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Thoughts on the WOMAN Trial

Postpartum haemorrhage is really quite a broad term. I frequently manage women with retained placental tissue who require manual removal in theatre to halt persistent bleeding. This is routine, mundane Obstetric care. We follow well-trodden protocols. Most of these women do well. We sometimes need to resort to steps 3 or 4 in our algorithm […]

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Dr Roger Browning: On Oxytocin & Obstetric Anaesthesia

Hi all. If you are reading this message – then I am on a beach in Vanuatu eating fish and drinking rum from a coconut.  But I have a treat for you too !   This is a guest vodcast from one of my Obstetric Anaesthesia mentors Dr Roger Browning. Roger is a great bloke […]

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Clinical Case 136: the Diagnosis and Discussion

Last week I posted Clinical Case 136: A Maternity Mystery If you have not had a read – then please go back and ponder the scenario before reading the rest of this post. If you have been following along on the comments or social media then you will know that this is a tragic case. […]

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Clinical Case 136: Maternity Mystery

Another case from the archives this week.  This is a really tough case… things are not what they seem.  Although this is an Obstetric case it does contain a lot of valuable lessons for all critical care practitioners.    I will describe the case and leave it hanging for you all to ponder and comment upon… […]

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Hope: from Home Birth to Hospice

Home birthing and hospice care.  Birth and death, aside from taxes, the only certainties in life!  These may not seem to be related topics, but they are.  Stay with me and I shall explain. Let us start with home birth.  There has been a bit of banter in Broome and online about the modern controversy […]