Produced by the Clinical Librarian Service

The Clinical Librarian team are here to help with evidence searches, current awareness and training with information seeking skills, critical appraisal and referencing. We can assist you remotely, at your place of work or in the library at the QuAD Centre.

If you have any further enquiries please do not hesitate to get in touch.

You can contact us by email at [email protected] or call extension 6042.

Alternatively you can contact one of the team directly: [email protected] [email protected]

The Clinical Librarian team endeavours to find as much of the latest evidence in your clinical area as possible, however make no claim as to the exhaustive nature of the update.

For more specific areas of interest within MOG we would recommend a literature search or

KnowledgeShare bulletin.

Click here to access on site Click here to start search

(Intranet only) Click here to access from

home with OpenAthens Or via OpenAthens

Would you like your own, tailored evidence updates? Email the Clinical Librarian team to receive bulletins every two weeks on the topics of your choice.

To access resources click on the blue hyperlinks, if you are unable to read the full text of any item please contact the Clinical Librarian team or make an article request using this form.

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Contents (click title to view)

NICE Guidance Other Guidance

Cochrane Systematic Reviews Systematic reviews from other sources

Cochrane clinical answers Primary Research

MOG in the News Online Resources

Dynamed Updates Electronic Journals

Most recent guidance published: COVID-19 rapid guideline: arranging planned care in hospitals and diagnostic services : guidance (NG179)

Other Guidance/Reports

RCM Clinical Briefing: Face-coverings and care in labour for all women RCM

RCM Clinical Briefing: Maternity bereavement care during Covid-19 version Version 5 RCM

COVID-19 impact on Black, Asian and Minority ethnic (BAME) women RCM

RCM Briefing on Re-introduction of visitors to Maternity Units across the UK during the COVID-19 pandemic RCM

RCM Clinical Guidance Briefing: Antenatal Care for women without suspected or confirmed COVID-19 and living in a symptom free household - Version 4 RCM

Coronavirus (COVID-19) Infection in : Information for healthcare professionals Version 11 RCM

RCM Clinical Briefing Sheet – Waterbirth during the COVID-19 Pandemic RCM

Guidance for antenatal and postnatal services in the evolving coronavirus (COVID-19) pandemic: Information for healthcare professionals Version 2.2 RCOG

Guidance for antenatal screening and ultrasound in pregnancy in the evolving coronavirus (COVID-19) pandemic: Information for healthcare professionals Version 1.1 RCOG

Coronavirus (COVID-19) infection and care: Information for healthcare professionals Version 3.1 RCOG, RCM and Faculty of Sexual and Reproductive Healthcare

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Systematic Reviews and Research Protocols

Interventions for non‐tubal

Mechanical and surgical interventions for treating primary postpartum haemorrhage

Techniques for preventing hypotension during spinal anaesthesia for caesarean section

Induction of labour at or beyond 37 weeks' gestation

GM‐CSF (granulocyte macrophage colony‐stimulating factor) supplementation in culture media for women undergoing assisted reproduction

Fluid and pharmacological agents for adhesion prevention after gynaecological surgery

Setting and techniques for monitoring blood pressure during pregnancy

Pharmacological interventions for treating intrahepatic cholestasis of pregnancy

Systematic reviews from other sources

The efficacy of cognitive behavioral therapy for the treatment of antenatal depression: A systematic review. Journal of Affective Disorders

Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review. The Journal of Maternal-Fetal & Neonatal Medicine

Pregnancy outcomes in women with liver transplants: systematic review and meta-analysis. HPB

The Role of Iron in Brain Development: A Systematic Review. Nutrients

Risk of fetal loss following amniocentesis or chorionic villous sampling in twin : a systematic review and meta-analysis. Ultrasound in & Gynecology

Pregnancy and COVID-19: a systematic review of maternal, obstetric and neonatal outcomes. The Journal of Maternal-Fetal & Neonatal Medicine

Medical termination for pregnancy in early first trimester (≤ 63 days) using combination of mifepristone and misoprostol or misoprostol alone: a systematic review. BMC Women’s Health

Exclusively Digital Health Interventions Targeting Diet, Physical Activity, and Weight Gain in Pregnant Women: Systematic Review and Meta-Analysis. JMIR mHealth and uHealth

How to promote physical activity during pregnancy : A systematic review. Journal of Gynecology, Obstetrics and Human Reproduction

Aromatherapy intervention on anxiety and pain during first stage labour in nulliparous women: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology

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This month’s clinical questions are…

In pregnant women, does antenatal pelvic floor muscle training help to prevent urinary incontinence?

What aspects of antenatal care are important to women, and which organizational factors impact their use of those services?

Primary Research OpenAthens login may be required to read the full text, or request it from the library

Using corticosteroids to treat sudden sensorineural hearing loss in pregnancy: A case report and literature review Case Reports in Women’s Health

Surgical management of first-trimester bleeding in a heterotopic caesarean scar pregnancy: A case report and review of literature Case Reports in Women’s Health

Hemoptysis as the first symptom in the diagnosis of metastatic choriocarcinoma in the third trimester of pregnancy: A case report Case Reports in Women’s Health

SARS-CoV-2 infection and glucose homeostasis in pregnancy. What about antenatal corticosteroids? Diabetes & Metabolic Syndrome: Clinical Research & Reviews

Large mucinous cystic neoplasm of the pancreas during pregnancy: a case report Journal of Surgical Case Reports

Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission Journal of Reproduction & Infertility

Parameterization of the mid-trimester drop in blood pressure trajectory during pregnancy and its utility for predicting preeclampsia Journal of Hypertension

Pregnancy in congenital heart disease: risk prediction and counselling Heart

Association of Maternal Opioid Use in Pregnancy With Adverse Perinatal Outcomes in Ontario, Canada, From 2012 to 2018 JAMA

Comparison of single-dose fosfomycin tromethamine and other antibiotics for lower uncomplicated urinary tract infection in women and asymptomatic bacteriuria in pregnant women: A systematic review and meta- analysis International Journal of Antimicrobial Agents

Detection of paternal origin of fetal trisomy 21 in a pregnancy with isolated ventriculomegaly but without advanced parental age Taiwanese Journal of Obstetrics and Gynecology Occupational chemical exposures in pregnancy and fetal growth: evidence from the Born in Bradford Study Scandinavian Journal of Work, Environment & Health

Management of Twin Pregnancies: A Comparative Review of National and International Guidelines Obstetrical & Gynecological Survey

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Early Pregnancy Blood Pressure Elevations and Risk for Maternal and Neonatal Morbidity Obstetrics & Gynecology

Maternal Obesity and the Risk of Early-Onset and Late-Onset Hypertensive Disorders of Pregnancy Obstetrics & Gynecology

Acute Respiratory Distress Syndrome in a Preterm Pregnant Patient With Coronavirus Disease 2019 (COVID-19) Obstetrics & Gynecology

A cross-sectional survey of pregnant women’s perceptions of routine domestic and family violence screening and responses by midwives: Testing of three new tools Women and Birth

Aggressive angiomyxoma in pregnancy: a case report and literature review Journal of International Medical Research

A case of impetigo herpetiformis in which termination of pregnancy was required Journal of International Medical Research

Myomectomy scar pregnancy: a case report and review of the literature Journal of International Medical Research

Addressing Alcohol Use in Pregnancy American Journal of Nursing

Prior surgical uterine evacuation of pregnancy and infertility: protocol for systematic review and meta- analysis BMJ Open

Proteinuria in Covid-19 pregnant women: Preeclampsia or severe infection? European Journal of Obstetrics & Gynecology and Reproductive Biology

Pregnancy outcomes in women with liver transplants: systematic review and meta-analysis HPB

Maternal respiratory infections in early pregnancy increases the risk of type 1 diabetes Pediatric

Factors associated with re-initiation of antidepressant treatment following discontinuation during pregnancy: a register-based cohort study Archives of Women's Mental Health

Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications BMC Pregnancy and

Resuscitative hysterotomy for maternal collapse in a triplet pregnancy BMJ Case Reports

A case report of ectopic pregnancy arising in a unicornuate uterus, accompanied by the undescended tube and ovary with double inferior vena cava Medicine

Countering Vaccine Hesitancy among Pregnant Women in England: The Case of Boostrix-IPV International Journal of Environmental Research and Public Health

The role of a cytokine storm in severe COVID-19 disease in pregnancy American Journal of Obstetrics and Gynecology

Pregnancy and COVID-19: a systematic review of maternal, obstetric and neonatal outcomes The Journal of Maternal-Fetal & Neonatal Medicine

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Maternity, Obstetrics & Gynaecology in the News

Mothers 'unlikely to pass on Covid-19 to newborns' BBC News

'New pre- programme saved my baby's life' BBC News

Dynamed Updates 28 JUL 2020 telemedicine associated with reduced maternal and neonatal adverse outcomes and reduced HbA1c compared to standard care in women with GDM (BMC Pregnancy Childbirth 2020 Apr 6) View in Mellitus (GDM)

28 JUL 2020 insufficient evidence to evaluate effect of probiotics on maternal and infant outcomes in women with GDM (Cochrane Database Syst Rev 2020 Jun 24) View in Gestational Diabetes Mellitus (GDM)

28 JUL 2020 at least 2 lifetime sexual partners, black ethnicity, and history of any sexually transmitted infection associated with increased risk of new cervical HPV infection in women (Sex Transm Dis 2019 Oct) View in Human Papillomavirus (HPV) Infection

27 JUL 2020 fever, cough, and sore throat most common symptoms in pregnant women with COVID-19 (Clin Infect Dis 2020 Jun 23 early online) View in COVID-19 and Pregnant Patients

23 JUL 2020 compared to endometrial ablation, LNG-IUS may improve bleeding pattern and long-term well-being, but may increase treatment failure and adverse events in women with heavy menstrual bleeding (Cochrane Database Syst Rev 2020 Jun 12) View in Endometrial Ablation

23 JUL 2020 LNG-IUS may reduce blood loss and may improve bleeding patterns compared to oral medications, but may increase treatment failure compared to endometrial ablation in women with heavy menstrual bleeding (Cochrane Database Syst Rev 2020 Jun 12) View in Intrauterine Device (IUD)

22 JUL 2020 TOLAC may be successful in about 60% in women ≥ 40 years old who never delivered vaginally (Eur J Obstet Gynecol Reprod Biol 2020 Feb) View in Pregnancy in Women of Advanced Maternal Age

22 JUL 2020 maternal age ≥ 35 years does not appear to increase risk of longer labor duration or adverse short-term neonatal outcomes compared to maternal age < 35 years in women having epidural analgesia for singleton term delivery (J Matern Fetal Neonatal Med 2020 Mar 31) View in Pregnancy in Women of Advanced Maternal Age

22 JUL 2020 regular exercise among pregnant women ≥ 35 years old may be associated with decreased likelihood of having newborn with macrosomia, decreased pelvic girdle pain during pregnancy, and lower rate of excessive weight gain (Acta Obstet Gynecol Scand 2020 Feb) View in Pregnancy in Women of Advanced Maternal Age

15 JUL 2020 pregnancy may be associated with increased risk of COVID-19-related hospitalization, intensive care unit admission, and mechanical ventilation compared to nonpregnant status in women of reproductive age (MMWR Morb Mortal Wkly Rep 2020 Jun 26) View in COVID-19 and Pregnant Patients

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14 JUL 2020 pharmacologic oral galactogogues might increase mean milk volume in nonhospitalized breastfeeding mothers, insufficient evidence to evaluate adverse effects (Cochrane Database Syst Rev 2020 May 18) View in Breastfeeding

14 JUL 2020 natural oral galactogogues might increase milk production in nonhospitalized breastfeeding women, insufficient evidence to evaluate adverse effects (Cochrane Database Syst Rev 2020 May 18) View in Breastfeeding

7 JUL 2020 lidocaine 2% intracervical block reduces pain during IUD insertion in nulliparous women with no prior IUD use (Am J Obstet Gynecol 2020 Mar) View in Intrauterine Device (IUD)

7 JUL 2020 slow tenaculum closure may not reduce procedural pain compared to tenaculum closure during cough in women having IUD placement (BMJ Sex Reprod Health 2020 Apr) View in Intrauterine Device (IUD)

6 JUL 2020 addition of unfractionated or low-molecular-weight heparin to aspirin may increase live birth rate and reduce pregnancy loss in women with persistent antiphospholipid antibodies and recurrent pregnancy loss (Cochrane Database Syst Rev 2020 May 2) View in Thrombophilia in Pregnancy

6 JUL 2020 addition of unfractionated or low-molecular-weight heparin to aspirin may increase live birth rate and reduce pregnancy loss in women with persistent antiphospholipid antibodies and recurrent pregnancy loss (Cochrane Database Syst Rev 2020 May 2) View in Antiphospholipid Antibody Syndrome (APS)

6 JUL 2020 addition of unfractionated or low-molecular-weight heparin to aspirin may increase live birth rate and reduce pregnancy loss in women with persistent antiphospholipid antibodies and recurrent pregnancy loss (Cochrane Database Syst Rev 2020 May 2) View in Recurrent Pregnancy Loss

6 JUL 2020 preoperative skin preparation with chlorhexidine gluconate reduces risk of surgical site infection, but may not reduce risk of endometritis compared to povidone iodine in women having cesarean section (Cochrane Database Syst Rev 2020 Jun 25) View in Cesarean Section

6 JUL 2020 enhanced recovery protocol after nonemergent cesarean delivery at ≥ 37 weeks gestation might not reduce length of hospital stay but may increase rate of breastfeeding at discharge (Am J Obstet Gynecol 2020 Apr) View in Cesarean Section

6 JUL 2020 addition of incisional plastic drape to preoperative skin disinfection might increase risk of surgical site infection in women having cesarean section (Cochrane Database Syst Rev 2020 Jun 25) View in Cesarean Section

1 JUL 2020 SARS-CoV-2 detection rates in neonates born to mothers with COVID-19 reported to be 5.3% after cesarean delivery and 2.7% after vaginal delivery (BJOG 2020 Jun 12 early online) View in COVID-19 and Pregnant Patients

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Online Resources

BestBETs - BETs bring the evidence one step closer to the bedside, by providing answers to very specific clinical problems, using the best available evidence.

BNF – British National Formulary

NHS Choices - Behind the Headlines – the latest newspaper headlines debunked.

Royal College of Midwives – clinical practice and guidelines (members only access)

The Royal Marsden Manual of Clinical Procedures – available via your Athens login

Journals & table of contents alerts

The Clinical Librarian team can help set up table of content alerts to the journal of your choice.

Archives of Gynecology and BJOG : an International Journal of Obstetrics and Obstetrics Gynaecology British Journal of Midwifery European Journal of Obstetrics & Gynaecology

Midwifery MIDRS

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