation
Appendicitis in pregnancy
Seeing/holding a stillborn infant
Membrane sweeping (success rate by gestation)
Myotonic dystrophy type 1 and pregnancy
Lactate levels in labour and post Delivery
Platelet reference ranges in pregnancy
Thrombocytosis/Thromboythaemia in pregnancy
Varenicline in Pregnancy
Management of asthma in pregnancy

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