Recruitment and retention in obstetrics and gynaecology in the UK.

The problem of recruitment and retention into obstetrics and gynaecology could translate into serious manpower problems if not addressed now by making the experience of trainees and medical students rotating through the speciality memorable and improving trainees' work-life balance.

Review of vaginal birth after primary caesarean section without prostaglandin induction and or syntocinon augmentation in labour.

Objective: To show the results of vaginal birth after primary caesarean (VBAC) without using prostaglandin for induction and/or syntocinon augmentation are comparable when induction is done with these agents but without the added risks of uterine rupture.

Method: A review of the obstetric records of 16,498 parturient from 1 January 2001 to 31 December 2006 was carried out. The 229 cases of women who wanted VBAC were subjected to further analysis to determine the number of successful vaginal delivery after spontaneous onset of labour or membrane sweep.

The oestrogen 'sparing' effect of implanon: a case report and review.

This article presents a case study of the 'oestrogen sparing effect' of etonorgestrel especially high lighting its use in a patient with hypoestrogenism following long-term use of depomedroxyprogesterone acetate (DMPA); still wishing a long-term reversible method of contraception. There are studies demonstrating the effects of both DMPA and etonogestrel on estrogen status, but evidence is sparse, exploring the possibilities of usage of etonorgestrel following demonstration of hypo-oestrogenism with DMPA usage.