Wednesday, November 15, 2023

TOG Topics List

This post is about the TOG topics list with links starting from 2012 till October 2023. The download links to the 'free access' articles have been provided. All you have to do is to click the specific topic and the article will be open in a new window.

My purpose in sharing it with you all is to give an idea about 'organising your study material' in a way to save your precious time. This is a practical answer to a  frequently asked question, “What are the TOG articles in a specific year?”

You need a subscription to access the articles for which no links are given. After a specific time, the article becomes free to access. The list will make sure that you get all the important articles. You must add to this list whenever a new TOG issue is published.

All the best.

Dr Rubab Khalid




APRIL 2023



    OCTOBER 2022

    JULY 2022

    APRIL 2022
    Continue Reading...

    Wednesday, October 04, 2023

    Tuberculosis in Pregnancy

    This is a quick summary of the points taken from the TOG article which was published in July 2023. It is an important exam topic so must be covered thoroughly.

    To download the original article: Click Here

    To Access All TOGs: Click Here

    To Join RK4 MRCOG Courses: Click Here


    • Tuberculosis (TB) is one of the leading infectious causes of overall mortality
    • Highest disease burden in low-resource countries 
    • >2/3 cases in Africa and Southeast Asia
    • Co-infection of TB & HIV in reproductive years is significant
    • In UK — increasing due to immigration 
    • Can have adverse effects on mother & fetus


    • Global incidence - 1990-2020 — 9.9 million with 1.3 million deaths worldwide 
    • Major contributors to the resurging global TB epidemic — Poverty, HIV Coinfection, Drug resistance
    • In 2020 UK had 4700 cases = 6.9 per 100 000
    • Risk of new migrant women having active TB highest in first 5 years of migration
    • Exact worldwide TB prevalence in pregnancy - Uncertain & depends on area
      • Low-prevalence countries 0.06-0.25%
      • High-prevalence countries 
        • 0.07-0.5% (in HIV negative)
        • 0.7-11% (in HIV-positive) 


    • Causative organism — Mycobacterium tuberculosis (non-spore-forming, aerobic & non-motile bacteria)
    • Primarily airborne infection
    • Can also occur through ingestion of unpasteurised milk or direct implantation
    • TB particles range from 1-5 microns in size, carried to terminal alveoli and multiply there
    • Alveolar macrophages ingest & destroy most of the particles, but few survive and continue to multiply
    • A granuloma is formed by macrophages around the bacilli
    • Usually, the immune system clears the infection, but if it fails, it remains dormant without clinical manifestations or may cause symptoms.
      • ~10% immunocompromised with latent TB will develop reactivation of TB
      • ~10% healthy acquire infection during their life
    • Most common form of clinical TB — Pulmonary disease
      • 20% active TB can present as extrapulmonary TB with cervical nodes being most common site (31%). 
      • Other sites are CNS, spinal cord, abdomen, pericardium (more common in immunocompromised & HIV-positive)
    Outcomes of primary TB infection 
    1. Latent TB
    2. Primary TB (within 2 years)
    3. Secondary TB

    Clinical Presentation 

    • Suspect TB if h/o exposure to patients with chronic cough or recent visits to endemic areas
    • Symptoms except for Fever same as non-pregnant — weight loss, night sweats, chills, appetite loss, tiredness & weakness
    • Latent disease will be asymptomatic & non-infectious but can have reactivation
    • Four-symptom screening for TB suggested by WHO 
    Continue Reading...

    Thursday, July 20, 2023

    MRCOG Part 2 Revision Course | January 2024

    MRCOG Part 2 Revision | January 2024

    Enrol Now for MRCOG Part 2 Revision Course | January 2024!! 


    • Twice Weekly Interactive Live Sessions 2-3 hours duration conducted using Zoom software
    • Session Recordings accessible until the exam day
    • Total LIVE Sessions: 15
    • Important Exam Topics covered module wise
    • Free Mock Test 1200+ SBAs & EMQs to practice
    • Duration 3 Months
    • Session Timings 18:00 to 21:00 PKT
    • Tips and Tricks to Tackle SBAs and EMQs
    • Focus on concepts and critical thinking — deal with ANY exam question
    • Supervised WhatsApp Study Group to discuss and clarify queries, SBAs, EMQs


    Course Fee: $259

    To Register Visit the Course Website


    Payment Options:

    • Credit/Debit Card payment is available
    • Direct Bank Transfer in PKR (For Pakistani Candidates ONLY)


    Account Title: RUBABK4 COURSES (SMC-PVT) LTD

    IBAN: PK33 HABB 0015897918851803

    Bank: Habib Bank Limited (HBL)

    Swift Code: HABBPKKA589

    NTN: 826315-7 

    Address: Peco Road Centre, Lahore, Pakistan

     *After the payment, please share the receipt on the:

    WhatsApp +92 316 4371557


    LIVE Sessions Outline



    Topics to Cover


    Early Pregnancy Care

    GTG 21 Ectopic Pregnancy 

    NICE Miscarriage 

    GTG 38 Gestational Trophoblastic Disease 

    GTG 69 Hyperemesis Gravidarum

    GTG 5 OHSS



    NICE Urinary Incontinence 

    Urodynamics Studies 

    GTG 46 Post-hysterectomy Vaginal Vault Prolapse

    GTG 70 Bladder Pain Syndrome

    Continue Reading...

    Thursday, June 15, 2023

    Green-top Guidelines Links

    Continue Reading...

    Wednesday, June 14, 2023

    Scientific Impact Papers Links

    Continue Reading...

    Monday, June 12, 2023

    RCOG Advice Links — Consent, Clinical Governance, Good / Best Practice

    RCOG guidelines clinical governance consent good practice best practise

    This post is a compilation of RCOG guidance papers with links — Consent Advice (CA); Clinical Governance Advice (CGA); Good Practice Guidance (GPP); Best Practice Paper (BPP)
    All you have to do is to click the link and a pdf file will open in new window.

    Consent Advice

    All Papers Risk Compilation: Click Here

    Clinical Governance Advice

    CGA 2
    CGA 5
    CGA 6
    CGA 6a
    CGA 6b
    CGA 7

    Good Practice Guidance

    GP 3
    GP 4
    GP 5
    GP 6
    GP 7
    GP 8
    GP 9
    GP 10
    GP 11
    GP 12
    GP 13
    GP 14
    GP 15

    Best Practice Paper

    BPP 1
    BPP 2
    BPP 3

    Some other useful links: