OBSTETRICS & GYNAECOLOGY FORUM is written by specialists in the field. It aims, primarily, to present articles on the practice of Obstetrics and Gynaecology in South Africa and is distributed to G.P’s and to Specialists concerned with the rendering of healthcare to women.

The views expressed in individual articles are the personal views of the Authors and are notnecessarily shared by the Editors, the Advertisers or the Publisher. No articles may bereproduced in any way without the writtenconsent of the Publisher.

VOLUME 28  I ISSUE 4

The Centre for Research Excellence in Polycystic Ovary Syndrome (CRE-PCOS) was established some years ago in Australia. This was funded initially by the NHMRC within Australia. It subsequently received support from ESHRE and the ASRM and both these organisations have supplied additional funding. In addition numerous national and international societies and bodies involved in Reproductive Medicine have pledged their co-operation with the activities of this centre.

Zephne M van der Spuy

In the last two decades we have seen significant improvements in the management of women with urinary incontinence. The Tension-free vaginal tape (TVT) revolutionised the surgical treatment of women with stress incontinence. Two decades later it has been established as the gold standard of treatment, with numerous studies confirming its efficacy and safety.

Lamees Ras, Stephen Jeffery

Anaemia is a serious public health problem world-wide and is a common medical disorder during pregnancy and after delivery.1, 2 The WHO defines it as haemoglobin (Hb) levels less than 11.0 g/dl in the first trimester and less than 10.5g/dl in the second and third trimesters, while postnatal anaemia is defined as Hb level of less than 10.0g/dl.3 Iron deficiency anaemia (IDA) lies at the severe end of a spectrum of iron availability problems, with iron deficiency (iron store depletion) being the first stage.

Assma Eshag, Stephen Lindow

Neural tube defects (NTDs) comprise a spectrum of congenital abnormalities of the central nervous system that occur following failure of closure of the embryonic neural tube, a process known as primary neurulation. The term dysraphism may also be used for these conditions, which manifest cranially as anencephaly (seldom encountered clinically) or caudally as myelomeningocele- which may have a good outcome with appropriate early treatment.

KJ Fieggen, AG Fieggen

Genetic counsellors provide advice to people and their families to help them make sense of their genetic diagnosis. With advances in technology, sequencing of the entire genome and scientific discoveries, genetic information and testing has become extremely complex, and difficult for lay people to understand. The concept of genetic counselling and genetic counsellors came about as a means of helping people with limited medical knowledge to understand their diagnoses and make decisions about their health.

Chantal JM Stewart

Long term non-surgical treatment of obesity can be achieved through a change of life style, an increase in physical activity and nutritional advice combined with appropriate diet. Behavioral therapy and medication can be supportive. Increasingly women who have failed to reduce their weight through conservative methods elect to have bariatric surgery. Dependent on the surgical technique utilised up to 80% of their excess weight can be reduced.

Homeira Karim, Corinna S. Bryan, Stephen Lindow

Abnormal uterine bleeding(AUB) is a common clinical entity affecting 14-25% of women in the reproductive age group and is the fourth most common reason for referral to UK Gynaecology services.1 It may have a significant impact on a woman’s quality of life and has a direct impact on her and her family, as well as significant costs to the economy and health services.

Khatija Kadwa

Zane Wilson Founder SADAG

  • Neil Amoore,
  • Psychologist, Johannesburg
  • Kevin Bolon,
  • Psychologist, Johannesburg
  • Dr Jan Chabalala,
  • Psychiatrist, Johannesburg
  • Dr Lori Eddy,
  • Psychologist, Johannesburg
  • Lee-Ann Hartman,
  • Psychologist, Johannesburg
  • Dr Frans Korb,
  • Psychiatrist/Psychologist, Johannesburg
  • Professor Crick Lund,
  • Psychiatrist, Cape Town
  • Dr Rykie Liebenberg,
  • Psychiatrist, Johannesburg
  • Dr Colinda Linde,
  • Psychologist, Johannesburg
  • Zamo Mbele,
  • Psychologist, Johannesburg
  • Nkini Phasha,
  • SADAG Director, Johannesburg
  • David Rosenstein,
  • Psychologist, Cape Town
  • Professor Dan Stein,
  • Psychiatrist, Cape Town
  • Professor Bernard van Rensburg,
  • Johannesburg
  • Dr Sheldon Zilesnick,
  • Psychiatrist, Johannesburg
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