Contraception and Pre-Conception Counselling in Cardiac Patients: We Can Do Better. Experience From a Tertiary Centre in New Zealand.

Background: Physiological changes in pregnancy can precipitate decompensation in women with pre-existing cardiac disease leading to suboptimal fetal outcome in addition to maternal risk. Many women born with congenital heart disease are living into childbearing years, and rheumatic heart disease (RHD) remains a significant problem within Māori and Pasifika communities in New Zealand.

Aims: To assess documentation of contraception advice and pre-conception counselling in women with pre-existing cardiac disease of childbearing potential and to explore potential barriers to these conversations.

Audit to investigate junior doctors' knowledge of how to administer and score the Montreal Cognitive Assessment (MoCA).

Aim: To investigate junior doctors' knowledge of how to conduct the Montreal Cognitive Assessment (MoCA).

Methods: A two-part questionnaire was administered to junior doctors at teaching sessions across three New Zealand district health boards. Part 1 investigated prior experience and knowledge of the MoCA.

Bilateral retrocerebellar arachnoid cysts exerting mass effect and associated with cerebellar tonsillar ectopia in an otherwise healthy adult.

Rarely, midline or unilateral posterior fossa arachnoid cysts (ACs) exert local mass effect resulting in the symptoms and signs of cerebellar and brainstem dysfunction. These cysts are sometimes seen in conjunction with cerebellar tonsillar ectopia (TE), although the relationship between these two entities is unclear. Bilateral ACs in the posterior fossa are virtually unprecedented.