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16 results

RCOG Assisted Birth Simulation Training [ROBuST] Course Manual
  • 2nd edition
  • Edited by George Attilakos, Sharon Jordan, Glen Mola, Michele Mohajer, Stephen O'Brien, Dimitrios Siassakos
  • Coming soon
  • Expected online publication date:
    June 2024
    Print publication:
    30 June 2024
  • Operative vaginal birth (OVB) remains a key aspect of respectful, effective care for women in labour. In trained hands, it is associated with better maternal and neonatal outcomes than the alternative of a caesarean section in late labour. Written to accompany the RCOG Operative Birth Simulation Training (ROBuST) course, this book provides guidance on the only RCOG-approved, evidence-based techniques for when and how to perform OVB and complex caesarean sections. There are clear descriptions of techniques, plus photographs, diagrams, and videos to improve learning. Internationally recognised contributors discuss all aspects of operative birth including: vacuum and forceps-assisted birth; Caesarean section at full dilatation; safe and effective practice of Kielland's forceps, and essential non-technical skills. This second edition includes chapters on providing care within the medico-legal context of modern obstetric practice and a chapter exploring the worldwide trends in OVB. This remains a much-valued, and much-consulted, part of any accoucheurs library.

ROBuST: RCOG Operative Birth Simulation Training
  • Course Manual
  • Edited by George Attilakos, Tim Draycott, Alison Gale, Dimitrios Siassakos, Cathy Winter
  • Published online:
    05 June 2014
    Print publication:
    19 December 2013
  • Training in safe operative birth is a key priority in obstetrics. Around one in five women are dissatisfied with their labour and birth, especially operative birth, often because of poor communication or inadequate technical skills. This can lead to sexual dysfunction and aversion to further pregnancy, as well as increases in complaints and litigation. This book accompanies the Royal College of Obstetricians and Gynaecologists' Operative Birth Simulation Training (ROBuST) course, and will be an essential resource for all obstetricians and maternity care providers. Internationally recognised contributors discuss all aspects of operative birth including: vacuum and forceps-assisted birth; Caesarean section at full dilatation; safe and effective practice of Kielland's forceps; essential non-technical skills; teamwork; and medico-legal aspects. A simple-to-use flowchart is included to guide the reader through the essential steps for a successful operative vaginal birth. Each chapter identifies the key learning points and provides step-by-step instructions for performing each technique.

  • Chapter 19 - Ultrasonography and incidental ovarian pathology

  • from Section 2: - Ultrasonography in infertility
  • Edited by Botros R. M. B. Rizk, University of South Alabama
  • Book:
    Ultrasonography in Reproductive Medicine and Infertility
    Published online:
    07 September 2011
    Print publication:
    25 March 2010, pp 155-162

  • Summary

    A transvaginal scan (TVS) is performed with an empty bladder using a curvilinear, multifrequency, endocavity transducer with a typical central frequency of 6.5MHz. A fibroid outline is usually well visualized by TVS, even in the very small lesion, because of the pseudocapsule. The mixed tissue make-up of the fibroid produces a heterogeneous echo pattern on an ultrasound scan and can be highly attenuating of the ultrasound beam in some lesions. The most common gynecological symptoms of fibroids are menorrhagia and dysmenorrhea and, when significantly enlarged, they can also cause compression of adjacent pelvic structures. Most studies that have examined the relationship between fibroids and miscarriage rates have looked predominantly at intramural fibroids, with few data available on impact of submucosal fibroids. Myolysis is ablation of a fibroid mass by use of radiofrequency (RF) electricity, cryoprobes or focused ultrasound.