Rotational thromboelastometry (ROTEM ) in gestational diabetes mellitus and coagulation in healthy term pregnancy: A prospective observational study in Australia.

Background: Rotational thromboelastometry (ROTEM ) is a point-of-care test of coagulation. ROTEM -defined hypercoagulability has been identified in pregnant women and in non-pregnant patients with diabetes mellitus. Pregnancy is known to be a hypercoagulable state, but the influence of gestational diabetes mellitus (GDM) on coagulation is unknown.

The influence of obesity on coagulation in healthy term pregnancy as assessed by rotational thromboelastometry.

Background: Rotational thromboelastometry (ROTEM ) is a point-of-care coagulation test which has been used to demonstrate hypercoagulability in pregnant populations and obese populations.

Aim: The aim of this study was to assess the combined effect of pregnancy and obesity on coagulation using ROTEM in healthy pregnant women of varying body mass indices (BMIs) presenting for elective caesarean delivery.

Materials And Methods: Ethics approval was granted for recruitment of women presenting for elective caesarean delivery.

Baseline parameters for rotational thromboelastometry in healthy labouring women: a prospective observational study.

Objective: The aim of this study was to establish rotational thromboelastometry (ROTEM ) baseline parameters in labouring women at term gestation. The secondary aim was to compare these reference ranges with those from previous studies on labouring women and from the manufacturer.

Design: A prospective, observational study.

Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy pregnant Australian women: a comparison of labouring and non-labouring women at term.

Background: Rotational thromboelastometry (ROTEM®) is a point-of-care coagulation test. Reference ranges in non-labouring women have recently been established from a cohort of women presenting for elective caesarean delivery using the recommended minimum sample size of 120. This study aimed to present baseline parameters for labouring and non-labouring women and to compare the mean values of these ROTEM® parameters.

Menstrual Suppression in Pediatric and Adolescent Patients with Disabilities Ranging from Developmental to Acquired Conditions: A Population Study in an Australian Quaternary Pediatric and Adolescent Gynecology Service from January 2005 to December 2015.

Study Objective: The aim of this study was to review the efficacy of different medical modalities for menstrual suppression in the cohort of patients with disabilities who presented to the Queensland Paediatric and Adolescent Gynaecology (PAG) Service between January 2005 and December 2015. Menstrual suppression in adolescents with disabilities is an important aspect of care to support the patient and their carers in managing the complexities of menstrual hygiene, pain, and other discomfort associated with menses. It is important for general practitioners, pediatricians, and gynecologists to establish the right modality of suppression for each individual adolescent.

The obstructed hemivagina, ipsilateral renal anomaly, and uterine didelphys triad and the subsequent manifestation of cervical aplasia.

Study Objective: To compare a case series of the obstructed hemivagina, ipsilateral renal anomaly and uterine didelphys triad with the literature, with a focus on a subset of patients with cervical aplasia.

Design, Setting, And Participants: A retrospective case series was conducted of all patients with the triad managed between 2005-2013 at a tertiary center for adolescent gynecology.

Results: Similarities in this cohort, compared to the literature, included heterogeneity of presentation, presence of endometriosis, and asymmetry of affected side.

Large loop excision of transformation zone procedures used in the management of cytological abnormalities of the cervix.

Background:   National Health and Medical Research Council (NHMRC) guidelines published in 2005 changed the management of cervical squamous intraepithelial lesions. Asymptomatic low-grade abnormalities may be treated conservatively as many regress spontaneously. Cervical changes reflect infection with the human papilloma virus (HPV).

The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad.

The triad of obstructed hemivagina, renal anomaly and uterus didelphys is an uncommon cause of abdominal pain and menstrual discomfort in adolescent girls. Accurate diagnosis and surgical treatment can be delayed for several months or even years. Adolescent girls presenting with these symptoms should have a baseline pelvic ultrasound scan to establish uterine anatomy.