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 © 2010 Published by Elsevier Inc. All rights reserved. Obstetrics, Gynaecology and Reproductive Medicine1751-7214209September 2010 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001417/abstract?rss=yesEditorial Board10.1016/S1751-7214(10)00141-7Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4iihttp://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001132/abstract?rss=yesAbstract: Twins account for 2–3% of all births. They carry significant risks to both mothers and babies. These risks include preterm delivery, intrauterine growth restriction and pre-eclampsia. In addition, monochorionic gestations confer an even higher rate of perinatal morbidity and mortality arising from a shared placenta due to placental anastamoses, which may lead to twin-to-twin transfusion syndrome (TTTS). It is essential that chorionicity is established in the first trimester in order to initiate the appropriate antenatal management and surveillance. In view of the high risk of both maternal and fetal complications, twin pregnancies are ideally managed in a dedicated clinic according to agreed protocols.Twin pregnancyKelly Cohen, Medha Rathod, Emma Ferriman10.1016/j.ogrm.2010.07.001Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Reviews259264http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001053/abstract?rss=yesAbstract: Endocrine disorders are increasingly encountered in pregnancy. To optimize pregnancy outcome, it is essential to understand the physiology underlying these conditions, as well as which investigations and treatments are safe to use. Thyroid disease is the second most common endocrine condition encountered in women of childbearing age after diabetes. Other endocrine disorders, such as pituitary dysfunction and adrenal and parathyroid disease, are less frequently encountered in pregnancy due to lower population prevalence in combination in some cases with associated subfertility. Women whose pregnancies are complicated by endocrine disease are at risk of maternal and foetal complications, but these can be minimized with appropriate multidisciplinary management.Thyroid and other endocrine disorders in pregnancyJoanna Girling, Marcus Martineau10.1016/j.ogrm.2010.05.002Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Reviews265271http://www.obstetrics-gynaecology-journal.com/article/PIIS175172141000117X/abstract?rss=yesAbstract: Morbidly adherent placenta describes an abnormality in the adherence of the placenta to the myometrium. It can be a cause of massive haemorrhage resulting in severe morbidity and mortality. The incidence appears increased over the recent years probably due to the increased caesarean delivery rates. The identification of women with risk factors is very important for the early diagnosis and management. Morbidly adherent placenta can be diagnosed by ultrasound scan or MRI. Although traditionally obstetric hysterectomy has been the standard treatment, various conservative measures have been developed in order to avoid hysterectomy and preserve fertility. A multidisciplinary approach with surgical expertise, availability of transfusion facilities and further interventions including interventional radiology is essential and may result in reduced maternal morbidity and mortality. The aim of this review is to illustrate the salient points in the management of these patients based on different clinical scenarios.Morbidly adherent placentaStergios K. Doumouchtsis, Sabaratnam Arulkumaran10.1016/j.ogrm.2010.07.005Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Case-Based Learning272277http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001156/abstract?rss=yesAbstract: Substance misuse is a common problem complicating pregnancy and childbirth. Multidisciplinary care is necessary to optimize outcomes because the financial, psychological, social and domestic problems associated with drug misuse are often of greater importance than the physical and medical concerns. A specialist midwife is ideally placed to coordinate the involvement of acute hospital trusts, community midwives, general practitioners, mental health and drug services, social services and sometimes the police. The aim during pregnancy is to engage the client with these multiple agencies, to help bring a degree of order, and to reduce the harm associated with substance misuse. Abstinence and detoxification are not necessarily the priority. This review illustrates the general principles of managing substance misuse in pregnancy using three case scenarios covering both drug and alcohol misuse.Substance misuse in pregnancySheena Prentice10.1016/j.ogrm.2010.07.003Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Case-Based Learning278283http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001168/abstract?rss=yesIntegrated teaching aims to unify subjects taught in separate courses or departments. Students apply knowledge and skills from various disciplines to address clinical cases. It is surprising to see how many trainees in obstetrics and gynaecology fail to demonstrate an understanding of basic sciences when they become registrars. If learning has to be made more sound and reproducible, it has to be integrated.Introduction of integrated teaching in obstetrics and gynaecologySujit Mukhopadhyay, Stephen Smith10.1016/j.ogrm.2010.07.004Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Ethics/Education284285http://www.obstetrics-gynaecology-journal.com/article/PIIS1751721410001144/abstract?rss=yesSelf-assessmentAlec McEwan10.1016/j.ogrm.2010.07.002Obstetrics, Gynaecology and Reproductive Medicine 20, 9 (2010)2010-09-01Obstetrics, Gynaecology and Reproductive Medicine2010-09-01209S1751-7214(10)X0009-4Self-Assessment286288