Misoprostol for open myomectomy: a systematic review and meta-analysis of randomised control trials.

Background: Excessive blood loss is a significant risk of myomectomy with the potential need for hysterectomy.

Objective: To study the effectiveness of preoperative misoprostol compared with placebo at open myomectomy on intra- and postoperative outcomes.

Search Strategy: PubMed, Cochrane, Scopus, MEDLINE and EMBASE.

Venous thromboprophylaxis in pregnancy: the implications of changing to the 2010 RCOG guidelines.

The latest Confidential Enquiry into Maternal Deaths (2006-2008) shows that venous thromboembolism (VTE) is now the third leading cause of direct maternal mortality, behind sepsis and hypertension. This is likely to be because of improved risk assessment of patients and adequate thromboprophylaxis both antenatally and postnatally. Given the importance of this area, compliance with the departmental VTE guidelines (which were based on previous RCOG guidelines) was reviewed prior to transferring to a revised guideline based on the recent RCOG guideline (2010).

How good are obstetric and gynaecology trainees at reviewing and debriefing their patients following operative deliveries?

High levels of obstetric involvement are associated with psychological morbidity in patients postnatally. Operative deliveries contribute to up to 40% of deliveries. Given this, we decided to assess how well patients were being reviewed and debriefed following operative deliveries within our unit.