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BACKGROUND Chronic pelvic pain is common in women in the reproductive age group and it causes disability and distress and results in significant costs to health services. The pathogenesis of chronic pelvic pain is poorly understood. Often, investigation by laparoscopy reveals no obvious cause for pain. There are several possible explanations for chronic… (More)
OBJECTIVE To explore incidents of bullying and undermining among obstetrics and gynaecology (O&G) consultants in the UK, to add another dimension to previous research and assist in providing a more holistic understanding of the problem in medicine. DESIGN Questionnaire survey. SETTING Royal College of Obstetricians and Gynaecologists (RCOG). … (More)
In two years, 62 patients presented acutely with symptoms secondary to an inguinal hernia. Nine (15%) were already on the waiting list for herniorraphy. On projected figures of bed occupancy alone these patients cost the N.H.S. at least ?750 more per patient than those admitted for an elective repair. The medical implications were a minium of a 12 fold… (More)
We present a case of tonic-clonic seizure occurring on day four post partum and associated with severe post dural puncture headache. The possible underlying aetiologies of this and two other cases we have managed and the difficulty distinguishing such seizures from eclampsia are discussed.