The Obstetrician & Gynaecologist 10.1111/tog.12899 http://onlinetog.

org Editorial

Editorial
in these patients. Various pathologies are clearly Editorial Board
While writing this editorial, I am enjoying the last days UK
of this Indian summer in the UK while simultaneously depicted as hand-drawn illustrations and photographic Jo Morrison BM BCh MA MRCOG DPhil (Oxon)
keeping an eye on new developments and government images. The authors also stress the importance of Musgrove Park Hospital, Taunton
(Editor-in-Chief)
responses to the junior and senior doctors’ industrial recognising ‘normal’ vulval anatomy for young patients Wai Yoong MD FRCOG
action. Being the deputy Editor-in-Chief (EiC), I now requesting labial reduction surgery. North Middlesex University Hospital, London
(Deputy Editor-in-Chief)
have the pleasure of bouncing ideas off Jo (Morrison, There is no specific UK guideline on how to George Attilakos MD MRCOG
EiC), Beth (Webster, Managing Editor) and Kate identify or manage large for gestational age (LGA) University College London Hospitals NHS
Foundation Trust, London
(Harding, Emeritus EiC) and planning the strategy for babies in non-diabetic mothers, with conflicting Rasiah Bharathan MBBS MSc MRCS MRCOG
Royal Surrey County Hospital, Guildford
TOG with the rest of the Board. evidence with regard to the optimal mode and timing
Shagaf Bakour MD FRCOG
So, what are the chef’s recommendations for the of delivery. I therefore recommend the article on City Hospital, Birmingham

October 2023 issue of TOG? information sharing and communication in managing Jennifer Davies-Oliveira iBSc MBBS PGcert MRCOG Dip IPM
University of Manchester, Manchester
The World Health Organization and International LGA fetuses of non-diabetic mothers by Kahlon, Relph (Trainee Representative)

Menopause Society celebrate World Menopause Month and myself which does a deep dive into the published Evelyn Ferguson MBChB MRCP DFFP MRCOG RCOG/RCR
Dip Adv Obs US PGCertMedEd
in October and what more fitting to start off the October literature on this topic and provides useful toolkits NHS Lanarkshire

issue of TOG than a Spotlight article on the topic (such as BRAIN and iDECIDE) on how best to share Kate Harding FRCOG
Guy’s and St Thomas’ NHS Foundation
written by our long-time Editorial Board member information with patients and facilitate collaborative Trust, London (Emeritus Editor-in-Chief)

Shagaf Bakour. She explores seven recent TOG articles decision making. Kannamannadiar Jayaprakasan MBBS MD DNB MRCOG
PhD
(from 2014 to 2023) pertaining to various aspects of Having reached the autumn of my career, one of my Royal Derby Hospital, Derby

menopause, ranging from mental health to sexual most memorable moments in the past 20 odd years Swati Jha MD FRCOG
Sheffield Teaching Hospitals NHS Foundation Trust,
dysfunction to the use of hormone replacement therapy must be to interview Professor James Owen Drife for Sheffield

(HRT) post-gynaecological and breast cancer. Women the first “What I’ve learnt. . .” TOG podcast episode, Justin Konje FMCOG (Nig) FWACS MRCOG
University of Leicester, Leicester
are living longer and the value of HRT in alleviating which you can now listen to on RCOG Learning at (Lead CPD Editor)
Bid Kumar
menopausal symptoms, such as hot flushes, lethargy and https://elearning.rcog.org.uk/product?catalog=co_ FRCOG
Wrexham Maelor Hospital, Wrexham
mood changes is well established. Ghosh et al. give a togpodcast. I must unabashedly plug this piece as Aarthi Mohan MRCOG
University Hospitals Bristol NHS Foundation
timely review and update on the role of progestogens in essential CPD listening for trainees. It fills me with Trust, Bristol

HRT, emphasising the importance of detailed but inspiration that someone who fainted during his first Nicola Mullin MFFP FRCOG
Royal Liverpool University Hospital NHS Trust
unbiased counselling (which should include discussion delivery as a medical student can go on to become the Liverpool

of absolute, individualised risks for women considering Vice President of the RCOG and later establish the Kate Navaratnam MBChB (hons) MRCOG DRCOG DFSRH
PhD
HRT with a progestogenic component) so that patients Confidential Enquiries into Maternal Deaths reports. I Institute of Translational Medicine, University of Liverpool,
Liverpool
can make informed choices. have just re-read his book, “This Medical Life” and one
Nikoletta Panagiotopoulou MD MRCOG
I have heard a lot about extra corporeal membrane of the cheeky pieces that tickles me is entitled “Are Royal Victoria Hospital, Belfast

oxygenation (ECMO) and its use to support breasts redundant organs?” where he proposes Daniel Stott MD MRCOG
University College London Hospitals, London
cardiorespiratory failure, particularly during the prophylactic mastectomy either at completion of child Thomas Tang MD MRCOG

COVID-19 pandemic, and Richmond et al. have bearing or at menopause as means of preventing breast Regional Fertility Centre, Royal Maternity
Hospital, Belfast
produced an in-depth review on ECMO in the cancer and argues that this is no more mutiliating than Philip Toozs-Hobson MBBS MRCOG MFFP BSCCP MD

peripartum period. The review covers different types of a hysterectomy. FRCOG

Birmingham Women’s and Children’s NHS Foundation
ECMO as well as the role of the multidisciplinary team Finally, with the new variant of COVID on the Trust, Birmingham

in the management of critically ill antenatal and increase, I would also signpost readers to Ephia Yasmin MRCOG
University College London Hospitals NHS
postpartum patients. the International Network of Obstetric Survey Systems Foundation Trust, London

Being a jobbing urogynaecologist, vulval disorders (INOSS) update which summarises the outcomes of International

and paediatric gynaecology are two areas which 2388 pregnant women who were admitted with SARS- Richard Brown MBBS DFSRH FRCOG FACOG
McGill University Health Centre, Montreal, Canada
continue to mystify me. Idle, Coles and Johns have CoV-2 using data from a multi-national population-
Amr El-Shalakany MSc MD FRCOG
cleverly managed to address these two topics in one based cohort from Europe. Ain Shams University Maternity Hospital,
Cairo, Egypt
convenient article for the benefit of trainees. Idle and
Carman Lai MRCOG FHKCOG FHKAM (O&G) Cert RCOG
colleagues explain that vulval disorders are, in fact, one (Maternal and Fetal Medicine)

of the commonest complaints in the paediatric and Gold Coast University Hospital,
Southport, Australia
adolescent population and highlight the need for a N Rajamaheswari MD DGO MCh (Urology)

sensitive approach and age-appropriate use of language Director, Urogynaecology Research Center
Pvt Ltd, India
Duru Shah MD FCPS FICS FICOG DGO DFP FICMCH
Jaslok Hospital, Sir Hurkinsondas Hospital
and Breach Candy Research Centers, India

David Shaker FRCSEd FRCOG FRANZCOG

University of Queensland, Rockhampton
Base Hospital and Mater Private Hospital,
Australia

Deputy Editor-in-Chief Jason Waugh MRCOG (Emeritus Editor)

Auckland, New Zealand

Wai Yoong

ª 2023 Royal College of Obstetricians and Gynaecologists. 249