The British Journal Of Obstetrics and Gynaecology
@bjog.bsky.social
The official BlueSky account for the British Journal Of Obstetrics and Gynaecology
https://obgyn.onlinelibrary.wiley.com/journal/14710528
https://obgyn.onlinelibrary.wiley.com/journal/14710528
Starting labour at home (outpatient cervical ripening) is as safe and effective as doing it in hospital. It also has a lower chance of causing stress to the baby (fetal acidosis), making it a good option for some women, depending on their situation.
August 24, 2025 at 4:56 PM
Starting labour at home (outpatient cervical ripening) is as safe and effective as doing it in hospital. It also has a lower chance of causing stress to the baby (fetal acidosis), making it a good option for some women, depending on their situation.
Outpatient cervical ripening demonstrates equivalent effectiveness and safety profiles compared to the inpatient setting. Notably, it is associated with a significantly lower rate of fetal acidosis.
August 24, 2025 at 4:56 PM
Outpatient cervical ripening demonstrates equivalent effectiveness and safety profiles compared to the inpatient setting. Notably, it is associated with a significantly lower rate of fetal acidosis.
We acknowledge the loss of raw data from eight randomised trials despite active efforts for more than two years to obtain their data. Three of eight non-shared randomised trials were published before 2010, and their data were unlikely to be available.
August 24, 2025 at 4:56 PM
We acknowledge the loss of raw data from eight randomised trials despite active efforts for more than two years to obtain their data. Three of eight non-shared randomised trials were published before 2010, and their data were unlikely to be available.
Outpatient vs inpatient cervical ripening offers comparable effectiveness and maternal and perinatal safety. Outpatient cervical ripening showed significantly less fetal acidosis compared to inpatient induction.
August 24, 2025 at 4:56 PM
Outpatient vs inpatient cervical ripening offers comparable effectiveness and maternal and perinatal safety. Outpatient cervical ripening showed significantly less fetal acidosis compared to inpatient induction.
Being on bed rest is lonely. Women spoke of pain, weakness, and isolation. But routines, online forums, and ultrasound milestones helped them cope.
August 24, 2025 at 4:52 PM
Being on bed rest is lonely. Women spoke of pain, weakness, and isolation. But routines, online forums, and ultrasound milestones helped them cope.
Many were told to “take it easy” but not what that actually meant. Some chose full bed rest—even when this wasn’t clearly advised—because they didn’t want to take chances.
August 24, 2025 at 4:52 PM
Many were told to “take it easy” but not what that actually meant. Some chose full bed rest—even when this wasn’t clearly advised—because they didn’t want to take chances.
“I didn’t trust my body.” Women with cervical cerclage describe fear, guilt, and confusion about how to navigate high-risk pregnancy.
August 24, 2025 at 4:52 PM
“I didn’t trust my body.” Women with cervical cerclage describe fear, guilt, and confusion about how to navigate high-risk pregnancy.
This study contributes to understanding the lived experience of medical uncertainty. It underscores the need for more evidence on cerclage regimens—and the clinical communication surrounding them.
August 24, 2025 at 4:52 PM
This study contributes to understanding the lived experience of medical uncertainty. It underscores the need for more evidence on cerclage regimens—and the clinical communication surrounding them.
Findings show how limited or inconsistent evidence around activity restriction is experienced as personal responsibility. In the absence of standardised guidance, women fill the gap with self-control.
August 24, 2025 at 4:52 PM
Findings show how limited or inconsistent evidence around activity restriction is experienced as personal responsibility. In the absence of standardised guidance, women fill the gap with self-control.
Even though cerclage offers some reassurance, women remain hyper-aware of bodily signals of impending (premature) birth.
August 24, 2025 at 4:52 PM
Even though cerclage offers some reassurance, women remain hyper-aware of bodily signals of impending (premature) birth.
Our qualitative study explores the lived experiences of 21 women with transvaginal cervical cerclage. Findings highlight the emotional burden of having a high-risk pregnancy.
August 24, 2025 at 4:52 PM
Our qualitative study explores the lived experiences of 21 women with transvaginal cervical cerclage. Findings highlight the emotional burden of having a high-risk pregnancy.
Recruitment relied on self-selection and as participants retrospectively reflected on their pregnancies, the study is subject to potential recall bias
August 24, 2025 at 4:52 PM
Recruitment relied on self-selection and as participants retrospectively reflected on their pregnancies, the study is subject to potential recall bias
Clinicians may reduce distress by acknowledging limited evidence, communicating transparently, and offering consistent messages across the care team. Cerclage may be clinical, but its effects are deeply personal.
August 24, 2025 at 4:52 PM
Clinicians may reduce distress by acknowledging limited evidence, communicating transparently, and offering consistent messages across the care team. Cerclage may be clinical, but its effects are deeply personal.
Continuity in care emerged as essential. Women felt safest when cared for by a known, experienced clinician. Fragmented care increased anxiety and eroded trust.
August 24, 2025 at 4:52 PM
Continuity in care emerged as essential. Women felt safest when cared for by a known, experienced clinician. Fragmented care increased anxiety and eroded trust.
Participants described a lack of clarity from healthcare professionals and turned to online forums for advice. They wanted straight answers—even when evidence is uncertain.
August 24, 2025 at 4:52 PM
Participants described a lack of clarity from healthcare professionals and turned to online forums for advice. They wanted straight answers—even when evidence is uncertain.
Women with cervical cerclage often experience conflicting guidance about activity restriction. Many choose bed rest “just in case”, despite known risks.
August 24, 2025 at 4:52 PM
Women with cervical cerclage often experience conflicting guidance about activity restriction. Many choose bed rest “just in case”, despite known risks.
Want to learn more? Full study coming soon!
Let’s talk about innovation, perception of pain, and patient experience in outpatient gynecology.
💬 Thoughts? Have you tried VR in your practice?
#Hysteroscopy #WomensHealth #InnovationInMedicine
Let’s talk about innovation, perception of pain, and patient experience in outpatient gynecology.
💬 Thoughts? Have you tried VR in your practice?
#Hysteroscopy #WomensHealth #InnovationInMedicine
August 15, 2025 at 2:16 PM
Want to learn more? Full study coming soon!
Let’s talk about innovation, perception of pain, and patient experience in outpatient gynecology.
💬 Thoughts? Have you tried VR in your practice?
#Hysteroscopy #WomensHealth #InnovationInMedicine
Let’s talk about innovation, perception of pain, and patient experience in outpatient gynecology.
💬 Thoughts? Have you tried VR in your practice?
#Hysteroscopy #WomensHealth #InnovationInMedicine
VR was as effective as standard vocal-local support in reducing pain and improving satisfaction during outpatient hysteroscopy.
No clear benefit, but also no harm.
An alternative worth considering?
#DigitalHealth #WomenInMedicine
No clear benefit, but also no harm.
An alternative worth considering?
#DigitalHealth #WomenInMedicine
August 15, 2025 at 2:16 PM
VR was as effective as standard vocal-local support in reducing pain and improving satisfaction during outpatient hysteroscopy.
No clear benefit, but also no harm.
An alternative worth considering?
#DigitalHealth #WomenInMedicine
No clear benefit, but also no harm.
An alternative worth considering?
#DigitalHealth #WomenInMedicine
No significant differences were found:
🔸 Worst pain: 4.83 (standard) vs. 4.84 (VR)
🔸 Average pain: 2.91 vs. 3.21
🔸 Satisfaction: similar across both groups
🎯 Procedure time was also comparable.
#ClinicalTrials
🔸 Worst pain: 4.83 (standard) vs. 4.84 (VR)
🔸 Average pain: 2.91 vs. 3.21
🔸 Satisfaction: similar across both groups
🎯 Procedure time was also comparable.
#ClinicalTrials
August 15, 2025 at 2:16 PM
No significant differences were found:
🔸 Worst pain: 4.83 (standard) vs. 4.84 (VR)
🔸 Average pain: 2.91 vs. 3.21
🔸 Satisfaction: similar across both groups
🎯 Procedure time was also comparable.
#ClinicalTrials
🔸 Worst pain: 4.83 (standard) vs. 4.84 (VR)
🔸 Average pain: 2.91 vs. 3.21
🔸 Satisfaction: similar across both groups
🎯 Procedure time was also comparable.
#ClinicalTrials
Primary outcome: worst & average pain (VAS 0–10)
🔹 Secondary: patient satisfaction (1–5 scale)
We compared pain & satisfaction scores between both groups.
#ObGyn #PainManagement
🔹 Secondary: patient satisfaction (1–5 scale)
We compared pain & satisfaction scores between both groups.
#ObGyn #PainManagement
August 15, 2025 at 2:16 PM
Primary outcome: worst & average pain (VAS 0–10)
🔹 Secondary: patient satisfaction (1–5 scale)
We compared pain & satisfaction scores between both groups.
#ObGyn #PainManagement
🔹 Secondary: patient satisfaction (1–5 scale)
We compared pain & satisfaction scores between both groups.
#ObGyn #PainManagement
We enrolled 120 women (ages 18–70) undergoing outpatient hysteroscopy at a Spanish university hospital.
Patients were randomized 1:1 to either:
🗣️ Standard care (vocal-local support)
🎧 VR headset for distraction
#MedTwitter
Patients were randomized 1:1 to either:
🗣️ Standard care (vocal-local support)
🎧 VR headset for distraction
#MedTwitter
August 15, 2025 at 2:16 PM
We enrolled 120 women (ages 18–70) undergoing outpatient hysteroscopy at a Spanish university hospital.
Patients were randomized 1:1 to either:
🗣️ Standard care (vocal-local support)
🎧 VR headset for distraction
#MedTwitter
Patients were randomized 1:1 to either:
🗣️ Standard care (vocal-local support)
🎧 VR headset for distraction
#MedTwitter
Can virtual reality help reduce pain during outpatient hysteroscopy?
We conducted a randomized controlled trial to find out. Here’s what we discovered 👇🧵
#GynTwitter #Hysteroscopy #VirtualReality #RCT
We conducted a randomized controlled trial to find out. Here’s what we discovered 👇🧵
#GynTwitter #Hysteroscopy #VirtualReality #RCT
August 15, 2025 at 2:16 PM
Can virtual reality help reduce pain during outpatient hysteroscopy?
We conducted a randomized controlled trial to find out. Here’s what we discovered 👇🧵
#GynTwitter #Hysteroscopy #VirtualReality #RCT
We conducted a randomized controlled trial to find out. Here’s what we discovered 👇🧵
#GynTwitter #Hysteroscopy #VirtualReality #RCT