Obstetrics, Gynaecology and Reproductive Medicine RSS feed: Current Issue. Obstetrics, Gynaecology and Reproductive Medicine is the continuously updated review for obstetricians, gynaecologists and reproductive medicine specialists (formerly Current Obstetrics & Gynaecology). Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area. Over any three year period, a subscription will ensure access to up-to-date information on the full range of obstetrics, gynaecology and reproductive medicine topics. The layout of the journal, including the design and colour, enables fast assimilation of key information. For ease of reference, Obstetrics, Gynaecology and Reproductive Medicine is available in print and online formats. Formerly Current Obstetrics & Gynaecology http://www.obstetrics-gynaecology-journal.com/?rss=yesElsevier Inc.en © 2011 Published by Elsevier Inc. All rights reserved. Obstetrics, Gynaecology and Reproductive Medicine1751-7214222February 2012 © 2011 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.obstetrics-gynaecology-journal.com/article/PIIS1751721412000115/abstract?rss=yesEditorial Board10.1016/S1751-7214(12)00011-5Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2iihttp://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002065/abstract?rss=yesAbstract: Ovarian cancer has the highest mortality of all the gynaecological malignancies. Epithelial ovarian cancer is the most common subtype. Approximately 5–10% occur in women with an inherited predisposition. These patients may benefit from prophylactic surgery. Diagnosis involves measurement of CA 125 and ultrasound. The results of both are combined to give a risk of malignancy index; this is used to decide where treatment takes place. Treatment of advanced epithelial ovarian cancer usually involves debulking surgery and chemotherapy. The correct order of these treatments is currently being evaluated. There are survival benefits if surgery is performed by a specialist gynaecological oncologist. Current standard chemotherapy for epithelial ovarian cancer is carboplatin with paclitaxel. Treatment may prolong life and palliate symptoms but it is rarely curative. New treatments are constantly being developed and offer the hope of improved outcomes. These include ultraradical surgery, intraperitoneal chemotherapy and novel drug treatments.Ovarian cancer: current management and future directionsSiân E. Taylor, John M. Kirwan10.1016/j.ogrm.2011.11.003Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Reviews3337http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002077/abstract?rss=yesAbstract: Perioperative care in gynaecology aims at optimizing patient’s condition prior to surgery, ensuring the provision of most individually appropriate treatment, minimizing postoperative morbidity, improving patient’s experience and reducing the length of stay in hospital.Recent concept of care for patients undergoing elective surgery is enhanced recovery programme. This is an evidence-based approach to care in which the patient plays an important role through shared and informed decision making.It is designed to prepare patients, reduce the overall impact of surgery and help them recover quickly. The process starts as early as at the GP and at the point of referral with thorough preoperative assessment, identification of patient-specific risk factors, their optimization and appropriate preparation for surgery and planning of both inpatient and outpatient postoperative care.Perioperative care in gynaecologyIvilina Pandeva, Mahmood I. Shafi10.1016/j.ogrm.2011.11.004Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Reviews3843http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002089/abstract?rss=yesAbstract: Painful bladder syndrome is a chronic debilitating condition which is both difficult to diagnose and to treat. Its aetiology and pathogenesis is very poorly understood. It is thought that mast cells and inflammation have a key role in its pathogenesis.A diagnosis is generally made after all other potential causes of pain and lower urinary tract symptoms are excluded. Treatment options are very limited but are generally targeted to providing symptomatic relief.Painful bladder syndromeMaria Vella, Dudley Robinson, Linda Cardozo10.1016/j.ogrm.2011.11.005Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Reviews4449http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002090/abstract?rss=yesAbstract: Labiaplasty is the surgical term for labia minora reduction. Increasingly women are presenting to the primary and secondary care complaining of physical discomfort and cosmetic appearance of their labia. Demand for this procedure is becoming common amongst very young women who appear to have developed a concern regarding their labia since their early adolescent years. This review considers different scenarios in which women present with complaints with regards to their labia in the form of both discomfort and appearance. It discusses management of such cases. It uses these scenarios to illustrate the importance of accurate assessment and more importantly thorough counselling of patients with regards to what the operative procedure entails and what are the potential complications. There will be further discussion about different techniques of surgery and post operative complication and longterm impact on patients.LabiaplastyShaireen Aleem, Elisabeth Jane Adams10.1016/j.ogrm.2011.11.006Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Case-Based Learning5053http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002053/abstract?rss=yesAbstract: Interest in rising caesarean section (CS) rates, especially ‘non-medical’ planned prelabour CS (PLCS), has not usually focused on the potential detrimental effects on babies, especially as long-term health is harder to study. Shortening pregnancy and avoiding labour may affect fetal maturity. Babies who do not experience labour have significantly increased respiratory and other morbidities which may have profound effects on development, determining immediate and potentially life-long disease. As labour is usually beneficial, this must be factored into individual decisions. Consideration should be given to awaiting or inducing labour even in women with a high chance of CS or who are requesting this operation. Mothers must be fully informed of all the evidence before they can give valid consent and make decisions on their baby’s behalf. Although all modes of delivery carry potential risk of neonatal morbidity or mortality, avoiding labour may cause more long-term harm than good for children overall.The harmful consequences of prelabour caesarean section on the babyAnjita Sinha, Susan Bewley10.1016/j.ogrm.2011.11.002Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Ethics/Education5456http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721411002223/abstract?rss=yesSelf-assessmentAlec McEwan10.1016/j.ogrm.2011.12.001Obstetrics, Gynaecology and Reproductive Medicine 22, 2 (2012)2012-02-01Obstetrics, Gynaecology and Reproductive Medicine2012-02-01222S1751-7214(12)X0002-2Self-Assessment5758