Obstetrics and Gynaecology Forum - Volume 23, Issue 2, 2013
Volume 23, Issue 2, 2013
Author Priya Soma-PillaySource: Obstetrics and Gynaecology Forum 23, pp 1 –6 (2013)More Less
The major goal of obstetric care is to ensure the birth of a healthy baby with minimal risk to the mother. Therefore determining which interventions are most likely to improve patient safety is an important global health issue. The Oxford English Dictionary defines risk as: 'hazard, chance of bad consequences, loss.'
Author N. Du PlessisSource: Obstetrics and Gynaecology Forum 23, pp 15 –21 (2013)More Less
Obstetric haemorrhage remains one of the most challenging conditions to manage in pregnancy. Irrespective of the level of skill and experience of the attending health care provider, bleeding of an obstetric patient poses many difficulties from the moment of presentation, through making the correct diagnosis and providing timely and life-saving treatment. Prompt resuscitation and reversal of coagulopathy are critical while definitive measures are carried out to arrest the bleeding.
Author P. SwartSource: Obstetrics and Gynaecology Forum 23, pp 23 –25 (2013)More Less
The training of registrars to become obstetrician-gynaecologists is performed in large hospitals, usually associated to an university. These hospitals are mostly level II and III hospitals to which more complicated cases are referred. The patients that registrars are exposed to are thus mostly selected to suffer from significant disease. This is true for both obstetrics and gynaecology. It is a logical consequence of this system that low risk patients and screening of well women for disease would be underrepresented in this setting.
Safety of Quadrivalent Human Papillomavirus Vaccine administered routinely to females : product newsAuthor Nichola P. KleinSource: Obstetrics and Gynaecology Forum 23 (2013)More Less
Author S. AdamSource: Obstetrics and Gynaecology Forum 23, pp 28 –33 (2013)More Less
A close relationship exists between kidney function and a successful pregnancy outcome. Renal disease can affect the outcome of pregnancy, pregnancy can affect the progression of pre-existing renal disease, and pregnancy itself can cause renal impairment. Women with renal disease who conceive and continue the pregnancy are at risk of adverse maternal and foetal outcomes. Although advances in antenatal and neonatal care continue to improve outcome, the risks remain proportionate to the degree of renal insufficiency.
Author M.C. Van AardtSource: Obstetrics and Gynaecology Forum 23, pp 36 –40 (2013)More Less
Staging can be defined as assessing the anatomical extent of the tumour. Stages are an artificial subdivision of the ongoing disease process based on the applicable anatomical landmarks. The main goals in treating patients with cancer are to improve cure rates, increase survival time and enhance quality of life. The most crucial factor pertaining to cancer outcome is the disease extent at the time of presentation. The stage of the disease is used to indicate this extent. This is essential to optimally manage the cancer patient.
Author G.C. Du ToitSource: Obstetrics and Gynaecology Forum 23, pp 42 –44 (2013)More Less
Biomedical endpoints such as overall survival and disease free survival are important outcome measures in the management of gynaecological malignancies. Curative treatment is associated with disease and treatment related morbidity. Quality of life assessment has become an integral part of management evaluation in both curative, but more so in palliative treatment scenarios. In specific situations quality of life has a direct effect on the choice of treatment option where biomedical outcome is equivalent in treatment arms. Quality of life outcomes determine preferred future treatment options. Quality of life assessments in ovarian, cervical, vulvar, endometrial cancer, and trophoblastic disease has a direct influence on future treatment options and also play a role in the support and management of long term survivors of the condition.