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Clinical Questions 2024-25

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 2024- Mar 2025. Please contact us for more details or if you can’t open any links.  Last updated 07/04/25.

Serum HCG following ruptured ectopic pregnancy
Occupational exposure to Penthrox
VR headsets in gynaecological procedures
Pain management of endometriosis in pregnancy
Management of shoulder dystocia during water birth
The influence of low or high-risk settings on decision making and risk assessment
Arpepitant in pregnancy
Hypercalcemia in pregnancy
Infection risk of vaginal examinations in labour
Acute kidney injury in pregnancy
Normal serum creatinine levels in pregnancy
External cephalic version success with prior caesarean section
IVF success rates following caesarean section
Risk factors for endometrial cancer according to menopausal status (pre-vs postmenopause)
DCDA twins delivery beyond 37 weeks and risk of stillbirth
Women’s experiences of induction of labour
Storage of essential oils in maternity
HPV 16 transmission during vaginal delivery and labour
Dupilumab in pregnancy
Preterm birth and internal manoeuvres/instrumental delivery
Previous uterine myomectomy and mode of birth
Vaginismus in preganancy and birth
Use of clary sage and aromatherapy in labour and any risks of developing seizures
Use of Metformin for GDM and its association with fetal growth restriction  
Rates of instrumental delivery associated with induction of labour
Ferric Derisomaltose vs. Ferric Carboxymaltose in Pregancy
The impact of childhood stress and trauma on pregnancy and maternal health
Eczema and MRSA
MRSA decolonisation strategies 
Pleural endometriosis 
Anti-NMDA encephalitis in pregnancy
Effectiveness/limitations of checklists for communication in antenatal appointments
Risk of ectopic pregnancy following caesarean birth
National rates of hypoxic-ischaemic encephalopathy
Hormonal contraception following ectopic pregnancy
Factor XI deficiency in pregnancy
Low PAPP-A and pregnancy outcomes 
Elevated Uterine Artery Doppler and Risk of Stillbirth/Risks after 40 Weeks
Placentophagy
Anal fissures and vaginal birth risks
Anal diseases and vaginal birth
Episiotomy and risk of incontinence 
Virtual reality headsets for the management of miscarriage and gynaecological procedures
Mirena coil (IUS) for the management of endometriosis
The effect of fetal movement resources in different languages on outcomes
Pruritis in pregnancy
Induction of labour success according to parity
Induction of labour in women aged >40 years at 40 weeks
Foley’s vs Cooks balloon catheters for induction of labour
Acute intermittent prophyria in pregnancy
Safety of misoprostol for intrauterine device insertion
Birth-associated injuries in spontaneous vaginal deliveries
Risk of recurrence of fourth-degree perineal tears
VTE risk in homozygous factor v Leiden
Effect of hands-on perineal care on obstetric and anal sphincter injury
Sudden infant death syndrome
Gestational age and risk of placental abruption 
Proteinuria in pregnancy
Incidence of fetal skull fractures
Clinical utility of genetic and genomic testing in recurrent miscarriage
Cell-free DNA in testing the causes of miscarriage
JAK 1 and 2 inhibitors and breastfeeding
Psychological impact of access to genetic testing following miscarriage
Infectious complications following radiofrquency ablation for uterine fibroids
Management of copper IUD migration in pregnancy
Lasers for perineal trauma and gynaecological conditions
Genetic and genomic testing in stillbirth
IV tranexamic acid and renal cortical necrosis
Patient knowledge of IOL and assosciation with satisfaction
Statistics on instrumental delivery in primiparous women and failed instrumental delivery leading to emergency caesarean
Ulcerative colitis and mode of delivery
Neuromyelitis optica spectrum disorders and pregnancy
Subchorionic haematoma and risk of placental abruption
Congenital portal vein shunts and pregnancy
Hypermaganesaemia (effects on pregnancy/newborn/liver/nervous system)
BMI and IVF success rates
GLP-1 injections and weight loss in women
GLP-1 injections vs lifestyle changes in women aged 18-40
OASI Care bundle effectiveness in practice
BMI and restrictive access to fertility treatment
Velamenous cord insertion and birth outcomes/mode of birth
Myopia and mode of delivery
Physiological fetal monitoring; fetal hypoxia
Effects of bariatric surgery on pregnancy and fertility
Transjugular intraheaptic portosystemic shunts for noncirrhotic portal hypertension in pregnancy 
Antiphospholipid syndrome in pregnancy (including miscarriage management)
GLP1 agonist injection and efficacy of GnRH analogues
GLP-1 medications and conception rates/adverse pregnancy outcomes 
BMI and spontaneous conception
Protein S deficiency and recurrent pregnancy loss
Psychological impact of delayed access to fertility treatment
Complementary therapies for induction of labour/inducing spontaneous labour
Vaginal delivery following induction of labour according to parirty
Neonatal or maternal outcomes  in non-English speakers
Tydeman tube for the management of the impacted fetal head at caesarean section

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

----------------------- More News -------------

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

Search e-journals



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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