Search

Objective To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton’s procedure. Study design A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec. 2013. The main outcome measure was the change in sexual satisfaction scores, using a visual analogue scale, before and after the procedure. Results There was a statistically significant improvement in sexual satisfaction scores in the majority of patients. This was particularly marked in patients who had previously undergone an unsuccessful Fenton’s operation. Conclusions Double opposing Z plasty with VY advancement of the perineum (The Plymouth Procedure)should be offered to all patients in whom Fenton’s operation has been unsuccessful,and considered as an alternative to Fenton’s as a primary procedure.

To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton's procedure.A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec. 2013. The main outcome measure was the change in sexual satisfaction scores, using a visual analogue scale, before and after the procedure.There was a statistically significant improvement in sexual satisfaction scores in the majority of patients. This was particularly marked in patients who had previously undergone an unsuccessful Fenton's operation.Double opposing Z plasty with VY advancement of the perineum (The Plymouth Procedure)should be offered to all patients in whom Fenton's operation has been unsuccessful,and considered as an alternative to Fenton's as a primary procedure.

This review describes a simple approach to perimortem caesarean section (PMCS) that can be used by a doctor in the resuscitation room or prehospital environment when faced with a mother of more than 20 weeks gestation in cardiac arrest. It explores the indications for and contraindications to the procedure, the physiological rationale behind it, equipment needed, technical aspects of the procedure and reviews recent literature on maternal and fetal outcomes. Like other uncommon procedures such as emergency department thoracotomy, rehearsal and preparation for a PMCS is essential to give both mother and baby the best chance of survival.

Objective To determine the noun for ‘women who attend antenatal clinics’ that is most accepted by the women themselves. Design Cross sectional study. Setting Consultant-led antenatal clinics in Cornwall. Population All women attending consultant-led antenatal clinics over a two-month period. Methods The women were surveyed by written questionnaire. Main outcome measures The first, second and third choices of descriptions offered to women attending antenatal clinics. Secondary outcome measures include the relation of maternal age, gestation, civil status, occupation and obstetric history to the individual's choice of description. Results Questionnaires were received from 446 women, constituting 13% of the antenatal population of Cornwall. Their median age was 28 years and median gestation 22 weeks; 255 (57%) had one or more children and 289 (65%) were married. The most popular choice of description was ‘patient’ (39% of first choices made), whereas the most accepted description was ‘pregnant woman’ (26% of totalled second and third choices). While women who selected ‘patient’ as first choice were slightly younger (mean 27.5 years) than the remaining women (mean 28.4 years), the choice of ‘pregnant woman’ was not related to any of the other recorded characteristics of the respondents. Commercial terms that consistently were selected least included ‘client’, ‘consumer’ and ‘customer’. Conclusion Some professional bodies and government organisations have criticised the use of the term ‘patient’ to describe antenatal women. In this, the largest study to investigate what the women themselves would choose, ‘patient’ is the most favoured term.