doi:10.1111/jog.12709
J. Obstet. Gynaecol. Res. Vol. 41, No. 8: 1169–1170, August 2015
Endorsement of addendae to common obstetric procedures, information pamphlets and a management guideline by AOFOG Maternal Fetal Medicine Committee Tony Tan Maternal Fetal Medicine Committee, Asia Oceanic Federation of Obstetrics and Gynaecology on behalf of the committee
1 The AOFOG Maternal Fetal Medicine (MFM) committee met on 25 August 2014 to discuss the endorsement of the following documents for use by AOFOG member societies:
d Management guideline of the woman with diminished fetal movement based on the Stillbirth Alliance’s original document (www.stillbirthalliance. org.au/guideline4.htm)
a Addendae to consent forms for common obstetric/obstetric anesthesia procedures that originated from the Obstetricial and Gynaecological Society of Singapore (OGSS) and Singapore Society of Anaesthesiologists (SSA):
2 The AOFOG MFM committee felt that adopting these addendae are helpful for practicing obstetricians and gynecologists because they: a act as checklists of details of these procedures that should be discussed with the patient and the partner before the procedures, hence ensure that patients are informed adequately; and b act as proper documentation of the discussion of the procedures that had occurred, and hence support that informed consent had been obtained. 3 Some in the committee felt that the addendum to consent form for cesarean section should also include a sentence such as, ‘Elective cesarean section should be scheduled from 39 weeks gestation because elective cesarean section before that increases the risk of neonatal respiratory diseases.’ Member societies may discuss this further and decide whether to include this sentence or not. 4 The information pamphlet on labor is especially welcomed by members of the committee given that patients are generally not well informed during the antenatal period of the potential of instrumental vaginal delivery and its risks, and emergency cesarean section and its risks. Consent taken when urgent and emergency procedures are required is often done in haste and suboptimal. Hence the committee feels that such an information pamphlet should be given in the second or third trimester, and patients should
i Cesarean section (http://www.ogss.net/Portals/0/Documents/OGSS-ADDENDUM-FORINFORMED-CONSENT-FOR-CAESAREANSECTION_HIRES.pdf) ii Vaginal birth after cesarean section (http:// www.ogss.net/Portals/0/Documents/ADDENDUM-FOR-VAGINAL-BIRTH-AFTER-CAESAREAN-SECTION-VBAC_Hi-Res.pdf) iii Anesthesia for cesarean section (http://www. ogss.net/Portals/0/Documents/ADDENDUMANAESTHESIA-FOR-CAESAREAN-SECTION_ Web.pdf) iv Epidural analgesia for labor (http://www.ogss. net/Portals/0/Documents/ADDENDUM-EPIDURAL-ANALGESIA_hires.pdf) b Information pamphlet on labor that originated from OGSS (http://www.ogss.net/Portals/0/ Documents/LabourCareLeaflet_HiRES.pdf) c Information pamphlet on decreased fetal movement that originated from Stillbirth Alliance of Australia and New Zealand (http://www.stillbirthalliance. org.au/doc/ANZSA_DFM_brochure_English.pdf)
Received: February 3 2015. Accepted: February 8 2015. Reprint request to: Dr Tony Tan, Raffles Women’s Centre, 585 North Bridge Road, Raffles Hospital, Singapore 188770. Email: [email protected]
© 2015 Japan Society of Obstetrics and Gynecology
1169
T. Tan
be encouraged to discuss their doubts at subsequent visits. 5 Both the information pamphlet on decreased fetal movement and a standardized management guideline for decreased fetal movement should be used routinely for all pregnant women because studies have shown a reduction in unexplained stillbirths with this intervention.1 6 Both the OGSS and the Stillbirth Alliance of Australia and New Zealand have agreed for these documents to be distributed to member societies of AOFOG, published in the AOFOG journal and AOFOG website; and for these to be adopted/modified for local use. 7 The AOFOG MFM committee feels that member societies should be encouraged to adopt this in whole or in part, and for societies to translate these into languages that are relevant for their patients. Once translated, AOFOG MFM committee would like member societies to submit these to AOFOG website so that more OG practices (public or private) could benefit from these. Regards, Members of AOFOG MFM committee include: Dr Henry Murray (Australia), Professor TY Leung (Hong Kong), Dr Shyam Desai (India), Dr TP Baskaran (Malaysia), Dr MV Torres (Philippines), Professor Hisham Arab (Saudi Arabia), Professor Malik (Sri Lanka), Professor Tuangsit Wataganara (Thailand).
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Disclosure There is no financial support that may pose potential conflict of interest. The main author is the current President of Obstetrical and Gynaecological Society of Singapore.
Reference 1. Tveit JV, Saastad E, Stray-Pedersen B et al. Reduction of late stillbirth with the introduction of fetal movement information and guidelines – a clinical quality improvement. BMC Pregnancy Childbirth 2009; 9: 32.
Supporting Information
Additional supporting information may be found in the online version of this article at the publisher’s web-site: Form 1 Addendum to consent form caesarean section Form 2 Addendum to consent form vaginal birth after caesarean section (VBAC) Form 3 Addendum to consent form anaesthesia for caesarean section Form 4 Addendum to consent form labour epidural analgesia Pamphlet 1 Normal labour Pamphlet 2 Pregnancy: Your baby’s movements and what they mean Guideline 1 The management of the woman with diminished fetal movements (DFMs)
© 2015 Japan Society of Obstetrics and Gynecology
J. Obstet. Gynaecol. Res. Vol. 41, No. 8: 1169–1170, August 2015
Endorsement of addendae to common obstetric procedures, information pamphlets and a management guideline by AOFOG Maternal Fetal Medicine Committee Tony Tan Maternal Fetal Medicine Committee, Asia Oceanic Federation of Obstetrics and Gynaecology on behalf of the committee
1 The AOFOG Maternal Fetal Medicine (MFM) committee met on 25 August 2014 to discuss the endorsement of the following documents for use by AOFOG member societies:
d Management guideline of the woman with diminished fetal movement based on the Stillbirth Alliance’s original document (www.stillbirthalliance. org.au/guideline4.htm)
a Addendae to consent forms for common obstetric/obstetric anesthesia procedures that originated from the Obstetricial and Gynaecological Society of Singapore (OGSS) and Singapore Society of Anaesthesiologists (SSA):
2 The AOFOG MFM committee felt that adopting these addendae are helpful for practicing obstetricians and gynecologists because they: a act as checklists of details of these procedures that should be discussed with the patient and the partner before the procedures, hence ensure that patients are informed adequately; and b act as proper documentation of the discussion of the procedures that had occurred, and hence support that informed consent had been obtained. 3 Some in the committee felt that the addendum to consent form for cesarean section should also include a sentence such as, ‘Elective cesarean section should be scheduled from 39 weeks gestation because elective cesarean section before that increases the risk of neonatal respiratory diseases.’ Member societies may discuss this further and decide whether to include this sentence or not. 4 The information pamphlet on labor is especially welcomed by members of the committee given that patients are generally not well informed during the antenatal period of the potential of instrumental vaginal delivery and its risks, and emergency cesarean section and its risks. Consent taken when urgent and emergency procedures are required is often done in haste and suboptimal. Hence the committee feels that such an information pamphlet should be given in the second or third trimester, and patients should
i Cesarean section (http://www.ogss.net/Portals/0/Documents/OGSS-ADDENDUM-FORINFORMED-CONSENT-FOR-CAESAREANSECTION_HIRES.pdf) ii Vaginal birth after cesarean section (http:// www.ogss.net/Portals/0/Documents/ADDENDUM-FOR-VAGINAL-BIRTH-AFTER-CAESAREAN-SECTION-VBAC_Hi-Res.pdf) iii Anesthesia for cesarean section (http://www. ogss.net/Portals/0/Documents/ADDENDUMANAESTHESIA-FOR-CAESAREAN-SECTION_ Web.pdf) iv Epidural analgesia for labor (http://www.ogss. net/Portals/0/Documents/ADDENDUM-EPIDURAL-ANALGESIA_hires.pdf) b Information pamphlet on labor that originated from OGSS (http://www.ogss.net/Portals/0/ Documents/LabourCareLeaflet_HiRES.pdf) c Information pamphlet on decreased fetal movement that originated from Stillbirth Alliance of Australia and New Zealand (http://www.stillbirthalliance. org.au/doc/ANZSA_DFM_brochure_English.pdf)
Received: February 3 2015. Accepted: February 8 2015. Reprint request to: Dr Tony Tan, Raffles Women’s Centre, 585 North Bridge Road, Raffles Hospital, Singapore 188770. Email: [email protected]
© 2015 Japan Society of Obstetrics and Gynecology
1169
T. Tan
be encouraged to discuss their doubts at subsequent visits. 5 Both the information pamphlet on decreased fetal movement and a standardized management guideline for decreased fetal movement should be used routinely for all pregnant women because studies have shown a reduction in unexplained stillbirths with this intervention.1 6 Both the OGSS and the Stillbirth Alliance of Australia and New Zealand have agreed for these documents to be distributed to member societies of AOFOG, published in the AOFOG journal and AOFOG website; and for these to be adopted/modified for local use. 7 The AOFOG MFM committee feels that member societies should be encouraged to adopt this in whole or in part, and for societies to translate these into languages that are relevant for their patients. Once translated, AOFOG MFM committee would like member societies to submit these to AOFOG website so that more OG practices (public or private) could benefit from these. Regards, Members of AOFOG MFM committee include: Dr Henry Murray (Australia), Professor TY Leung (Hong Kong), Dr Shyam Desai (India), Dr TP Baskaran (Malaysia), Dr MV Torres (Philippines), Professor Hisham Arab (Saudi Arabia), Professor Malik (Sri Lanka), Professor Tuangsit Wataganara (Thailand).
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Disclosure There is no financial support that may pose potential conflict of interest. The main author is the current President of Obstetrical and Gynaecological Society of Singapore.
Reference 1. Tveit JV, Saastad E, Stray-Pedersen B et al. Reduction of late stillbirth with the introduction of fetal movement information and guidelines – a clinical quality improvement. BMC Pregnancy Childbirth 2009; 9: 32.
Supporting Information
Additional supporting information may be found in the online version of this article at the publisher’s web-site: Form 1 Addendum to consent form caesarean section Form 2 Addendum to consent form vaginal birth after caesarean section (VBAC) Form 3 Addendum to consent form anaesthesia for caesarean section Form 4 Addendum to consent form labour epidural analgesia Pamphlet 1 Normal labour Pamphlet 2 Pregnancy: Your baby’s movements and what they mean Guideline 1 The management of the woman with diminished fetal movements (DFMs)
© 2015 Japan Society of Obstetrics and Gynecology
