- Pelvic floor disorders treatments
- Preterm Birth and Chorioamnionitis
- Pregnancy-related medical research
- Anorectal Disease Treatments and Outcomes
- Maternal and Perinatal Health Interventions
- Pelvic and Acetabular Injuries
- Maternal and fetal healthcare
- Urinary Bladder and Prostate Research
- Ureteral procedures and complications
- Urological Disorders and Treatments
- Cancer Diagnosis and Treatment
- Reproductive tract infections research
- Health and Medical Research Impacts
- Pressure Ulcer Prevention and Management
- Abdominal vascular conditions and treatments
- Renal and Vascular Pathologies
- Cancer and Skin Lesions
- Vascular Malformations and Hemangiomas
- Occupational and environmental lung diseases
- American Sports and Literature
- Surgical Sutures and Adhesives
- Case Reports on Hematomas
- Urinary and Genital Oncology Studies
- Crime and Detective Fiction Studies
- Ectopic Pregnancy Diagnosis and Management
Birmingham Women’s and Children’s NHS Foundation Trust
2016-2025
Women’s Health Care
2021-2025
University of Birmingham
2023
University of Nottingham
2023
University of Leeds
2023
King's College - North Carolina
2023
King's College London
2023
Harvard University Press
2023
University of Bristol
2023
Imperial College London
2023
Cervical cerclage using braided suture material disrupts vaginal microbial stability and increases inflammation.
BackgroundMiscarriage in the second trimester and preterm birth are significant global problems. Vaginal cervical cerclage is performed to prevent pregnancy loss birth. We aimed determine effectiveness of a monofilament suture thread compared with braided on rates women undergoing cerclage.MethodsC-STICH was pragmatic, randomised, controlled, superiority trial done at 75 obstetric units UK. Women singleton who received vaginal due history or premature birth, if indicated by ultrasound, were...
Background Vaginal cervical cerclage and progesterone are established treatments for prevention of pregnancy loss prematurity. There is limited data to assess the effect these in combination. Objective To investigate association between no treatment on outcomes women at high risk preterm birth who have received a vaginal cerclage. Study Design This secondary analysis recruited CSTICH trial, which 75 obstetric units UK. The primary outcome was loss, defined as miscarriage perinatal mortality,...
The main aim of the survey was to explore current practices with regards cervical cerclage procedures amongst UK consultants particular emphasis on type suture material used.An electronic consultant members and fellows Royal College Obstetricians Gynaecologists who previously agreed be contacted for purposes.There were 261 respondents 88% routinely performed cerclage. majority procedure between 12 16 weeks' gestation (88.7%; n = 180/203), following McDonald technique (83.4%; 166/199) using a...
Cervical incompetence is one of the causes preterm birth and mid-trimester pregnancy loss. cerclage a surgical procedure to treat cervical incompetence. reduces incidence in women at risk recurrent birth, without statistically significant reduction perinatal mortality or neonatal morbidity. Multifilament/braided sutures such as Mersilene tape have been traditionally used for cerclage. Braided sutures, particularly mesh-like non-absorbable associated with an increased infection and, hence,...
"Endometriosis: A possible cause of uterine rupture in labour?." Journal Obstetrics and Gynaecology, 35(6), p. 638
"Wharton's jelly: The significance of absence." Journal Obstetrics and Gynaecology, 36(4), pp. 500–501 Declaration interestThe authors report no declarations interest. alone are responsible for the content writing article.
Peripartum haemorrhage is an obstetric emergency which requires effective and timely management. A retrospective analysis was conducted at a single centre district hospital, over 10-year period to describe factors that would lead peripartum hysterectomy. We sought establish intraoperative postoperative risks review outcomes complications associated with the procedure. total of 29 cases (incidence 0.8 per 1000) were reviewed 2001-2011. The mean parity 1.8 maternal age 33 years. Uterine atony...
High blood pressure has a variety of causes during pregnancy, most notably but not always pre-eclampsia. We present case severe hypertension secondary to renal artery stenosis, managed with re...
Background Second trimester miscarriage and preterm birth is a significant global problem. Surgical cervical cerclage performed to prevent pregnancy loss birth. It utilises either monofilament or braided suture. hypothesised that material becomes colonised with pathogenic bacteria causes vaginal dysbiosis, infection failure. Objectives The primary objective of the study was examine effectiveness using suture as opposed on in women requiring cerclage. Design Superiority open randomised...
Abstract Background Preterm birth is associated with significant mortality and morbidity for mothers babies. Women are identified as high risk preterm based on either previous medical/pregnancy history or ultrasound assessment of the cervix. can be offered a cervical cerclage (a purse string stitch) around cervix (neck womb) to reduce birth. In women who have cerclage, procedure performed using monofilament (single-stranded) braided (woven) suture material. Both materials routinely used...
ABSTRACT Preterm birth complicates approximately 10% of pregnancies worldwide. It can lead to neonatal mortality or lifelong complications for those babies who survive. One cause preterm is cervical insufficiency, which affects up 1% pregnant women and be treated with the placement vaginal cerclage. There are 2 techniques cerclage: modified Shirodkar cerclage, involves dissecting bladder placing a suture around supravaginal cervix thread buried, McDonald inserting as high possible upper...