Home › Clinical Questions 2016 -17

Clinical Questions 2016 -17

Below are clinical questions received by meeting the staff at WMUH Queen Mary Maternity Unit and attending haematology/O&G MDT meetings from May 2016 – Mar 2017. Please contact us for more details.  Last updated 07/12/17.
Are Troponin levels effected by pregnancy/delivery?
CADASIL syndrome and pregnancy
Maternal bradycardia (causes and frequency)
Immunoplatelet counting
Differences between intravenous immunogloblins (Privigen/Vigam/Sandogobulin)
Multivitamins in pregnancy
Frequency of Clindamycin Resistance in Group B Strep
Incidence of facial palsy/Bell Palsy associated with Methyldopa in Pregnancy
Vitamin B12 deficiency in pregnancy/normal reference ranges
Ankyloglossia
Superovulation and intrauterine stimulation
Onset of action/onset of side effects (depression/hepatitis) in use of Methyldopa
Celox in the obstetric and non-obstetric setting. Results1; Results 2
SSRIs and aspirin interaction in young/pregnant subjects
Genetic Mutation of Haemophilia B and development of inhibitory antibodies
Low BMI in pregnancy and effects on low birth weight/neonatal outcomes
Skull fractures and birth trauma (inc vacuum extraction/depressed/linear fractures)
Legal requirement to report foetal death prior to 24 weeks
Fetal intraventricualar haemorrhage associated with low molecular weight herparin
Tubo-ovarian abcesses
Metformin in Pregnancy
Inhalant abuse (lighter fluid) during pregnancy effects on fetus
Epirubicin/ cyclophosphamide chemotherapy in pregnancy (breast cancer)
BMI <18.5 cut off for underweight in pregnancy. What is the evidence for this?
POGL1 mutations in pregnancy
McArdle’s disease in pregnancy
Taxol in Pregnancy
Gonadotropin-releasing hormones and Psychosis
Subarachnoid haemorrhage/cerebral anneurysms in pregnancy/intrapartum period
Identfiable risk factors for MRSA carriage
Vasa praevia (diagnosis, management, classification)
Pregnancy outcomes and low PAPP-A Levels
Propess and uterine rupture in the unscarred uterus
Zika virus and pregnancy
Blood platelet testing in pregnancy standard vs optical/immunocounting
Toxoplasmosis in pregnancy and childbirth
effect of first trimester subchorionic haemorrhage on pregnancy/perinatal outcomes
Cervical length in the first trimester and prediction of preterm birth
Is the first morning void best test for women suspected of proteinurea
Repeating tests if the dipstick test is positive for proteinurea
Are PCR (protein creatinine ratio tests compromised by a small amount of mixed growth?
Timing of restarting biologic therapy (Infliximab or Adalimumab) after major surgery (particularly c section)
N-acetylcysteine use in liver failure/fatty liver disease (non-paracetamol poisoning)
Antipsychotic medication in pregnancy and risk of hypoglycaemia/gestational diabetes
Are progestogens contraindicated in coagulated patients with a history of venous thromboembolism?
 When we suture post-delivery do we need to use surgical drapes/leggings?
 Sclerosing Cholangitis in Pregnancy
 myofibrillar myopathies (MFMs) and incidence of cardiomyopathy
 Oral vs. intramuscular Dexamethasone for preterm labour
GDM screening at 34 weeks using OGTT in women with a BMI >35 who have previously had a negative result
Oramorph (oral morphine) in latent phase of labour
Diagnosis and Management of Pneumothorax in Pregnancy
kyphoscoliosis and pregnancy (maternal and neonatal outcomes)
Respiratory Failure and pregnancy neontal outcomes
Oxytocin dosing regime 50ml dilute vs 500ml
Arabin Pessaries – infection risk/timing of removal
Duration of the latent phase of labour according to parity
 Higher dose methyldopa
 Insulin Degludec (Tresiba) for type 1 diabetes in pregnancy
 syringomyelia in pregnancy and delivery
 Pudendal Block and Urinary Dysfunction/Retention
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.
Library News & What’s new

Christmas Opening Hours

The Library will be closed from 25th Dec 2025– 1ST Jan 2026.Please note that swipe card access to the 24 hour section of the library will continue to be available at all times.

Changes to the NHS Knowledge and Library Hub

 The NHS Knowledge and Library Hub (KLhub) is getting a fresh look from July 7 with a new and improved user interface. You will benefit from the improved search functionality with it remaining the single-best platform to browse, search and access eResources using your NHS OpenAthens account.

The new KLHub means that there are some changes that you should be aware of ahead of time.  From July any existing search alerts, custom folders and journal alerts which have been saved in MyEBSCO will no longer be available. This will affect items saved in the KLHub as well as EBSCOhost databases. Please contact library staff if you need advice on saving your searches in order to replicate them later. 

ProQuest Databases

 From July 1st the following ProQuest databases will no longer be available via NHS OpenAthens:

  • AMED, British Nursing Index (BNI), Health Research Premium Collection, PsycINFO and PsycARTICLES.

If you have any questions or concerns regarding these changes, please contact library staff.

Board Games

We have a collection of educational board games which can be used in training sessions and to gain CPD credits. Below board games recently added to our existing collection.

Menopause Game

Team resilience game

Dysphagia game

Hydration game

Mental health at work  Map game

Mental health awareness

LGBT+ in the workplace game

Safeguarding game

If you’re interested in borrowing these board games for your CPD or training or if you have any questions please email chelwest.library.infoservice@nhs.net

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Access Journals, eBooks, Point of care Tools and Staff Publications (login with OpenAthens)

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DynaMedAccess DynaMed, clinical decision support tool on the Trust intranet without password, access remotely with NHS OpenAthens, download the app to access on mobile devices anywhere. See the quick guide for details

 

Access BMJ Best Practice, clinical decision support tool 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.


Staff Publications lists:

COVID- 19 Staff Publications

WMUH -2025

CWMH (can download only on the Trust computers)

Institutional Repository of Staff Publications

Latest Health Management Bulletin

BBC News – Health

Hospital violated trans complaint nurses' dignity, tribunal rules
A judge says the hospital chiefs' changing room policy created a "hostile" environment for women.
Lacking willpower this January? Here's how to reframe your mind
Complex podcast host and chartered psychologist Kimberley Wilson joins What's Up Docs? to talk about how we think about willpower.
I didn't give up, I let go. How I came to terms with not having children
After a decade of trying for a baby, Caroline and her husband decided they needed to build a different future.
Hospitals with unsafe concrete expected to miss rebuild deadline
Seven hospitals with Raac that were prioritised last year are not expected to be completed on time - some not until 2032/33.
ADHD diagnosis 'changed' Love Island star's life
Dr Alex George wants better assessment waiting times after paying for expensive private tests.

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