By Parveen Abedin

MRCOG brief Essay Questions is the basic reduction for all trainees learning for the club exam of the Royal university of Obstetricians and Gynaecologists.

This ebook includes one hundred fifty brief essay questions, truly dependent to facilitate either studying and perform. Questions are divided basically into obstetrics and gynaecology and secondly via major issues corresponding to infertility, operative gynaecology and antenatal care. The solutions are written within the type of bullet issues; a layout that not just basically identifies the major issues but additionally emulates the constitution of the version solutions given to the examiners by way of the RCOG.

Khaldoun Sharif is a expert in obstetrics and gynaecology on the Birmingham Women’s health center, and has a confirmed song checklist as an writer of MRCOG revision books. His co-author, Parveen Abedin lately handed the exam and has hence supplied priceless insights that experience ensured the content material is either applicable and up to date.

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Once the count has come up, the delivery should be expedited if term. In the rare event that the platelet counts fail to respond to these measures, a splenectomy should be considered. The overall incidence of TP in babies born to mothers with autoimmune TP is 11%, but the fetal risk of severe problems is extremely small. Because of this, vaginal delivery should be allowed unless there are obstetric indications for a caesarean section. All neonates should have their platelet counts assessed. There is a 1% risk of intracranial haemorrhage in fetuses with TP.

Electronic fetal monitoring with an abdominal transducer may not be feasible and a fetal scalp electrode may have to be used. There is a risk of shoulder dystocia and thus senior medical and midwifery staff should be available at delivery. Caesarean sections are more hazardous both surgically and anaesthetically and again senior staff should be involved. Thromboprophylaxis is mandatory in the event of a caesarean section and must be considered in vaginal, especially instrumental deliveries. Q5.

On follow-up of these children, 20% will have special educational needs, with 25% functioning at a grade below expected and another 30% needing special classroom assistance. The parents should be counselled about the decision to undertake active resuscitation of the baby. Their wishes should be taken into account, though they must be made aware that the plan may have to be changed depending upon circumstances. Resuscitation of apnoeic, floppy and non-responsive babies may have to be abandoned, whereas, even if a decision has been made beforehand not to actively resuscitate, it may have to be changed in case of a vigorous, responsive baby.

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