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Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: AF: SELAS Pointgyn, Laboratoire Innotech International, Respiratory and Women’s Health Products, Center for observational and real-world evidence (CORE);CLR: Ferring;CRJ:Bayer, Bristol Myers Squibb, Merck Serono Healthcare, Mylan, Roche, Theramex;ES: Evalformsanté;HB: Organon, Bayer, Gédéon Richter, MSD vaccins, Exeltix, Besins;LMM: Ferring, Vichy, Ipsen, Evalformsanté, Besins, Gédéon Richter, Effik, Theramex;MB: Gédéon Richter;ML: Theramex, Gédéon Richter, Ferring, IBSA Pharma, Merck, Serono, Organon and Exeltis;SM: HAS;TB:Nordic Pharma;VB: Merck, IBSA Pharma and Besins-HealthCare, Theramex, Gedeon Richter, Ferring, IBSA Pharma, Merck Serono, Organon and Exeltis;VG: PFIZER and HAC pharma;XD: Sanofi, Astellas, Coloplast, Hologic, IBSA Pharma, Laborie, Mylan, Pierre-Fabre, Elsevier-Masson, Regimedia and HealthEvents;YA: Conférences Hermes;YC: HAS. Other authors declared no C.O.I.

Objective: To provide guidelines for the pelvic clinical exam in gynecology and obstetrics., Material and Methods: A multidisciplinary experts consensus committee of 45 experts was formed, including representatives of patients' associations and users of the health system. The entire guidelines process was conducted independently of any funding. The authors were advised to follow the rules of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasized., Methods: The committee studied 40 questions within 4 fields for symptomatic or asymptomatic women (emergency conditions, gynecological consultation, gynecological diseases, obstetrics, and pregnancy). Each question was formulated in a PICO (Patients, Intervention, Comparison, Outcome) format and the evidence profiles were produced. The literature review and recommendations were made according to the GRADE® methodology., Results: The experts' synthesis work and the application of the GRADE method resulted in 27 recommendations. Among the formalized recommendations, 17 present a strong agreement, 7 a weak agreement and 3 an expert consensus agreement. Thirteen questions resulted in an absence of recommendation due to lack of evidence in the literature., Conclusions: The need to perform clinical examination in gynecological and obstetrics patients was specified in 27 pre-defined situations based on scientific evidence. More research is required to investigate the benefit in other cases., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

This paper provides an overview of ' Kia Tika, Kia Pono - Honouring Truths ' (Te Rōpū Arotahi 2022), an ethical framework to guide engagement with tamariki (children) and rangatahi (young people) who are care experienced (that is, who currently or at some stage in their lives have been in foster or residential care). Centring the voices and priorities of rangatahi with care experience, ' Kia Tika, Kia Pono' is intended for use by organisations and others working across the range of sectors and services that seek to engage tamariki and rangatahi who are care experienced in governance, policy making, service design, media or research. Its purpose is to ensure that these efforts are ethical, meaningful, and culturally safe. Grounded in Te Tiriti o Waitangi and participatory rights frameworks, 'Kia Tika, Kia Pono' is responsive to the cultural context of New Zealand. It is also distinctive in its centring of rangatahi with care experience as both knowledge-holders and knowledge-creators. In summarising the key elements of the 'Kia Tika, Kia Pono' framework, we also draw upon our insights from the research process regarding participatory practice with rangatahi with care experience. Kupu Māori/glossary of Māori words: Aroha: love, compassion, empathy; hapū: kinship group, sub-tribe, sub-nation, to be pregnant; hui: gathering, meeting, assembly, seminar, conference; iwi: extended kinship group, tribe, nation, people, bone; kai: food, meal; karakia: incantation; a set form of words to state or make effective a ritual activity; kaupapa: purpose, agenda; koha gift; especially one maintaining social relationships and has connotations of reciprocity; korowai: ornamented cloak; mana: spiritually sanctioned or endorsed influence, power, and authority; manaakitanga: showing and receiving care, respect, kindness, and hospitality; māramatanga: enlightenment, insight, understanding; mauri: life principle, life force, vital essence; pono: to be absolutely true, unfeigned, genuine; rangatahi: younger generation; rangatira: chiefly, esteemed, leader; tamariki: children; Te Tiriti o Waitangi: the Māori version of the Treaty of Waitangi; tika: what is right/good for any particular situation; tikanga Māori: customary system of values and practices that have been developed over time and are deeply embedded in the social context; tūāpapa: foundation, platform; ūkaipō: a place of nurturing and of spiritual and emotional strength; wairuatanga: spirituality; wānanga: to meet, discuss, deliberate, consider; whanau: to be born, extended family, family group; whanaungatanga: relationship, kinship, sense of family connection; a relationship through shared experiences and working together which provides people with a sense of belonging., Competing Interests: No potential conflict of interest was reported by the author(s)., (© 2022 The Royal Society of New Zealand.)