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

TOG LIST

2023

OCTOBER 2023

• Extracorporeal membrane oxygenation (ECMO) in pregnant and postpartum women
• A focus on progestogens in hormone replacement therapy
• Vulval disorders in paediatric and adolescent patients and their management
• Information sharing and communication in management of large for gestational age babies in non-diabetic mothers

JULY 2023

• Quantification of blood loss in obstetric haemorrhage: implications on intervention and transfusion
• Tuberculosis in Pregnancy Summary Click Here
• Gastrointestinal congenital anomalies requiring surgery: diagnosis, counselling, and management
• Hyperlipidaemia and severe hypertriglyceridaemia in pregnancy
• Sentinel lymph node mapping in the modern management of gynaecological malignancy
• Recent trends in molecular testing and maintenance targeted therapies in ovarian cancer
• Menopause and mental health

APRIL 2023

• Acute coronary syndromes in Pregnancy
• Non-immune hydrops fetalis
• Prenatal genomic testing for ultrasound-detected fetal structural anomalies
• The clinical applications of interventional radiological techniques in obstetrics and gynaecology
• Consenting, competence and confidentiality in paediatric adolescent gynaecology
• Postpartum perineal wound dehiscence

JANUARY 2023

• Management of term breech presentation
• Valvular heart disease in pregnancy
• Pitfalls of prenatal diagnosis associated with Mosaicism 
• Premenstrual disorders
• HPV-independent cervical cancer and its precursor lesions
• Thromboprophylaxis is gynaecology 
• Management of Bartholin’s cyst and abscess

2022

OCTOBER 2022

• Androgens in postmenopausal women
• Current management of recurrent pregnancy loss
• Obstetrical and perinatal outcomes in women with endometriosis
• It takes a village - fertility treatment using donor gametes, embryo and/or surrogacy 
• Understanding authority gradient: tips for speaking up for patient safety

JULY 2022

• Present status and advances in bladder pain syndrome
• The management of urogynaecological problems in pregnancy and the postpartum period
• The clinical application of transperineal ultrasound in urogynaecology
• Peripartum hyponatraemia: an overview of physiology, prevention and management
• Advanced abdominal pregnancy: challenges, update and review of current management Summary Click Here

APRIL 2022

• Domestic violence: an invisible pandemic  Summary Click Here
• The management of haemoglobinoapthies in pregnancy and childbirth

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

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Introduction

• 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

Epidemiology

• 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) 

Pathophysiology

• 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 

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LIVE Sessions Outline

No.	Module	Topics to Cover
1	Early Pregnancy Care	GTG 21 Ectopic Pregnancy  NICE Miscarriage  GTG 38 Gestational Trophoblastic Disease  GTG 69 Hyperemesis Gravidarum GTG 5 OHSS
2	Urogynaecology	NICE Urinary Incontinence  Urodynamics Studies  GTG 46 Post-hysterectomy Vaginal Vault Prolapse GTG 70 Bladder Pain Syndrome

Green-top Guidelines Links

This post is a compilation of ALL Green-top Guidelines with downloadable links. All you have to do is to click on the topic and the guideline (pdf) will open in a new window. Hope it is helpful.

Thanks 

Green-top Guidelines List With Links

GTG 5	Ovarian Hyperstimulation Syndrome, Management
GTG 8	Amniocentesis and Chorionic Villus Sampling
GTG 12	Breast Cancer and Pregnancy
GTG 13	Chickenpox in Pregnancy
GTG 17	Recurrent Miscarriage
GTG 20a	External Cephalic Version and Reducing the Incidence of Term Breech Presentation
GTG 20b	Management of Breech Presentation
GTG 21	Diagnosis and Management of Ectopic Pregnancy
GTG 26	Operative Vaginal Delivery
GTG 27	Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management
GTG 27a	Placenta Praevia and Placenta Accreta: Diagnosis and Management
GTG 27b	Vasa Praevia: Diagnosis and Management
GTG 29	Third- and Fourth-degree Perineal Tears, Management
GTG 31	Small-for-Gestational-Age Fetus, Investigation and Management
GTG 33	Polycystic Ovary Syndrome, Long-term Consequences
GTG 34	Ovarian Cysts in Postmenopausal Women
GTG 36	Group B Streptococcal Disease, Early-onset
GTG 37a	Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk
GTG 37b	Thrombosis and Embolism during Pregnancy and the Puerperium: Acute Management
GTG 38	Gestational Trophoblastic Disease
GTG 41	Chronic Pelvic Pain, Initial Management
GTG 42	Shoulder Dystocia
GTG 43	Obstetric Cholestasis

Scientific Impact Papers Links

This post is a compilation of ALL Scientific Impact papers (SIP) with downloadable links. All you have to do is click on the topic and SIP (pdf) will open in a new window. SIPs are an essential source of some exam questions.

Hope this quick list will save you time and help you.

Thanks.

Scientific Impact Papers With Links

SIP 1	Air Travel and Pregnancy
SIP 2	Umbilical Cord Blood Banking
SIP 6	Alternatives to HRT for the Management of Symptoms of The Menopause
SIP 7	Progress in Cervical Screening in the UK
SIP 8	Perinatal Risks associated with IVF
SIP 12	Targeted Therapies for the Management of Ovarian Cancer
SIP 13	Metformin Therapy for the Management of Infertility in Women with Polycystic Ovary Syndrome
SIP 14	Clamping of the Umbilical Cord and Placental Transfusion
SIP 15	Non-invasive Prenatal Testing for Chromosomal Abnormality using Maternal Plasma DNA
SIP 17	Bariatric Surgery in Improving Reproductive Health, The Role of
SIP 21	Reproductive Outcomes after Local Treatment for Preinvasive Cervical Disease

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

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.

Thanks

Consent Advice

All Papers Risk Compilation: Click Here

CA 1	Diagnostic Hysteroscopy Under General Anaesthesia
CA 2	Diagnostic Laparoscopy
CA 3	Female Sterilisation
CA 4	Abdominal Hysterectomy for Benign Conditions
CA 5	Vaginal Surgery for Prolapse
CA 6	Amniocentesis
CA 7	Caesarean Section
CA 8	Laparoscopic Management of Tubal Ectopic Pregnancy
CA 9	Repair of Third- and Fourth- degree Perineal Tears Following Childbirth
CA 10	Surgical Management of Miscarriage
CA 11	Operative Vaginal Delivery
CA 12	Caesarean Section for Placenta Previa
CA 13	Morcellation for Myomectomy or Hysterectomy
CA 14	Planned Caesarean Birth

Clinical Governance Advice

CGA 2	Improving Patient Safety
CGA 5	Understanding Audit
CGA 6	Obtaining Valid Consent
CGA 6a	Obtaining Valid Consent to Participate in Perinatal Research
CGA 6b	Obtaining Valid Consent for Complex Gynecological Surgery
CGA 7	Presenting Information on Risk

Good Practice Guidance

GP 3	Minimum Standards in Respect of Elective work Performed During Consultant’s Absence
GP 4	Registration of Stillbirths and Certification for Pregnancy Loss before 24 weeks of Gestation
GP 5	Disposal of Pregnancy Remain after Pregnancy Loss or Termination
GP 6	The role of Emergency and Elective Interventional Radiology in PPH
GP 7	Maternity Dashboard
GP 8	Responsibility of Consultant On-Call
GP 9	Gynaecology: Emergency Services Standards of Practice and Service Organisation
GP 10	Labour Ward Solutions
GP 11	Classification of Urgency of Caesarean Section A Continuum of Risk
GP 12	Improving Patient Handover
GP 13	Cardiac Disease & Pregnancy
GP 14	Management of Women with Mental Health Issues during Pregnancy and the Postnatal Period
GP 15	Reconfiguration of women’s services in the UK

Best Practice Paper

BPP 1	Postpartum Family Planning
BPP 2	Comprehensive Abortion Care
BPP 3	Comprehensive Postabortion Care

Some other useful links:

GTGs with Links

TOG Topic Links

SIPs with Links

Starting Point For MRCOG Part 2

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