Hypertensive Disorders of Pregnancy
Hypertensive Disorders of Pregnancy — Clinical Management Protocol Source: OGSB, NICE, ACOG Definitions & Classification Gestational Hypertension (PIH): New hypertension ≥140/90 mmHg after 20 weeks in previously normotensive woman; no proteinuria or organ dysfunction.Preeclampsia (PE): New-onset hypertension (≥140/90 mmHg) + proteinuria after 20 weeks. Severe if ≥160/110 mmHg or with organ involvement (CNS, liver, kidney, […]
Gestational Diabetes Melitus (GDM)
Gestational Diabetes — Clinical Management Protocol Diagnosis Source: OGSB, ACOG, NICE GDM: Fasting plasma glucose: 5.1–6.9 mmol/L (92–125 mg/dL), 1-hour plasma glucose: ≥10.0 mmol/L (180 mg/dL), 2-hour plasma glucose: 8.5–11.0 mmol/L (153–199 mg/dL)Diabetes in Pregnancy (DIP): Fasting plasma glucose: ≥7.0 mmol/L (126 mg/dL), 2-hour plasma glucose: ≥11.1 mmol/L (200 mg/dL), Random plasma glucose: ≥11.1 mmol/L […]
Premature rupture of membranes (PROM / PPROM)
Prepared by Dr Maniza KhanMBBS, MRCOG (UK)SpecialistAsgar Ali Hospital Definitions PROM (prelabor rupture of membranes): rupture of membranes before onset of labour.PPROM: PROM before 37+0 weeks’ gestation.Previable / periviable: institutional/local definition (commonly <24 wks = previable; 24–25+6 often considered periviable) — counsel individually. Initial Assessment (Urgent) Management Principles by Gestational Age Management must be individualized […]
Postpartum Hemorrhage (PPH)
Prepared by Dr Maniza KhanMBBS, MRCOG (UK)SpecialistAsgar Ali Hospital Scope & Purpose To provide clear, actionable steps for prevention, early recognition, initial management and escalation for women with PPH in labour wards and maternity units. Applicable to all births (vaginal and caesarean). Definition & Diagnosis Primary PPH: blood loss ≥500 mL within 24 hours after […]
Thyroid Disorder in Pregnancy
Introduction • Thyroid disease is a common endocrine disorder in women of childbearing age.• Both inadequate and excessive treatment of thyroid disorders, the choice of treatment, as well as delayed commencement and adjustment of treatment, can result in detrimental effects on the pregnancy and fetus. Thyroid Physiology in Pregnancy & Diagnostic Considerations • Pregnancy causes […]
IVD Guideline
Key recommendation Preparation for assisted vaginal birth / Instrumental vaginal delivery/Operative vaginal delivery Continuous support during labour can reduce the need for assisted vaginal birth. Epidural analgesia may increase the need for assisted vaginal birth although this is less likely with newer analgesic techniques. [New 2020] Epidural analgesia in the latent phase of labour compared […]
Integrated Clinical Guideline: Recurrent Pregnancy Loss (RPL)
Synthesized from ASRM (2023), RCOG Green‑top No. 17 (2023), ESHRE (2017, updates ongoing), and ACOG (2020) 1) Scope & Purpose 2) Definitions 3) Epidemiology & Prognosis 4) Risk Factors For Recurrent Miscarriage 4.1 Epidemiological factors (Include maternal age, parity, lifestyle, prior obstetric history) 4.2 Thrombophilia Acquired: Antiphospholipid syndrome (APS) – association between antiphospholipid antibodies (lupus […]
Guest blog: Specialist Posts in Obstetrics & Gynaecology – Are We Missing a Golden Opportunity?
Guest blog: Specialist Posts in Obstetrics & Gynaecology – Are We Missing a Golden Opportunity? 6 Oct 2025 In this blog, Dr Julie Anne Forbes, RCOG Associate, Co Vice-Chair of the RCOG SAS and LED Committee, and Associate Dean for SAS Doctor Career Development in Northern Ireland — shares her reflections on the importance of […]
Blog from RCOG President: August 2024
In the latest President blog, Ranee Thakar shares news of the launch of the College’s new Curriculum 2024, a new gynaecology dashboard which reveals the scale of UK non-cancer hospital waits, and an update on the College’s Maternity Safety focus. Hello, and welcome to my August update. It is always a (pleasurable!) challenge to select […]