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DOI: 10.1111/tog.12431
The Obstetrician & Gynaecologist
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Petals for
SBAs and EMQs for the MRCOG Part 2
In July 2015, Coventry University
launched an interactive web app
on female genital mutilation
(FGM) for young people, called
Petals. Following this, a web app
was developed aimed at increasing
the knowledge of FGM among
professionals such as teachers,
healthcare workers, social
workers and the police. Petals for
Professionals is designed to give
professionals the most up-to-date
information in a useable format
including not only the latest
legislation, but also a range of
videos that help to bring content
to life.
The web app stresses the important
role that professionals play in
preventing FGM, explaining the
legal responsibilities of professionals
and where users can get more
information and help. An extremely
useful aspect of the web app is the
?Mandatory Reporting Pathway?,
which users can follow when
reporting FGM.
The ?Initiating conversations
concerning FGM? section provides
information on considerations that
professionals should keep in mind
when initiating a conversation
with a girl or woman affected by
The ?Frequently Asked Questions?
section helps to answer key
questions healthcare professionals
may have, such as who to contact
if they are concerned about FGM
and the safeguarding of a child.
Reviewer: Abdelmageed
Abdelrahman DIPM DFSRH
MRCOG, Trainee in O&G,
Altnagelvin Area Hospital, Northern
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Editors: Shreelata Datta and Tahir Mahmoud
ISBN: 9780198745594 / Paperback / 210 pages / �.00 / Oxford University Press
The part 2 written exam changed in March 2015 to a combination of single best
answers (SBAs) and extended matching questions (EMQs). The questions sample a wide
range of topics across the curriculum. The main advantage of this text is that detailed
explanations are provided with the answers, along with references for further reading.
It is a useful text for exam practice.
There are a number of incorrect answers to questions, for example in paper 1, question
35, where the risk of malignancy index (ultrasound score [U], menopausal status [M]
and serum CA125) has an ultrasound score of 2, U = 3, not 2 (see Green-top Guideline
number 34). There are also some questions where the answers are incorrect, but upon
reading the explanation the information provided is correct (for example, paper 3
question 19).
Following the introduction of the MRCOG part 3 in November 2016, this book remains
relevant as the part 2 written exam is not changing. Overall, this a useful text for
practising exam questions, consisting of five papers with an appropriate mixture of
SBAs and EMQs.
Reviewer: Euan Kevelighan, Head of School/Associate Dean, Obstetrics and
Gynaecology, Wales
Reference: Royal College of Obstetricians and Gynaecologists. Ovarian Cysts in
Postmenopausal Women. Green-top Guideline no. 34 [
Obstetrics & Gynaecology in Low-Resource Settings
Editor: Nawal M Nour
ISBN: 9780674731240 / Paperback / 376 pages / �.95 /
Harvard University Press
Motherhood App
If this excellent book were a person, it would be a much-valued, respected and
empathic medical colleague, full of wisdom and practical advice.
It is not surprising, then, that the editor is Dr Nawal Nour, Assistant Professor of
Obstetrics and Gynaecology at Harvard Medical School, and a world expert on female
genital mutilation (FGM).
What is surprising and admirable, given the editor?s professional focus, is the
breadth and depth of the subject matter in this textbook. In 14 beautifully written
chapters, Dr Nour and her 18 contributors provide exactly what the book title
promises, including sound practical advice for the management of high-prevalence
conditions, notably HIV, malaria, obstetric fistula and cervical cancer.
The book is grounded in humanitarian principles of health care, and the following
aphorism, one of many gems embedded in the book, typifies its ethos:
?Everything you do should reduce the need for someone like you in the future.?
One caveat to be borne in mind is the difference in legal stances between the USA
and the UK on postpartum suturing in women who have undergone FGM.
I highly recommend this book, and I feel privileged to have had the opportunity to
read it, and to carry it with me on my medical travels.
Reviewer: Brigid Hayden FRCOG, Freelance Consultant Obstetrician and
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Th is is the website for the UK Epilepsy and Pregnancy register. The major objective
is to obtain and publish information on the frequency of major malformations, such
as heart defects and spina bifida among infants whose mothers take one or more
antiepileptic drugs to prevent seizures. The target audience is pregnant women with
epilepsy (whether or not they are on treatment) who are invited to join the register in
early pregnancy. The website content is suitable for patients and easy to navigate.
Patients can join the register online, by post or call a Freephone number.
There is an FAQs section that deals with pregnancy, labour, post-delivery and
breastfeeding. There are also links to other epilepsy sites, such as the Epilepsy Society
and Epilepsy UK.
Scienti?c Impact Paper No. 13: Metformin Therapy for the Management
of Infertility in Women with Polycystic Ovary Syndrome
Although many women who have polycystic ovaries do not have polycystic ovary
syndrome (PCOS), it is a common endocrine disorder affecting 4?12% of women.
Metformin inhibits the production of hepatic glucose, decreases lipid synthesis, increases
fatty acid oxidation and inhibits gluconeogenesis resulting in a decrease in circulating
insulin and glucose; while it enhances insulin sensitivity at the cellular level and also
appears to have direct effects within the ovary. Therefore, it would seem logical to
anticipate that insulin-lowering and insulin-sensitising treatments, such as metformin,
should improve symptoms and reproductive outcomes for women with PCOS.
Reviewer: Cathy Malone MRCOG, ST5 O&G, Belfast Trust, Northern Ireland
The purpose of this updated edition of this paper is to clarify some of the advice
published about the use of metformin therapy for the management of infertility
in women with PCOS, and to seek to defi ne its role in improving reproductive
outcomes in women with PCOS.
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Written by: Michelle Sadler, Editorial Assistant, RCOG, UK.
For professionals there are links to publications based on the register?s results.
Overall, this is a useful website for pregnant patients with epilepsy.
Aim: To provide details of practical
clinical experience to healthcare
professionals concerned with the
management of obstetric
Operating system(s): Android.
Usability: Th is excellent and
easy-to-use app offers a wide
range of expert resources and is
developed by leading specialists.
It provides practical guidance in
caring for women in pregnancy
and childbirth, particularly those
concerned with the management
of obstetric emergencies. There
are useful short ?Skills videos?
and animations with voice
commentary, which provide a
fantastic learning experience. There
is also access to ?Educational fi lms?
that cover important skills such
as management of postpartum
haemorrhage, and access to various
interesting textbooks.
Once downloaded, the user will
then be offered a ?Contents List?,
and can select any resources they
wish to download permanently to
their device.
Reviewer: Abdelmageed
Abdelrahman DIPM DFSRH
MRCOG, Trainee in O&G,
Altnagelvin Area Hospital, Northern
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Download all RCOG guidance from:
� 2017 Royal College of Obstetricians and Gynaecologists
� 2017 Royal College of Obstetricians and Gynaecologists
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