Research recommendations regarding administration of magnesium sulphate with neuroprotective intent can be successfully translated into clinical practice. Appropriate triaging of women at high risk of imminent preterm birth is feasible, enabling a high level of magnesium sulphate coverage for infants that deliver prior to 32 weeks gestation, with minimal toxicity and a low rate of unnecessary maternal exposure.
Composite outcome of success was better for SCP at 12 months, but subjective outcomes for prolapse at all timepoints over 4 years for VEULS and SCP were not significantly different.
Although the success rate is better with the use of TVM for recurrent prolapse, the total re-operation rates are similar when mesh complication-related surgeries are included.
The Manchester repair is an operation worth considering in patients where preservation of the uterus is desired. It uses native tissue and has a low complication rate and good long-term results.
Management of lower urinary tract dysfunction in pregnancy can be challenging, with the need to take into account impact of treatment on gestation and impact of pregnancy and delivery on intervention. Whilst the approach to lower urinary tract symptoms is not significantly different, this article will highlight specific pregnancy/delivery impact on lower urinary tract symptoms, including its management.
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