Challenging Concepts in Obstetrics and Gynaecology

Cases with Expert Commentary

Edited by Natasha Hezelgrave, Danielle Abbott, and Andrew Shennan

Challenging Concepts

Features 'Real-world' cases, giving the reader confidence in clinic, on the ward, or delivery suite.
Complex cases examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines.
Brings together the most up-to-date evidence, management strategies, guidelines, and controversies in management, that the reader would have ordinarily had to collate from individual sources
Expert input by internationally-renowned specialists and professors provides a unique insight into the management of often rare but important obstetrics and gynaecology cases
An ample number of illustrations makes the reading experience as transferable to everyday clinical practice as possible
Cases are punctuated by "Learning Points", "Clinical Tips", and "Evidence Base" boxes, highlighted in the text to enhance the learning process

Challenging Concepts in Obstetrics and Gynaecology

Cases with Expert Commentary

Edited by Natasha Hezelgrave, Danielle Abbott, and Andrew Shennan

Description

Challenging Concepts in Obstetrics and Gynaecology is a case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. Recognising that any attempt to cover the whole curriculum is impossible, the authors have instead chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes.

Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory.

Each case is set off by an 'Expert Commentary' written by an internationally-renowned expert in each field, leaving the reader with both a solid base of knowledge and a nuanced view of current challenges in obstetrics and gynaecology. This collaboration between trainees and experts provides a unique insight into the management of complex and often rare but important obstetrics and gynaecology cases, within a highly user-friendly format and a ready-made means of self-learning and self-testing. Challenging Concepts in Obstetrics and Gynaecologymakes a useful, relevant and interesting read, enabling the reader to readily transfer the knowledge gained to everyday clinical practice.

Challenging Concepts in Obstetrics and Gynaecology

Cases with Expert Commentary

Edited by Natasha Hezelgrave, Danielle Abbott, and Andrew Shennan

Challenging Concepts

1:A 'classic case of heavy menstrual bleeding?
2:Severe endometriosis in a young woman with unexpected end-organ failure
3:Pregnancy of unknown location: a diagnostic management dilemma
4:PGD in oligozoospermia
5:Recurrent miscarriage: Is conservative management the best we can offer?
6:Lethal congenital abnormalities: the importance of a multidisciplinary approach
7:7. Monochorionic diamniotic twin pregnancy complicated by twinâtwin transfusion syndrome
8:8. 'Rescue' cerclage after bulging membranes at 22 weeks: delaying the inevitable?
9:Early onset fetal growth restriction
10:Dilemmas of preterm birth
11:Pulmonary hypertension in pregnancy
12:The challenges and controversies of pregnancy and diabetes
13:HIV in pregnancy: The dilemmas of management
14:SLE in pregnancy: Lupus nephritis or pre-eclampsia; a diagnostic challenge
15:Management of a pregnant woman with morbid obesity
16:Early onset pre-eclampsia: balancing maternal and neonatal morbidity
17:Vaginal birth after caesarean section
18:Maternal pyrexia: Challenges in optimal perinatal management
19:Forewarned is forearmed in massive obstetric haemorrhage
20:Premature ovarian failure: Not the same as the 'normal' menopause
21:Treating urinary incontinence: an evolving challenge for us all
22:Post menopausal bleeding
23:Recurrent ovarian cancer
24:Cervical cancer

Challenging Concepts in Obstetrics and Gynaecology

Cases with Expert Commentary

Edited by Natasha Hezelgrave, Danielle Abbott, and Andrew Shennan

Challenging Concepts

Author Information

Edited by Natasha Hezelgrave, Clinical Research Fellow, Women's Health Academic Centre, King's College, London, UK., Danielle Abbott, Clinical Research Fellow, Women's Health Academic Centre, King's College, London, UK., and Andrew Shennan, Professor of Obstetrics, Women's Health Academic Centre, King's College, London, UK.

Natasha Hezelgrave is a Specialist Registrar in Obstetrics and Gynaecology in the London Deanery Training Programme, and an NIHR Doctoral Research Fellow in the Women's Health Academic Centre, King's College London. Her main research interests are preterm birth, pre-eclampsia, and global health.

Danielle Abbott is currently a GP trainee in the London Deanery Training Programme, and a Research Fellow in Obstetrics working on an MD on the prediction of preterm birth in the Academic Women's Health Centre, Kings College London.

Andrew Shennan is Professor of Obstetrics at Kingâs College London, based at St. Thomasâ Hospital. He leads clinical research at the Womenâs Academic Health Centre, and is Deputy Director of Research and Development for Guys and St. Thomas NHS Trust. He is the National Chair of the NIHR Reproductive Health and Childbirth Specialty Group in the UK. He specializes in clinical trials in antenatal and intrapartum care. His research interests include interventions to predict and prevent preterm birth, pre-eclampsia, obstetric anaesthesia, global health and the use of blood pressure monitoring.

Contributors:

Shruti Mohan, Senior Registrar in Obstetrics and Gynaecology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
Jasmine Tay, Specialist Registrar in Obstetrics and Gynaecology, North West Thames, UK
Professor Jenny Higham, Professor and Honorary Consultant Gynaecologist, Imperial College Healthcare NHS Trust, London, UK
Dr Mohamad Hamady, Consultant and Senior Lecturer in Interventional Radiology, Imperial College Healthcare NHS Trust, London, UK
Natasha Valery Waters, Senior Clinical Fellow in Laparoscopy, Royal Surrey Hospital NHS Trust, Guildford, UK
Mr Andrew Kent, Consultant Gynaecologist, Royal Surrey County Hospital, Guildford, UK.
Professor Timothy A Rockall, Consultant Surgeon, Director of Minimal Access Therapy Training Unit, Royal Surrey County Hospital, Guildford, UK
Dr Fuad Hussein, Consultant Radiologist, Royal Surrey County Hospital, Guildford, UK.
Sarah Merritt, Clinical Research Fellow, Early Pregnancy & Acute Gynaecology Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK
Dr Judith Hamilton, Consultant Gynaecologist, Early Pregnancy & Acute Gynaecology Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK
Srividya Seshadri, Subspecialist Trainee in Reproductive Medicine & Surgery, Assisted Conception Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK
Helen Bickerstaff, Senior Lecturer and Honorary Consultant Gynaecologist and Obstetrician King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK
Professor William Leigh Ledger, Professor and Head of Discipline of Obstetrics and Gynaecology, University of New South Wales, Royal Hospital for Women, Sydney, Australia
Ai-Wei Tang, Subspecialist Trainee in Maternal and Fetal Medicine, Liverpool Women's Hospital, Liverpool, UK
Professor Ian Greer, Provost/ Professor of Obstetrics and Gynaecology, Faculty of Health & Life Sciences, University of Liverpool, Liverpool, UK.
Lisa Story, Academic Clinical Fellow, Women's Health Academic Centre, King's College London, UK
Professor Pippa Kyle, Professor of Fetal Medicine, Fetal Medicine Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK
Muna Noori, Subspecialist Trainee in Maternal and Fetal Medicine, Queen Charlotte's and Chelsea Hospital, Imperial College NHS Trust, London, UK
Professor Sailesh Kumar, Professor of Fetal Medicine, Obstetrics & Gynaecology, Mater Research Institute, University of Queensland, Brisbane, Australia
Natasha Hezelgrave, NIHR Clinical Research Fellow in Obstetrics, Women's Health Academic Centre, King's College London, UK
Professor Andrew H Shennan, Professor of Obstetrics, Women's Health Academic Centre, King's College London, UK
Dr Geraint Lee, Consultant Neonatologist, Guy's and St Thomas' NHS Foundation Trust, London, UK
Lisa Story, Academic Clinical Fellow, Women's Health Academic Centre, King's College London, UK
Sze Jean Wang, Specialist Trainee Obstetrics and Gynaecology, St Mary's Hospital, Central Manchester Foundation Trust, Manchester, UK
Dr Ed Johnstone, Clinical Senior Lecturer in Obstetrics and Fetal Medicine, University of Manchester, UK
Professor Neil Marlow, Professor of Neonatology, Institute for Women's Health, University College London, UK
Danielle Abbott, Clinical Research Fellow, Women's Health Academic Centre, King's College London, UK
Ruth Curry, Clinical Lecturer/Subspecialist Trainee in Maternal Fetal Medicine, Institute for Women's Health, University College London, UK
Professor Philip J Steer, Emeritus Professor of Obstetrics, Imperial College London
Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, UK
Dr Lorna Swan, Consultant Cardiologist/Clinical Lead for Adult Congenital Heart Disease, Royal Brompton Hospital, London, UK
Parag K. Thaware, Research Fellow, Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
Matthew Cauldwell, Specialist Registrar Obstetrics and Gynaecology, South West Thames, London, UK
Professor David R McCance, Consultant Physician/ Honorary Professor of Endocrinology, Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
Shree Datta, Senior Registrar in Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation Trust, London, UK
Dr Kate Harding, Consultant Obstetrician, Guy's and St Thomas' NHS Foundation Trust
Dr Annemiek de Ruiter, Consultant in Genitourinary Medicine and and HIV, Guy's & St Thomas' NHS Foundation Trust, London, UK
Gabriella Gray, Senior Registrar in Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation Trust, London, UK
Professor Catherine Nelson-Piercy, Professor of Obstetric Medicine, Women's Health Academic Centre, King's Health Partners, Consultant Obstetric Physician, GSTFT and Imperial College Health Care Trust, London, UK
Carolyn Chiswick, Clinical Research Fellow, MRC Centre for Reproductive Health, Queen's Medical Research Institute, Edinburgh, UK
Dr Fiona Denison, Senior Lecturer and Honorary Consultant in Maternal and Fetal Health, MRC Centre for Reproductive Health, Queen's Medical Research Institute, Edinburgh, UK
Dr Ben Fitzwilliams, Consultant Obstetric Anaesthetist, Guy's and St Thomas' NHS Foundation Trust, London, UK
Manju Chandiramani, Specialist Registrar Obstetrics and Gynaecology, Imperial College Healthcare NHS Trust, London, UK
Dr Jason Waugh, Consultant in Obstetrics and Maternal Medicine, Newcastle upon Tyne NHS Foundation Trust, Newcastle, UK
Natalie Atere-Roberts, Specialist Registrar Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, UK.
Mr Lawrence W Impey, Consultant in Obstetrics and Fetal Medicine, Obstetrician, Oxford University Hospitals NHS Trust, UK
Surabhi Nanda, Subspecialist Trainee in Maternal and Fetal Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK
Dr Kate Langford, Consultant Obstetrician/Deputy Medical Director Guy's & St Thomas' NHS Foundation Trust, London, UK
Julia Kopeika, Subspecialty Trainee in Reproductive Medicine and Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
Professor Susan Bewley, Professor of Complex Obstetrics, Women's Health Academic Centre, King's College London, UK
Dr Susan E Robinson, Consultant Haemotologist, Guy's and St Thomas' NHS Foundation Trust, London, UK
Beth Cartwright, Clinical Research Fellow in Gynaecology, King's College London, UK
Professor Janice Rymer, Professor of Gynaecology, King's College School of Medicine, London, UK
Eduard Cortes, Subspecialist Trainee in Urogynaecology, Guy's and St Thomas' NHS Foundation Trust
Louise Webster, Clinical Research Fellow, Women's Health Academic Centre, King's College London, UK
Mr Con Kelleher, Consultant Gynaecologist, Guy's and St Thomas' NHS Foundation Trust, London, UK
Josephine Vivian-Taylor, Clinical Fellow in Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation Trust, London, UK
Professor David Luesley, Emeritus Professor of Gynaecological Oncology, School of Cancer Sciences, University of Birmingham, UK
Jayanta Chatterjee, Subspecialty Fellow in Surgical Gynaecological Oncology, West London Gynaecology Cancer Centre, Imperial College Healthcare Academic NHS Trust, London, UK
Viren Asher, Subspecialist trainee in Gynaecological Oncology, Department of Gynaecological Oncology, St Mary's Hospital, Manchester, UK
Christina Fotopoulou, Consultant and Adjunct Professor in Gynaecological Oncology, West London Gynaecological Cancer Centre and Ovarian Cancer Action Research Centre, Imperial College Healthcare Academic NHS Trust, London, UK
Professor Henry Kitchener, Professor of Gynaecological Oncology, Institute of Cancer Sciences, University of Manchester, UK
Dr Sarah P Blagden, Consultant Medical Oncologist and Academic Senior Lecturer, West London Cancer Network and Ovarian Cancer Action Research Centre, Imperial College London, London, UK
Kavitha Madhuri Thumuluru, Clinical Fellow in Gynaecological Oncology, Royal Surrey County Hospital, Guildford, UK
Pubudu Pathiraja, Subspecialist trainee in Gynaecology Oncology, Nuffield Department of Obstetrics & Gynaecology, University of Oxford
Professor Sean Kehoe, Lawson Tait Professor of Gynaecological Cancer, School of Cancer Studies, University of Birmingham, UK

External reviewers: Dr Deborah Bruce, Dr Kate Langford, Dr Lucy Chappell, Mr Geoff Lane, Dr Johanna Trinder, Dr Alex Digesu, Mr James English, Dr Sharmistha Guha, Dr Vik Khullar, Dr Kate Harding, Mr Con Kelleher, Professor Pippa Kyle, Dr Joanna Girling, Dr Melanie Allan, Dr Jane Norman, Professor Andrew Shennan, Professor Scott Nelson, Dr Sonji Clarke, Professor Sailesh Kumar, Mr Kumar Kunde, Miss Diana Hamilton-Fairley

Challenging Concepts in Obstetrics and Gynaecology

Cases with Expert Commentary

Edited by Natasha Hezelgrave, Danielle Abbott, and Andrew Shennan

Challenging Concepts

Reviews and Awards

"The cases are clinically relevant and interesting, resulting in a textbook which is somewhat of a page turner....I can recommend this book to medical students and young medical doctors who wish to get an overview of evidence-based management of common conditions in obstetrics and gynaecology." - Mette Calundann Noer Acta Obstetricia et Gynecologica Book Review