39 results match your criteria: "Spire Murrayfield Hospital[Affiliation]"

Robson ten group classification system for Caesarean sections across Europe: A systematic review and meta-analysis.

Eur J Obstet Gynecol Reprod Biol

February 2025

Obstetrics & Gynaecology, Institution of Clinical Sciences Lund, Lund University, Sweden; Department of Obstetrics and Gynaecology, Skåne University Hospital, Malmö and Lund, Sweden. Electronic address:

Unlabelled: The aim of this systemic review and meta-analysis was to examine the differences in caesarean section rates across European regions and at a country level by utilizing the Robson classification system. The study has compared caesarean rates across European regions using the Robson classification to identify the drivers of caesarean section use. This review shows significant variations in caesarean section rates across European regions, ranging from 16.

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Caesarean section rates across Europe and its impact on specialist training in Obstetrics: A qualitative review by the Standing Committee of Hospital Visiting Programme for Training Recognition of the European Board and College of the Obstetrics and Gynaecology (EBCOG).

Eur J Obstet Gynecol Reprod Biol

January 2025

Chief Perinatal Centre of the institute for the care of mother and child, 3rd Medical School of Charles, University of Prague, Czech Republic, Chief WHO Collaborating centre in perinatal medicine, Prague, Czech Republic and Chair EBCOG Standing Committee on Training Recognition, Leuven, Belgium.

Article Synopsis
  • * Notable increases in Caesarean section rates were reported in Poland, Turkey, and Greece, while France had a lower rate correlated with higher instrumental vaginal deliveries.
  • * Variability in delivery methods across countries highlights the impact on training quality for medical students, suggesting that low rates of instrumental deliveries may hinder the development of essential skills for future obstetric practices.
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Article Synopsis
  • There are significant differences in STD healthcare services among 26 European countries, as revealed by a survey conducted by the European Board and College of Obstetrics and Gynaecology and the European Society of Contraception.
  • The main issue contributing to these disparities is the lack of formal education and training for healthcare professionals, which hinders the quality of STD care provided.
  • To improve sexual healthcare outcomes, there is a vital need for a standardized, evidence-based care model, supported by governmental policies and funding to enhance training and education opportunities across Europe.
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The European Board and College of Obstetrics and Gynaecology (EBCOG) and the European Network of Trainees in Obstetrics and Gynaecology (ENTOG) express their concerns on the effect of climate change and environmental pollution. This paper reviews the impact on reproductive health and the contribution to climate change by the field of obstetrics and gynaecology. It concludes that its contributors and the effects of climate change cause definite adverse consequences to fertility and adverse obstetric outcomes.

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Article Synopsis
  • Clinical guidelines are evidence-based recommendations created by experts to help healthcare providers and patients make informed decisions about health conditions, ultimately improving healthcare quality and tailored care.
  • The European Hernia Society (EHS) guidelines specifically assist surgeons in managing abdominal wall defects with reliable answers to their clinical questions, traditionally developed through consensus among key opinion leaders.
  • The GRADE method enhances the quality of these guidelines by providing a structured approach to evaluating evidence and making recommendations, addressing challenges in guideline production and advocating for dedicated research groups to improve adherence to this methodology.
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This EBCOG guidance reviews the current and future status of genomics within fetal and maternal medicine. This document addresses the clinical uses of genetic testing in both screening and diagnostic testing prenatally. The role of genomics within fetal and maternal medicine is described.

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Article Synopsis
  • A study by the European Board and College of Obstetrics and Gynaecology and European Society of Contraception assessed contraception, abortion care, and pre-conceptional services across 26 European countries.
  • Significant disparities were found in the access and quality of these services, indicating a need for improvement through targeted training and educational initiatives.
  • The lack of a cohesive network of healthcare providers and the absence of tailored educational resources for nurses and midwives limit professional development, which could negatively affect the quality of care for women.
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Article Synopsis
  • About one in three women will face pelvic floor disorders during their lifetime, and nearly 60% of postmenopausal women experience vaginal dryness.
  • First-line treatments for pelvic organ prolapse and stress urinary incontinence typically involve conservative management and vaginal estrogens for vaginal atrophy.
  • Although lasers are increasingly popular for treating menopausal and pelvic symptoms, there is a significant lack of strong evidence to support their regular use, prompting calls for better research from the European Board and College of Obstetrics and Gynaecology.*
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Maternal mortality data and review are important indicators of the effectiveness of maternity healthcare systems and an impetus for action. Recently, a rising incidence of maternal mortality in high income countries has been reported. Various publications have raised concern about data collection methods at country level, as this usually relies mainly on national vital statistics.

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Nearly 150 million cases of urinary tract infections (UTIs) are reported each year, of which uncomplicated cystitis triggers > 25% of outpatient prescriptions of oral antimicrobial treatment (OAT). OAT aids immune cells infiltrating the urothelium in eliminating uropathogens capable of invading the urothelium and surviving hyperosmotic urine. This self-evident adaptability of uropathogens and the short interval between the introduction of Penicillin and the first report of antimicrobial resistance (AMR) implicate AMR as an evolutionary conserved heritable trait of mutant strains selected by the Darwinian principle to survive environmental threats through exponential proliferation.

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Introduction: Subcostal hernias are categorized as L1 based on the European Hernia Society (EHS) classification and frequently involve M1, M2, and L2 sites. These are common after hepatopancreatic and biliary surgeries. The literature on subcostal hernias mostly comprises of retrospective reviews of small heterogenous cohorts, unsurprisingly leading to no consensus or guidelines.

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Pre-term birth is associated with significant neonatal morbidity and mortality. Pre-term births are associated with significant health and neuro-developmental risks in childhood and adulthood. Women with multiple pregnancies are at much higher risks.

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Hernia Basecamp is an online learning platform hosted within the WebSurg website. One of the drivers of its development was to cover the syllabus of the UEMS AWS examination, but it is a learning resource in its own right. There are currently 205 video lectures, with a number of them selected to create 10 modules of 3 h each with UEMS CME accreditation.

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Challenges in timing and mode of delivery in morbidly obese women.

Best Pract Res Clin Obstet Gynaecol

February 2024

Fetal Maternal Centre, Doha, Qatar; Weill Cornell Medicine Qatar. Qatar; Department of Health Sciences, University of Leicester, UK; University of Ho, Ghana.

Globally obesity is increasing especially in the reproductive age group. Pregnant women with obesity have higher complication and intervention rates. They are also at increased risk of stillbirth and intrapartum complications.

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Gynaecological cancers, namely breast and cervical cancer represent a high burden in women's health. It is well established that cervical and breast cancer screening programmes are effective in reducing morbidity and mortality. It is of the most importance to define strategies to provide a universal access to screening.

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Objective: Cancer screening can play an important role in early detection, improving treatment outcomes and reducing morbidity and mortality. Breast and cervical cancers belong to the most common gynaecological cancers group. Countries provide different screening programmes on its eligible population basis centred on different health care policies.

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Background: Robotic-assisted unicompartmental knee arthroplasty (UKA) improves implant accuracy, however whether this translates to patient function is less clear. Various outcomes have been reported but muscle recovery has not been previously investigated.

Objective: To explore sequential change in lower limb muscle strength following robotic-assisted UKA with isokinetic dynamometry.

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Harmful effects of opioid use in pregnancy: A scientific review commissioned by the European Board and College of obstetrics and gynaecology (EBCOG).

Eur J Obstet Gynecol Reprod Biol

July 2023

Victoria Hospital, Kirkcaldy and Spire Murrayfield Hospital, Edinburgh, United Kingdom; Member of the EBCOG Standing Committee on Standards of Care and Position Statements, Malta.

Caring for pregnant women who have a recreational opioid use disorder is a common clinical challenge in modern obstetric care. These are an elusive population who often have multiple social issues that complicate their pregnancy management. Comprehensive and supportive maternal care can motivate these mothers to change her lifestyle.

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Background: There is a reasonable body of evidence around oral/dental health and implant infection in orthopaedic and cardiovascular surgery. Another large area of surgical practice associated with a permanent implant is mesh hernia repair. This study aimed to review the evidence around oral/dental health and mesh infection.

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High-intensity exercise during pregnancy - A position paper by the European Board and College of Obstetrics and Gynaecology (EBCOG).

Eur J Obstet Gynecol Reprod Biol

June 2023

Victoria Hospital, Kirkcaldy and Spire Murrayfield Hospital, Edinburg, United Kingdom; EBCOG Standing Committee on Standards of Care and Position Statements.

Most guidelines recommend regular physical exercise to all pregnant women. However, because of the anatomical and physiological changes which occur during pregnancy, high-intensity exercise and forms of extreme sports can place the pregnant woman and her fetus at risk of harm.

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Thoughts on Trocar Site Hernia Prevention. A Narrative Review.

J Abdom Wall Surg

December 2022

3rd Department of Surgery, Motol University Hospital, Prague, Czechia.

Laparoscopic and robot-assisted surgery is now common place, and each trocar site is a potential incisional hernia site. A number of factors increase the risk of trocar site hernia (TSH) at any given trocar site. The aim of this paper is to explore the literature and identify the patients and the trocar sites at risk, which may allow target prevention strategies to minimise TSH.

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Robot assisted laparoscopic abdominal wall surgery (RAWS) has seen a rapid adoption in recent years. The safe introduction of the robot platform in the treatment of abdominal wall hernias is important to safeguard the patient from harm during the learning curve. The scope of this paper is to describe the current European training curriculum in RAWS.

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