BJOG Podcasts
BJOG is a journal at the forefront of both medicine, and technology. The editorial team, led by Professor Philip Steer, is always looking for ways to improve the journal, from 2007 have brought you podcasts from BJOG. These are free to download and listen to.
Telemedicine for termination of pregnancy (TOP)
Watch the second BJOG Video Podcast Click here to watch the video
(Flash file, 25 minutes, 21 seconds)
Discussants include author Rebecca Gomperts (Women on Web), Marge Berer (Editor of ‘Reproductive Health Matters’), Mariana Romero (an expert on reproductive health in South America) and Martin Lupton, (an obstetrician and ethicist who works in London).
The key issues discussed are:
- The high rates of ‘unsafe abortion’ around the world, especially in South America.
- The sale of counterfeit misoprostol over the internet: how women are attempting to obtain misoprostol without medical support after learning of its effectiveness for terminating pregnancy.
- Whether ‘Women on web’ provides an alternative to non-medically trained providers performing unsafe surgical terminations.
- How the women are assessed medically and guided through the process.
- Whether provision of medical termination in countries where access is restricted is morally and legally acceptable.
Articles discussed:
Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services http://www3.interscience.wiley.com/journal/120750852/abstract
RJ Gomperts, K Jelinska, S Davies, K Gemzell-Danielsson, G Kleiverda DOI: 10.1111/j.1471-0528.2008.01787.x (pages 1171-1178)
This paper is accompanied by commentaries including an Editor’s Commentary (Julia Hussein), a legal perspective (Bertie Leigh) and a developing world perspective (TKS Ravindran and MR Nair)
Termination of pregnancy by telemedicine: an ethicist's viewpoint
http://www3.interscience.wiley.com/journal/120750853/abstract
M Lupton DOI: 10.1111/j.1471-0528.2008.01790.x (pages 1071-1073)
First BJOG Video: Available free online
The changing landscape of IVF: how to reduce multiple pregnancy without reducing pregnancy rates.
The video is a discussion on the paper Khalaf et al, published in February’s BJOG.
The Chair: Phil Steer, Editor-in Chief of BJOG.
Discussants: Yacoub Khalaf, Tony Rutherford, Bill Ledger and Tarek El-Toukhy
Location: Council Chamber, RCOG, London
Click here to watch the video (Flash file, 18 minutes 14 seconds)
What steps can be taken in IVF practice to reduced multiple pregnancies? How can multiple pregnancy rates be reduced without reducing pregnancy rates? These key questions are addressed.
Best practice for introducing selective single blastocyst transfer (SBT) is discussed. Also described in the video are the strategies being used to reduce multiple pregnancies resulting from IVF in Belgium and Sweden, highlighting the political and financial perspectives.
After watching the video, for further details please read the paper discussed:
Y Khalaf, T El-Toukhy, A Coomarasamy, A Kamal, V Bolton, P Braude Selective single blastocyst transfer reduces the multiple pregnancy rate and increases pregnancy rates: a pre- and postintervention study 2008;115:385–390 BJOG: An International Journal of Obstetrics and Gynaecology doi:10.1111/j.1471-0528.2007.01584.x
ECG-ST analysis in labour: lessons learnt
STAN is a recently introduced method of fetal monitoring during labour. How is it different from monitors previously used? STAN not only measures fetal heart rate but also measures the ECG waveform, in particular the ST segment of the heart signal.
When continuous electronic fetal monitoring was first introduced in the 1960s, hopes were high that intrapartum fetal mortality and morbidity could be dramatically reduced, or even abolished. In the event, problems with user interpretation of the fetal heart rate patterns, and delay in delivering the compromised baby, have meant that the potential benefits of the technology have been difficult to realise in practice. Are we seeing a similar story with STAN?
In this third BJOG podcast, Mr Austin Ugwumadu, Mr Aris Papageorghiou and Professor Arulkumaran are interviewed. Hear about the advantages, limitations and pitfalls of the STAN monitoring system, and their hopes for the future.
Click here to listen (mp3 file: 11.9mb. 16 minutes 57 seconds)
Articles discussed in the podcast are listed below (BJOG September 07):
'Fetal electrocardiogram: ST waveform analysis in intrapartum surveillance'
'Limitations of ST-analysis in clinical practice: three cases of intrapartum metabolic acidosis.'
'Review of the first 1502 cases of ECG-ST waveform analysis during labour in a teaching hospital'
Monitoring Obstetricians' Performance with Statistical Process Control Charts
Hear from Steven Lane, Helen Scholefield, Zarko Alfirevic and Andrew Weeks
Interviewing journalist: Wendy Barnaby
Click here to listen (mp3 file: 17.2MB, 24 minutes 26 seconds).
Articles discussed in the podcast are listed below:
Monitoring obstetricians' performance with statistical process control charts (Lane et al)
Screening for cervical pre-cancer: Have we dismissed ablative treatment too soon in colposcopy practice?
Hear from Dr Pierre Martin-Hirsch
Interviewing journalist: Wendy Barnaby.
Click here to listen (mp3 file:13.5 MB, 33 minutes 5 seconds).
Articles discussed in the podcast are listed below (BJOG January 2007):
Precancerous changes in the cervix and risk of subsequent preterm birth. (Bruinsma et al)
Have we dismissed ablative treatment too soon in colposcopy practice? (Paraskevaidis et al)
Please send your feedback to:bjog@rcog.org.uk
