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Found 399 results
  1. News Article
    Delays in being able to get contraception and abortions can wreck women’s lives. It’s time women ignored the stigma and started complaining more loudly, writes Nell Frizzell in the Guardian. "When a friend recently told me that there was a 10-week waiting list to have a copper coil fitted, my shock turned quickly into anger. Ten weeks is a hell of a long time to wait for adequate, hormone-free, affordable contraception. We are experiencing a quiet crisis in contraceptive care in this country. According to a report by the Advisory Group on Contraception: “Going into lockdown, services had faced years of budget cuts by the government, leading to an 18% decrease in real-terms contraception spend since 2015.” The same report points out that there has also been a huge reduction in sites commissioned to deliver contraception (26% of local authorities cut sites in 2018-2019), meaning people are having to travel further to get the medical help they need, simply not to have an unplanned, unwanted, unaffordable or unsafe pregnancy. Unfortunately, the stigma still attached to contraception and reproductive health means people are less willing to complain publicly about the huge waiting times, the travel costs and the difficulty they face in accessing contraception and abortion. Subtly and overtly, we are told that this is our lot and we must bear it. Read full story Source: The Guardian, 9 March 2022 "
  2. Content Article
    In this opinion piece, hub topic lead Saira Sundar looks at the culture of misogyny we have inherited in the medical profession, particularly in the obstetrics and gynaecology area of medicine. We hear time and time again women speaking up about being mistreated and/or disbelieved by medical professionals, resulting in delays in diagnosis and serious harm. However, there is a real change being forced by women themselves, with the public increasingly questioning and insisting on improvement and the right to be heard.
  3. News Article
    Women who have the HPV vaccine may need only one smear test to prevent cervical cancer in their lifetime, according to a leading scientist. Women are currently invited for screening every three to five years in the UK. But Prof Peter Sasieni said the vaccine was leading to such dramatic reductions in cancer that the screening programme would need to change soon. The NHS invites women, and people with a cervix, for regular screening. Swabs of the cervix are used to check for signs of abnormalities using a microscope (the traditional smear test) or more recently to test for the virus itself. However, a seismic shift in preventing cervical cancer started in the UK in 2008 with the introduction of the HPV vaccine. It is offered to girls (and boys since 2019) aged between 11 and 13. Research published in December shows the vaccine is cutting cervical cancer by nearly 90% in those who choose to have the jab. "This is really exciting," Prof Sasieni, the director of the clinical trials unit at King's College London, told Inside Health on BBC Radio 4. His modelling suggests between one and three checks a lifetime would be appropriate for people who have been immunised. "There's a new vaccine which will be used in the UK from the next school year, which protects against even more types of the virus, and I think with that probably one screen would be enough, maybe two, over a lifetime." However, the Department of Health and Social Care said one in three people do not come for screening when invited, and a spokesperson added: "The NHS Cervical Screening programme remains an important way of protecting the population - including those who have not been vaccinated - from developing cervical cancer." Read full story Source: BBC News, 2 March 2022
  4. News Article
    The symptoms of polycystic ovary syndrome (PCOS) became so difficult for one woman, she did not want to live. Angharad Medi Lewis from Carmarthenshire said "embarrassing" heavy periods and excess facial hair made her not want to leave home. "I was having very heavy periods, I was in serious pain for a whole week every month, growing hair on my face, I was anxious, so worried about going out because of the heavy periods that it was actually embarrassing," she said. According to Neuroendocrinology expert Prof Aled Rees, the condition and its link with mental health side effects "isn't appreciated enough". "Patients often come to us at the clinic, and it's obvious from the symptoms they describe, that it's going to have an impact on their mental health." He said there was a "gap" in the general conversation with PCOS patients. "There needs to be greater emphasis for patients and doctors that any consultation they have includes a discussion about mental health because there is an effective treatment available". The charity Fair Treatment for Women in Wales has called on the Welsh government to put women's physical and mental health at the top of the agenda. Julie Richards, a consultant with the charity, said the mental health impacts of conditions like PCOS and endometriosis, are often forgotten. "We need specialist clinics in Wales, and when it comes to women's health generally, we're lagging behind in all areas," she said. The Welsh government said women's wellbeing was a priority and it would publish plans on how to support women. Read full story Source: BBC News, 25 February 2022
  5. Content Article
    This article by the National Institute for Health Research (NIHR) summarises recent evidence about the information and support pregnant women need to make decisions about their maternity care, and any interventions they may need. It discusses the following areas: The importance of continuity of carer and personalised care in maternity services Women need clear information and better access to mental health care Helping women with complicated pregnancies make informed decisions about their care Supporting shared decision-making when there are problems with the baby
  6. Content Article
    The purpose of this investigation by the Healthcare Safety Investigation Branch (HSIB) was to help improve patient safety in relation to the instructions 999 call handlers give to women and pregnant people who are waiting for an ambulance because of an emergency during their pregnancy. The HSIB investigation reviewed the case of Amy, who was 39 weeks and 4 days pregnant with her first child. She contacted 999 after experiencing abdominal cramps and bleeding. While waiting for an ambulance to arrive, Amy received pre-arrival instructions which were generated through a clinical decision support system (CDSS) from a non-clinical call handler. Amy was then taken by ambulance to hospital where her baby, Benjamin, was delivered by emergency caesarean section. Amy had excessive blood loss due to a placental abruption and was admitted to the high dependency unit for 12 hours following the birth. Benjamin required resuscitation to help him breathe on his own, he was intubated, and he received 72 hours of therapeutic cooling. He spent 13 days in hospital.
  7. Content Article
    This investigation by the Healthcare Commission examined the cases of ten women who died during pregnancy or within 42 days of delivery at Northwick Park Hospital, North West London Hospitals NHS Trust, between April 2002 and April 2005. This number of maternal deaths was significantly higher statistically when compared with other trusts that serve similar populations.
  8. Event
    Day surgery is now provided for an increasing range of procedures, in patients ranging from the very fit to the rather frail. It has become the standard of care for many elective surgery procedures and should be the default option for all 200 procedures within the BADS Directory of Procedures. As the healthcare industry faces a cost predicament, it is incumbent upon healthcare professionals to identify and reduce unnecessary practices without worsening patient outcomes. The majority patients would prefer to recover from their surgery in their home environment. This not only provides improved, comfort, sleep and catering but also reduces the risk of hospital acquired infections and VTE. Gynaecology as a specialty has long been a front runner in reducing length of stay. However, there are only a few trusts nationally who routinely undertake laparoscopic hysterectomies and vaginal repairs on a day case basis. Chaired by Mary Stocker, Consultant Anaesthetist, Torbay and South Devon NHS Foundation Trust & Past President, The British Association of Day Surgery, this conference will hear from the teams at these trusts and learn how they implemented their day case pathways, the key to their success and how any obstacles were overcome. In addition to moving procedures from the inpatient to the day surgery arena, there is also a national drive to undertake appropriate procedures within an outpatient setting and as such completely avoid the requirements for an operating theatre episode. Once again gynaecology teams have driven this change and we will hear how embracing outpatient surgery can transform your gynaecology service and the patient’s experience. There will be an opportunity to hear from experts from BADS and participants from across the UK which will be of interest to those with medical and nursing backgrounds. Key learning objectives: Key components of a Day Surgery Pathway. Patient selection for Day Surgery. How to develop a Day Surgical Gynaecological Service. Managing complex patients on a day case basis. How to move aspects of your service into an outpatient setting. Managing emergency patients through an ambulatory pathway. Register
  9. Content Article
    This is an Adjournment Debate from the House of Commons on the 31 January 2022 on NHS Hysteroscopy Treatment, tabled by Lyn Brown MP.
  10. Content Article
    This index of medications provides evidence-based patient leaflets about the use of different medicines in pregnancy. The leaflets are produced by the UK Teratology Information Service (UKTIS). Women can look up medications to understand their impact on pregnancy and how they may affect the chances of miscarriage and birth defects, and provide information on their own pregnancy to add to the knowledge base around medicines in pregnancy.
  11. News Article
    Anne Monie is one of hundreds of Scottish women to have suffered painful, life-changing side effects from mesh implants. She was fit and healthy when she went to her doctor with anterior prolapse and mild stress incontinence in 2010. But an operation to fit transvaginal mesh left her in agony. With nowhere to turn for help in Scotland, the 69-year-old spent £19,000 travelling to the US to get her implant removed. Anne spoke to BBC Scotland as the Scottish Parliament looks set to pass a bill which would see her and others reimbursed for the cost of private surgery. That may bring financial concerns to an end - but she is by no means cured. And she worries about other women still trying to go through the mesh-removal process. Anne was offered a simple "gold standard" transvaginal mesh procedure when she first sought medical help 12 years ago. But after the operation to fit it, she began to suffer from a range of problems and was left in chronic pain. After years of frustration, she paid to go to Missouri to have mesh removal surgery with world-renowned expert Dr Dionysios Veronikis. "It's a massive amount of money to be paying out, especially when you're retired. But then, what price do you put on health?" Read full story Source: The Guardian, 25 January 2022
  12. Content Article
    Mollie Daisy Dimmock died from perinatal asphyxia due to hypoxia 34 minutes after being delivered. This was caused by umbilical cord compression from shoulder dystocia which lasted for five minutes before Mollie was fully delivered. In his report, the Coroner Crispin Butler raises concerns about the NICE guidance in relation to intrapartum care for women with existing medical conditions or obstetric complications and their babies.
  13. Content Article
    Cervical cancer symptoms include vaginal bleeding that is unusual for you, changes to vaginal discharge, discomfort during sex and pain in your lower back or pelvis. If you have symptoms, you should contact your GP.
  14. News Article
    Changes in cervical cancer screenings will help save lives, not put them at risk, according to a top gynaecologist. Prof Alison Fiander said people should not be worried screenings have dropped from every three to every five years in Wales as tests are "more effective". Public Health Wales (PHW) said the new rules were for people aged 25 to 49. More than 1.2 million people backed calls for a rethink in a UK petition and politicians in Wales will debate it after 30,000 signed a Senedd petition. Women and people with a cervix - as it could also affect trans men too - who had not tested positive for human papillomavirus (HPV) will now wait two more years between tests. Health chiefs in Wales said they changed the interval between screenings to the same time as those in Scotland because tests are now more accurate. Cervical screening gaps in England and Northern Ireland remain at three years. But Wales' public health body did publicly apologise for causing "concern", and admitted health chiefs "hadn't done enough to explain the changes". Prof Fiander, a clinical lead at the Royal College of Obstetricians and Gynaecologists, said PHW had "missed an opportunity" to help educate people but reassured the public the change was safe and not a cost-cutting exercise. Read full story Source: BBC News, 18 January 2022
  15. Content Article
    The State of the World’s Midwifery (SoWMy) 2021 builds on previous reports in the SoWMy series and represents an unprecedented effort to document the whole world’s Sexual, Reproductive, Maternal, Newborn and Adolescent Health (SRMNAH) workforce, with a particular focus on midwives. It calls for urgent investment in midwives to enable them to fulfil their potential to contribute towards UHC and the SDG agenda.
  16. Content Article
    In this blog for the website Cysters, Kiran Chalke and Hayle Davis share their experiences of accessing gynaecology and reproductive services as a lesbian couple. They describe the barriers they have faced to accessing IVF and highlight disparities in the treatment of heterosexual and same-sex couples on the NHS. They also discuss the impact that bias in the system and from individual healthcare workers has had on both of their experiences of gynaecology treatment. The attitudes of staff and failure to read their notes fully has resulted in the couple feeling uncomfortable in healthcare settings and in treatment delays that have had a real impact on their quality of life.
  17. News Article
    An urgent debate has been called in the Senedd over a move to extend routine cervical screenings in Wales from every three years to five years. Public Health Wales (PHW) said those aged 25-49 who had not tested positive for human papillomavirus (HPV) would now wait two more years between tests. PHW said it was because the screening tests are now more accurate. However, 30,000 people signed a petition against it, citing the risk it could cause an increase in deaths. Particularly concerned are those who have not received the HPV vaccine, a national immunisation programme for which began in 2008 for girls aged 12 to 13. The number of signatures on the official petition on the Welsh Parliament's website was more than enough to trigger the issue to be looked at. The change follows a recommendation from the UK National Screening Committee. Last week, Public Health Wales apologised for causing "concern" over how it explained changes to screenings following its announcement. Read full story Source: BBC News, 10 January 2022
  18. Content Article
    In this personal account, hub member Sophie talks about the trauma she experienced after a painful contraceptive device (IUD) fitting, and the impact this has had on her subsequent experience of medical procedures. She argues that damaging narratives around female pain cause harm to patients in multiple ways and have consequences that reach far beyond the initial experience of pain.
  19. Content Article
    Kath Sansom’s surgery changed her life forever – and motived her to lobby for its halt.
  20. Content Article
    In this article, the first in a series of two on pelvic mesh and its medicolegal challenges, Dr Ivan Ramos-Galvez, Consultant in Pain Medicine and expert witness, explores the uses of pelvic mesh and the complications that can arise. The second in the series focuses on the physical and psychological effects pelvic mesh implants can have on claimants. 
  21. Content Article
    This poster from the Royal College of Midwives (RCM) provides information for midwives and midwife support workers on appropriate PPE for different scenarios in maternity care. It covers what to wear in different stages of care in both hospital and community settings if a patient has, or does not have, confirmed or suspected Covid-19.
  22. Content Article
    This study in The Journal of Minimally Invasive Gynecology applied a structured human factors analysis to understand the factors that contribute to vaginal retained foreign objects (RFOs). Trained human factors researchers looked at 45 incidents that occurred between January 2000 and May 2019 at an academic medical centre in Sothern California. The narrative of each incident was reviewed to identify contributing factors, classified using the Human Factors Analysis and Classification System for Healthcare (HFACS-Healthcare). The authors of the study concluded that the top two contributing factors in vaginal RFO incidents were skill-based errors and communication breakdowns. Both types of errors can be addressed and improved with human factors interventions, including simulation, teamwork training, and streamlining workflow to reduce the opportunity for errors.
  23. News Article
    Ministers have pledged to “reset the dial” on women’s health to tackle decades of gender inequality in England, with plans to appoint a women’s health tsar, eradicate medical taboos, boost menopause support and ban harmful “virginity repair” operations. The Department of Health and Social Care has published its Vision for Women’s Health strategy after 100,000 women came forward to share their healthcare concerns. Maria Caulfield, the minister for women’s health, described some of their experiences as “shocking”. The vision document sets out initial government commitments on women’s health, recognising that “systemwide changes” are needed to tackle “decades of gender health inequality”. The final plan – the Women’s Health Strategy – will be published in spring 2022. On Wednesday night, ministers pledged to introduce legislation criminalising hymenoplasty or any procedure to rebuild or repair the hymen. Such surgery creates scar tissue so that a woman will bleed the next time she has intercourse, making it appear she has never had sex. Young women can be forced to prove they are “pure” on their wedding night. Doctors have called for a ban on the surgery for years, saying it can never be justified on health grounds and is harmful. Separately, the government will appoint a women’s health ambassador to raise the profile of key issues and boost awareness of taboo topics. Ministers will also establish a UK-wide menopause taskforce to investigate how women going through the menopause can be better supported. The cost of hormone replacement therapy (HRT) prescriptions will also be cut by implementing longer prescribing cycles so women will need fewer prescriptions and therefore pay less. The consultation provided “stark and sobering insights” into women’s experiences of health and care and highlighted entrenched problems within the NHS, officials said. Ministers are also considering compulsory training for GPs on women’s health after the idea was raised by women who came forward. The vision document said: “We also heard about a lack of awareness amongst some GPs of the causes of infertility, miscarriages and their relationship with infertility, and the reasons for in vitro fertilisation (IVF) failure.” Read full story Source: The Guardian, 22 December 2021 Related reading Gender bias: A threat to women’s health (August 2020) Dangerous exclusions: The risk to patient safety of sex and gender bias Patient Safety Learning: Women’s Health Strategy Consultation Response
  24. Content Article
    This policy paper from the Department of Health and Social Care (DHSC) details the government's vision for the Women’s Health Strategy for England, informed by the call for evidence. The call for evidence published in spring 2021 received nearly 100,000 responses from women across the country, and over 400 written responses from organisations and experts working in the health sector and beyond. The consultation response demonstrated that the system and the values that drive it need extensive reform to make women's health provision in England safer and more effective.
  25. Content Article
    Serena Roberts died as the result of an ovarian cancer which was not diagnosed until her death. She was initially seen for an ultrasound scan in April 2020 having reported symptoms of recurrent very heavy vaginal bleeding, and had been recommended to be referred to a gynaecologist for review but was not referred. In November 2020 her GP marked her referral letter as urgent, but this was entered as routine on the e-referral system and did not include important risk factor details regarding her BMI. Her condition worsened and on her second admission to hospital in March 2021 she died. The Coroner in her report highlights concerns about significant delays in patients being seen in secondary care for gynaecological referrals from GPs, the understanding and application of NICE guidance on heavy premenstrual bleeding in General Practice and the documentation and processes relating to referrals to secondary care from the GP.
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