Posted in Other

Covid-19 Vaccination in Pregnancy

Posted by Professor Mike O’Connor AM on 15 June 2021
Covid-19 Vaccination in Pregnancy
The RANZCOG and ATAGI recommend that pregnant women are routinely offered Pfizer mRNA vaccine (Cominarty) at any stage of pregnancy. This is because the risk of severe outcomes from COVID-19 is significantly higher for pregnant women and their unborn baby. (9 June 2021) High risk women include those who: Are immunosuppressed Recent bone marrow transplant Graft versus host disease Leukaemia, lymphoma, Myelodysplastic syndrome Chemotherapy or radiotherapy O...
Posted in:ObstetrcisOther  

Inherited Risks of Gynaecological Cancer

Posted by Professor Mike O’Connor AM on 16 February 2021
Inherited Risks of Gynaecological Cancer
Recently I saw a woman with a BRCA gene mutation who had recently had both breasts removed and was now being urged to have both ovaries removed, she was 39 years of age. Understandably she was considerably anxious about the prospect of losing most physical vestiges of her femininity. She was keen to know how much risk she would incur of ovarian cancer if she deferred her bilateral oophorectomy until she reached 45 years of age. Hereditary Breast and Ovarian Cancer Syndrome (HBOC). The...
Posted in:OtherOvaries  

Maternal & perinatal mortality in the Spanish Influenza pandemic 1918-1919

Posted by Professor Mike O’Connor AM on 26 May 2020
Maternal & perinatal mortality in the Spanish Influenza pandemic 1918-1919
In this current pandemic of COVID-19 (SARS-CoV-2) it is easy to think that the health risks to Australia have never been more dire. In pregnant women there is understandable anxiety about the risks to them and their unborn babies. However in the first 3 months of this pandemic from March to June 2020 there have been no COVID 19 Australian maternal deaths and few SARS_COV 2 infections amongst the pregnant Australian population. By 10 May 2020 the COVID-19 pandemic had infected 3.7 million ...
Posted in:ObstetrcisMiscarriageOther  

Entrustable Professional Activities (EPA's) in Undergraduate Medicine

Posted by Professor Mike O’Connor AM on 2 December 2019
Entrustable Professional Activities (EPA's) in Undergraduate Medicine
Definition EPA's are a set of basic competencies required for professional life. They are put in place to replace mere time-related education programs and focus on the capacity of the student to perform the required tasks in their early professional career. The concept evolved in 2005. NSW Health requirements of medical schools are that they deliver medical graduates with sufficient capacities to function adequately during their intern year (which may well become 2 years in the futu...
Posted in:ObstetrcisOther  

Reproductive Aspects of Acute Appendicitis

Posted by Professor Mike O’Connor AM on 26 July 2018
Reproductive Aspects of Acute Appendicitis
Introduction Appendicitis most often occurs between the ages of 10 19 years, with an incidence of between 19-28 per 10,000 before the age of 14 years. Less than 7 per 10,000 children present with appendicitis before the age of 4 years & less than 5% of presentations with appendicitis occur before the age of 5 years.  Causation  In tropical climates the cause is often a parasitic worm (pinworm or roundworm) causing obstr...
Posted in:ObstetrcisUltrasoundOther  
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