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IN
THIS ISSUE |
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Management
of OHSS
LNG-IUD
for symptomatic endometriosis
Pelvic
inflammatory disease - patient information
Sexual
trauma and assault
WHO
2005 maternal and child health report
Obstetric
cholestasis
Postnatal
care guideline – patient information
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Dear Library User,
Keeping
in pace with scientific advances, we continue to add more resources
to the library. Both WHO documents on sexual trauma and on maternal
and child health are very interesting and informative. The Cochrane
review on the use of Mirena for treatment of symptomatic
endometriosis after surgery seems exciting. For professionals
dealing with teenagers and family planning, the patient information
resource on pelvic inflammatory disease (BMJ publication) is
excellent and includes pictorial content.
We
hope these resources are useful for you, and as always we look
forward to your suggestions and comments.
Neelam
Potdar, Update Editor
Shona Marran, Information
Specialist
Christian Becker, Clinical Lead
www.library.nhs.uk/womenshealth
| Management of Ovarian
Hyperstimulation Syndrome (OHSS) |
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OHSS
is a systemic disease occurring as a of result vasoactive
substances released from the hyperstimulated ovaries. In mild
form it affects 33% of in vitro fertilisation cycles and
moderate to severe forms occur in 3-8% of cycles. Severe
manifestations include tendency for thrombosis, renal and
liver dysfunction and respiratory distress syndrome. RCOG has
produced a revised guideline on identification of at risk
women, classification of OHSS and criteria for
outpatient/inpatient management with detailed guidance on
treatment.
Link to library
resource |
| Levonorgestrel-releasing
intrauterine device (LNG-IUD) for symptomatic endometriosis
following surgery |
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Laparoscopic treatment has shown to improve
pelvic pain associated with endometriosis, but some women
continue to experience pain or it recurs within one to two
years after surgery. Adjuvant medical therapies have been used
to reduce surgical failures, including postoperative treatment
with the hormone-releasing intrauterine system (LNG-IUS). A
recent Cochrane review has shown LNG-IUS reduces the
recurrence of painful periods in women after surgery for
endometriosis, but there is a need for further randomised
studies.
Link to library
resource |
| Pelvic
inflammatory disease (PID) - patient
information |
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In
the UK, PID affects about 165,000 women every year,
approximately 2/100 women of childbearing age. Diagnosis is
not always easy because the symptoms can be mild, but the
consequences can be severe such as blocked tubes and ectopic
pregnancy. To help patients understand the importance of
prophylaxis and management of PID, the BMJ has published an
evidence-based concise patient resource.
Link to library resource
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| The
trauma of sexual assault: treatment, prevention and
practice |
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About 9.7 percent of women suffer from some form
of sexual victimization from the age of 16 years and their
treatment and follow up can be quite challenging. This e-book
draws together current theories, research and clinical
practice relating to the management of sexual assault. It also
includes information on rape, psychological impact, treatment
and outcome of post-trauma sequelae, legal and forensic issues
and the impact of sexual assault on healthcare workers.
Link to library
resource |
| World
health report 2005: make every mother and child
count |
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This WHO report focuses on the health of mothers
and children. Areas covered in the report include attending to
136 million births every year, obstacles to progress, making
pregnancy safer, redesigning child care, survival, growth and
development and reconciling maternal, newborn and child health
with health system development.
Link to library
resource |
| Obstetric
Cholestasis |
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Obstetric cholestasis is a multifactorial
condition of pregnancy characterized by intense pruritus in
the absence of a skin rash, with abnormal liver function
tests. It affects 0.7% of pregnancies and a major concern for
those involved in its management is the occurrence of
stillbirth. The RCOG has published a guideline for the
diagnosis and management of this condition. It has been
emphasized that the current stillbirth rate for obstetric
cholestasis is comparable to that in the general population,
although the risk of stillbirth in untreated cases is
unclear.
Link to library
resource |
| Postnatal
care guideline – patient information |
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Although
every woman and baby requires care in the post- natal period
(birth until 6-8 weeks), their needs vary. NICE has produced a
booklet focused on the postnatal care and needs of healthy
women and healthy babies. It includes information in a tabular
form, for the care in the first 24 hours of birth and
thereafter, serious maternal health concerns and common breast
feeding and newborn health problems. It also provides details
for postnatal contact and support organisations.
Link to library
resource |
| Quick
Links |
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