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Prof Arri Coomarasamy OBE MRCOG
United Kingdom
Registrace 18. 01. 2012
Professor of reproductive medicine, University of Birmingham, UK.
Director, Tommy's National Centre for Miscarriage Research, UK.
Lead Tutor, ACE MRCOG courses.
MBChB, MRCOG, FRCOG, MD, OBE, FMedSci.
Director, Tommy's National Centre for Miscarriage Research, UK.
Lead Tutor, ACE MRCOG courses.
MBChB, MRCOG, FRCOG, MD, OBE, FMedSci.
Progesterone and Miscarriage: the full story (PROMISE and PRISM Trials; NICE and RCOG guidelines)
Progesterone for miscarriage prevention: the full story. What is the evidence for progesterone use for threatened miscarriage (early pregnancy bleeding) and recurrent miscarriage? What did PROMISE and PRISM Trials show? What does NICE Guideline and RCOG Green Top guidelines recommend? Which patients may benefit from progesterone therapy? What is the right dose and regimen of progesterone for miscarriage prevention? An in-depth analysis for the MRCOG and beyond.
zhlédnutí: 523
Video
The contraceptive pill: Combined Oral Contraceptive (COC) Pill: Your questions answered. MRCOG
zhlédnutí 1,1KPřed 6 měsíci
Masterclass on the combined oral contraceptive (COC) pill. How does the pill work? What are the different ways of taking the pill? What are the benefits? What are the complications? What are the contraindicaitons? How should COC be taken? What should a woman do if she missed a pill? Let’s answer these and other important questions about COC in this episode of 10 questions to MRCOG mastery.
Vertex, face and brow presentations, and their association to fetal skull anatomy
zhlédnutí 1KPřed 7 měsíci
What are the 5 bones, 4 sutures and 2 fontanelles of the fetal skull? Can the identify all the key fetal skull diameters and how they relate to vertex, flexed OP, face and brow presentations? Is a face presentation compatible with vaginal delivery? Is a brow presentation compatible with vaginal delivery? Find out the answers to these and other questions in this MRCOG Mastery video from ACE Cour...
Adenomyosis: your questions answered! 10 Questions to MRCOG Mastery. MRCOG Master-class.
zhlédnutí 2,2KPřed 8 měsíci
This comprehensive video on Adenomyosis discusses what adenomyosis is, its pathophysiology, risk factors, presenting symptoms, ultrasound diagnostic criteria (the MUSA criteria), treatment and prognosis. A must watch for the MRCOG exam candidates. An essential part of your MRCOG revision!
Seizures in pregnancy: Differential diagnosis. MRCOG Bite-site from ACE Courses
zhlédnutí 499Před 8 měsíci
What are the 6 differential diagnoses for seizures in pregnancy? This MRCOG Bite-size video tackles this question in 2 minutes.
Gestational Trophoblastic Disease (GTD). Molar pregnancy. Hydatidiform mole. RCOG guideline. MRCOG.
zhlédnutí 2,8KPřed 9 měsíci
UPDATE: The incidence of GTN quoted in this video (1 in 50,000 live births) is an underestimate. Recent studies suggest the incidence of GTN to be around 1 in 5,000 live births. RCOG Green Top Guideline: Gestational Trophoblastic Disease (GTD) for the MRCOG. MRCOG Mastery in 10 Questions! A deep dive into the RCOG Green Top Guideline on GTD, covering partial molar pregnancy, complete molar preg...
Cervical cerclage for the MRCOG: RCOG Guideline. Preterm Birth. McDonald or Shirodkar suture.
zhlédnutí 8KPřed 9 měsíci
RCOG Green Top Guideline on Cervical cerclage. Cervical cerclage for the MRCOG. From the famous MRCOG Mastery in 10 Questions Series, brought to you by ACE Courses. McDonald Suture. Shirodkar suture, transabdominal suture - What are the differences? When should you put in a cerclage? What are the contra-indications? What are the risks? When should you remove a cervical suture? What should you d...
Ovarian Cancer for the MRCOG Exam. MRCOG Mastery in 10 Questions.
zhlédnutí 1,7KPřed 9 měsíci
Ovarian Cancer for the MRCOG Exam. What are key epidemiological facts about ovarian cancer? What are the risk factors? What are the protective factors? What are the presenting symptoms? What investigations are needed? How to stage Ovarian Cancer? How to treat Ovarian Cancer? How to address the difficult situation of recurrent ovarian cancer? This video tackles these and other questions relevant...
Reduced variability on CTG: Differential diagnosis. MRCOG Bitesize video from ACE Courses.
zhlédnutí 532Před 9 měsíci
What are the causes of reduced variability (ie, less than 5 bpm) on a CTG? An MRCOG bitesize lesson from ACE Courses. Causes include fetal hypoxia, fetal sleep cycle, CNS or CVS malformations in the baby, drugs, fetal infection, fetal heart block, anaemia and more. An essential MRCOG lesson.
Anatomy of the Breast for the MRCOG Exam. 10 Questions to MRCOG Mastery. By Prof Arri Coomarasamy.
zhlédnutí 289Před 9 měsíci
Anatomy of the Breast for the MRCOG Exam. 10 Questions to MRCOG Mastery brought to you by www.acecourses.co.uk. What is the anatomical structure of the breast? What is its blood supply? Lymphatic drainage? Nerve Supply? How to examine a breast? Answers to these and more questions in this MRCOG video.
Recurrent Miscarriage for the MRCOG. 10 Questions to MRCOG Mastery. RCOG Guideline (Green Top).
zhlédnutí 2KPřed 9 měsíci
RCOG Green Top Guideline: Recurrent Miscarriage for the MRCOG exam. 10 Questions to MRCOG Mastery, brought to you by ACE Courses (www.acecourses.co.uk). What is the definition of recurrent miscarriage? What are the risk factors? What tests do you offer? What treatments are available? Find out the answers to these questions and more! A must watch, based on the 2023 RCOG Green Top Guideline.
Abdominal incisions for the MRCOG exam. 'MRCOG Mastery in 10 Questions Series' from ACE Courses.
zhlédnutí 1,6KPřed 9 měsíci
A comprehensive look at abdominal incisions for the MRCOG exam. No teasers or padding, just pure information to get you ready for the MRCOG exam. Find out about 1/Midline incision 2/Paramedian incision 3/Pfannenstiel incision 4/Joel-Cohen incision 5/Maylard incision 6/Cherney incision 7/ Rutherford-Morison incision 8/Laparoscopic entry incisions and more! Join our online weekend MRCOG I and II ...
BBC World News. Live with Lucy Hockings. Progesterone hormone to prevent miscarriages.
zhlédnutí 3,3KPřed 2 lety
New NICE guideline recommends progesterone hormone to prevent miscarriages in women bleeding in early pregnancy.
MORE THAN BLOOD. PPH treatment with the E-MOTIVE bundle. Written, directed & produced by Rani Khanna
zhlédnutí 1,5KPřed 2 lety
E-MOTIVE trial, funded by the Bill and Melinda Gates Foundation, is evaluating the use of a bundle of treatment to manage post-partum haemorrhage at vaginal births. Every six minutes, post-partum haemorrhage kills a mother somewhere in the world. The E-MOTIVE bundle combines a set of evidence-based interventions to fight this plague. E stands for Early detection of PPH using a blood collection ...
Post-partum haemorrhage at caesarean section (Presentation at the Jhpiego PPH CoP Conference 2020)
zhlédnutí 4KPřed 3 lety
Bleeding at and after caesarean section kills mothers, particularly in low resource countries. This presentation addresses the epidemiology, diagnosis and management of PPH at CS. The presentation was made at the Jhpiego PPH CoP Virtual Annual Meeting on the 23rd July 2020. The presenters are Arri Coomarasamy and John Varallo, and the chair is Augustino Hellar.
Bowel injury during gynaecological surgery: An essential lesson for the MRCOG exam by ACE Courses
zhlédnutí 11KPřed 3 lety
Bowel injury during gynaecological surgery: An essential lesson for the MRCOG exam by ACE Courses
Contraception after pregnancy in 10 Q&As: an Essential MRCOG lesson by ACE Courses.
zhlédnutí 6KPřed 3 lety
Contraception after pregnancy in 10 Q&As: an Essential MRCOG lesson by ACE Courses.
Does progesterone prevent miscarriages? Fetal Medicine Foundation Webinar
zhlédnutí 7KPřed 4 lety
Does progesterone prevent miscarriages? Fetal Medicine Foundation Webinar
MRCOG full lesson: Hereditary gynaecological cancers (BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, Lynch...)
zhlédnutí 4,9KPřed 4 lety
MRCOG full lesson: Hereditary gynaecological cancers (BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, Lynch...)
Progesterone for the Prevention of Miscarriage. The PRISM Trial: evidence and recommendations.
zhlédnutí 8KPřed 4 lety
Progesterone for the Prevention of Miscarriage. The PRISM Trial: evidence and recommendations.
MRCOG video: Respiratory physiology in pregnancy for the MRCOG exam. A 'sort-out' MRCOG lesson.
zhlédnutí 1,8KPřed 4 lety
MRCOG video: Respiratory physiology in pregnancy for the MRCOG exam. A 'sort-out' MRCOG lesson.
An MRCOG 'sort-out' lesson: Haematological changes in pregnancy.
zhlédnutí 1,7KPřed 4 lety
An MRCOG 'sort-out' lesson: Haematological changes in pregnancy.
Cardiovascular changes in pregnancy for the MRCOG exam. A 'Sort-Out MRCOG' video from ACE Courses.
zhlédnutí 1,7KPřed 4 lety
Cardiovascular changes in pregnancy for the MRCOG exam. A 'Sort-Out MRCOG' video from ACE Courses.
MRCOG lesson: Renal physiology in pregnancy. A sort-out MRCOG video from ACE Courses
zhlédnutí 1,6KPřed 4 lety
MRCOG lesson: Renal physiology in pregnancy. A sort-out MRCOG video from ACE Courses
MRCOG lesson: Randomised controlled trials (RCTs) for the MRCOG exam: Part B. Statistics of RCTs
zhlédnutí 1,7KPřed 4 lety
MRCOG lesson: Randomised controlled trials (RCTs) for the MRCOG exam: Part B. Statistics of RCTs
MRCOG lesson: Randomised controlled trials (RCTs): Part A: Quality of methods
zhlédnutí 1,4KPřed 4 lety
MRCOG lesson: Randomised controlled trials (RCTs): Part A: Quality of methods
MRCOG lesson on URETERIC INJURY: prevention, diagnosis and management
zhlédnutí 24KPřed 4 lety
MRCOG lesson on URETERIC INJURY: prevention, diagnosis and management
MRCOG lesson on BLADDER INJURY: diagnosis and management
zhlédnutí 38KPřed 4 lety
MRCOG lesson on BLADDER INJURY: diagnosis and management
MRCOG lesson: peri-operative management of a patient with HIV
zhlédnutí 1,7KPřed 4 lety
MRCOG lesson: peri-operative management of a patient with HIV
MRCOG lesson: peri-operative management of a patient with hypertension
zhlédnutí 1,8KPřed 4 lety
MRCOG lesson: peri-operative management of a patient with hypertension
I like how calm you are while delivering the content, brief, emphasizing important points and complete information 🙏
Amazing
Great Sir😊⭐️
Well done Prof
Hi sir , my Karyotype result 46 xx,9qh+ cause recurrent miscarriages??
Nicely explained ..!!
Thank you 😊
Good
Thank you!
Thank you 😊
Superb
Thank you 😊
Can we make a chip for this syndrome which can easily regulate the hormones? We can place it near the major blood vessel by using minimally invasive surgery. This chip will sense the decreased hormone and regulate it. How is the idea?
A bit of a sort
I have just been diagnosed with persistent GTD. I was using implant for a year as I had my baby and wanted to wait. Once I taken my implant out… I fell pregnant. My scan showed molar pregnancy. My report came back as a partial molar. One month later I haemorrhaged and was rushed to Russel Halls Hospital then transferred to Charring Cross. Now I’m on methatroxate. Was my risk higher at partial molar because I convinced straight after taking my implant?
Really inspirational research topic with a vivid story. I have learned a lot despite already reading the two studies a few times.
Thank you!
Hello Prof
THANK YOU
Thank you 😊
We have oral progesterone in China. Why the rest of the world use PV rather than oral ?
This is because the major trials (PROMISE and PRISM multicentre UK trials) used VAGINAL mircronized progesterone, and the evidence presented pertains to vaginal progesterone. The oral and vaginal progestorone have different pharmacology, and therefore same effects cannot be assumed.
Interesting, feeling how the bloating and pain receded within approximately two months made all the difference, I simply go’ogled the latest by Tilly Strankten and her Ovarian Cyst Guide and although it really took about 10 weeks for it to totally shrink and vanish I’ve never felt so light and relaxed.
Short but sweet!
Hi, Can we make a chip for this syndrome which can easily regulate the hormones? We can place it near the major blood vessel by using minimally invasive surgery. This chip will sense the decreased hormone and regulate it. How is the idea?
What type of medication I use with out under go surgery
I have shirodkar cerclage .now 30 weeks pregnant and 2 cm cervical length.Is my stitch removed and dilivery done in c section?..plz reply.Thank u
In which week did you put the stitch . Bed rest ? Sleeping position any? Please guide
@@RJ-qh7km 24 th week I put stitch, have complete bed rest..now it's my 31 week .. cervical length less than 2 cm and internal OS dilated 1.cm
@@jisharj788apki delivery ho gyi ??? Plzzz reply kijiye
Love and respect from Pakistan 😍😍😍
Thank you 😊
You’re right, feeling how it began to shrink and eventually disappear within 2 months was so liberating. I followed the steps I mentioned, and within the first 2 weeks the bloating was gone. I simply go'ogled Tilly Strankten's Ovarian Cyst Guide and it's like I hit the feel-good reset button lol.
Great explanation sir
Thank you 😊
'Promo sm' 🔥
Please doctor tall me what i should do
Please doctor answar I born my baby boy in the last sanday he come in brow presantation after my birth saw there is bone appear in there baby fronthead from bregma to the nose Is that trigonocephaly or it is just molding and it will back to normal by himself
Clear language thank you alot
Thank you 😊
Great sir
Thank you!
Nice sir
Thank you!
Great job. One last key clue to differentiating mouth from anus is by using the line connecting 1. The Cheek bones/malar eminences and the soft mouth being triangular for face presentation 2. The ischial Tuberosities and anus being in a straight line
❤
Love it 🤩
Thank you!
Love it ❤
V thanks
Excellent presentation..!!
Thank you!
HI REQUEST YOUR KIND SELVES TO TEACH THIS AGAIN IN COURSE
AEWSOME DR FIONA U MADE GRAPH SIMPLE
Sir after B lynch how much time is required to wait for uterine contraction and to close abdomen if pphis still there what next to do
What about cerclage in multiple pregnancy ?
Sir ❤️
😎cool
Thank you!
Very nice ❤
Thank you!
Prof great
Thank you!
Clear picture given sir.short and crisp
Thank you :)
Simple and clear picture sir
Thank you - we really appreciate your feedback :)
Excellent class in nutshell of 30mts.Hats off to both of you sir
Thanks again :)
Hi . I have a red , sore , burning vulva . Steroid ointment doesn’t help . Fungal cream seemed to burn me but it certainly have been the steroid. What do you think I have & what’s the treatment please. I’m 75 years old .
Dear Dorothy, it would be good if you could see a gynaecologist or dermatologist specialising in vulval conditions. They can make a diagnosis, and if necessary take a biopsy and provide the right treatment. I really hope the symptoms settle. with my best wishes. AC
Thank a lot sir. I have a question. Benign GTD when transferred to gtn , it is diagnosed by hcg level ,no need to do histopathology , but when malignant GTD occur after term pregnancy ,how it should diagnosed ? Only hcg or tissue diagnosis is necessary .
Hello, good question :) If there is persistent HCG after term birth, we will need to investigate why. The investigations will include pelvic ultrasound, chest x-ray, and other tests (e.g. CT) as necessary. This will help to identify the source of persistent hCG. Once the source is identified, a histology of it will be needed. So, you will have a histologically diagnosed GTD.
We women are really unlucky that in this modern world, Medical science has developed a lot but not in fibroid treatment because doctors cannot remove or shrink or reduce fibroid from uterus by using medicine at all. Doctors are failed in treating fibroid by using medicine. Why women need to get an abdominal myomectomy in uterus to remove fibroid rather it could be removed by applying vaccination or medicine on this deadly disease in women. It is known that about 80% women in the world have fibroid in their uterus. Although vaccination for cancer of uterus has been discovered but not for fibroid at all. It is a shame for all the gynecologists and scientists on women diseases especially for fibroids. Now, all the doctors in the world and medical scientists are requested that please discover a vaccine or medicine for fibroid in uterus so that lots of women can get rid of having a big scar on their abdomen for fibroid operation. Please share it with all of the people and doctors in the world so that vaccine or medicine can be discovered very quickly which can help reduce operation for fibroid treatment.
Also head trauma be ruled out also Thanks Prof
Dear Chukwuka, I absolutely agree 👍
Great piece here...just revised fr my exams from this🤣👌all the best in your phd Doc👌
Thank you😊