Obstetrics & Gynecology

Modern Management of Placenta Praevia and Low-Lying Placenta: An Evidence-Based Clinical Guide

Clinical Scenario A 32-year-old woman (G2P1) with a history of a previous caesarean birth presents to the clinic at 32 weeks of gestation for a follow-up ultrasound. Her mid-trimester scan had indicated an abnormally positioned placenta. She is currently asymptomatic but requires a definitive care map and delivery plan. The 2026 Paradigm Shift: Simplified Classification

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Obstetrics & Gynecology

Too Much, Too Little, or Overdiagnosed? Rethinking Amniotic Fluid Metrics in Reassuring Pregnancies

The Challenge of Isolated Amniotic Fluid Volume Deviations Amniotic fluid volume (AFV) is a primary marker used to assess fetal well-being during antenatal ultrasound surveillance. While an abnormal fluid volume frequently signals underlying maternal, fetal, or placental pathologies, encountering an isolated abnormality—where fetal anatomy, growth, and maternal health markers appear completely normal—is remarkably common yet

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Obstetrics & Gynecology

Navigating the Intense Itch: A Clinical Guide to Intrahepatic Cholestasis of Pregnancy (ICP)

For most expectant mothers, the third trimester is a time of nesting and final preparations. However, for some, it is marked by a relentless, exhausting itch that signals a deeper underlying condition: Intrahepatic Cholestasis of Pregnancy (ICP). Formerly known as obstetric cholestasis, ICP is a multifactorial liver disorder unique to pregnancy. It demands careful, evidence-based

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