Publications by authors named "Erna Bayar"

Purpose: To determine the level of uptake of telemedicine among postgraduate obstetrics and gynaecology (O&G) trainees in London, and how they perceive its impact on their training.

Methods: A mixed-methods survey aimed at exploring trainee perspectives of telemedicine use in clinical practice and its implications for training. Study participants were O&G specialist doctors on the London (UK) training programme.

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Medical care for transgender people is multi-faceted and attention to individual reproductive aspirations and planning are an essential, yet often overlooked aspect of care. Given the impact of hormonal therapy and other gender affirmation procedures on reproductive function, extensive counselling and consideration of fertility preservation is recommended prior to their commencement. This review article explores the reproductive aspirations of transgender women and considers the current disparity between stated desires regarding utilisation of fertility preservation services.

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Article Synopsis
  • This review investigates the effects of polyunsaturated fatty acid (PUFA) supplementation on reproductive outcomes for women using assisted reproductive technology (ART).
  • A systematic search identified 4 randomized control trials published from January 1978 to 2021, focusing on primary outcomes like pregnancy and live birth rates, as well as secondary measures such as implantation and fertilization rates.
  • The findings highlight a scarcity of high-quality research, indicating the need for more robust studies before PUFAs can be clinically recommended for women undergoing ART.
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Article Synopsis
  • Preterm birth (PTB) affects 8% of births in the UK, and a specialized clinic manages care for around 1000 women yearly, using regular ultrasound checks for cervical issues.
  • During COVID-19, the NHS adapted by minimizing in-person visits to prevent virus spread, leading to a 54% reduction in face-to-face appointments and a shift to 64% remote consultations.
  • Using quality improvement methods, the clinic implemented a new care pathway that maintained patient satisfaction and safety, with no reported COVID-19 cases among the patients during the study period.
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Preterm birth is a global health concern and continues to contribute to substantial neonatal morbidity and mortality despite advances in obstetric and neonatal care. The underlying aetiology is multi-factorial and remains incompletely understood. In this review, the complex interplay between the vaginal microbiome in pregnancy and its association with preterm birth is discussed in depth.

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