Should I have a caesarean section to protect my pelvic floor?
Since 1985 the World Health Organisation (WHO) has considered that the ideal caesarean rate should be 10 to 15%. I’ll stir the pot...
An unwelcome visitor
Friday afternoon clinics at the Jericho Bush Nursing Clinic were usually dour affairs. Jericho population - less than a thousand. Average...
Management of Urinary Incontinence
LBL was not a term I was aware of until relatively recently at which point advertisements for Poise incontinence liners and pads seemed...
Some days are diamonds. Some says are....
I was on call at the end of a particularly busy day during my first year of O&G training. I was pretty keen to have something to eat and...
Why on earth would you be an obstetrician and gynaecologist?
A lot of people ask me. “Why on earth would you want to be an obstetrician and gynaecologist?” I ask myself this same question - often....
Confessions of a Birth Plan Sceptic
The best birth plan that was suggested to me by a midwife many years ago was – “Roll with the punches.” I could end this blog now and...
Inspirations
When on a holiday (even a short one like the one I've just had) my mind wanders just a little more than it usually does. Without the...
Mary's legacy
Spare a thought for Mary Papanicolaou. Her husband was George Papanicolaou. That's George looking down the microscope and Mary watching...
Preeclampsia: early disease, late consequences
Pregnancy is a joyous, wondrous, incredible, revelational time of your life. The bringing of new life into the world is a truly amazing...
Where is my obstetrician!!!??!?!?!
Why was my obstetrician not there for my deilvery???????!!!!!!!! Sometimes this happens when the baby arrives so quickly that even if...
Overactive Bladder (OAB)
Imagine this – your bladder controls your life. Actually, it controls your life and the lives of those around you as well. It controls...
Not your everyday ward round
Is too much hope bad? In the face of all the best logic should we still have hope? Almost 20 years ago I was working in a country...
Ups and downs of HRT
Not that long ago Hormone Replacement Therapy (HRT) was seen as a panacea for all things menopausal. As an intern I recall my bosses...
Miscarriage
I was a bit shocked when I recentlyread an article on public perceptions of miscarriage. It was from the USA but I am sure that the...
Screening for Down Syndrome
I spend more time with couples at their first antenatal visit explaining the maze of first trimester screening than I do discussing most...