Gynécologie et Obstétrique

History, speculum and pelvic examination to diagnose and treat a gynaecological complaint.

Assessment of the pregnant woman and her baby, with a written pregnancy management plan.

Health check, folic acid and screening before conception, to reduce risk in a future pregnancy.

Assessment of a couple unable to conceive, with hormonal, tubal and semen investigations planned.

Evaluation and treatment of hot flushes, bleeding changes and bone health at the menopause.

Confidential counselling for young people on puberty, contraception and infection prevention.

Informed-choice counselling on every contraceptive method available.

A pre-marriage check with blood group, HIV and hepatitis testing, and fertility advice.

Examination, emergency contraception, HIV prophylaxis and referral after sexual assault.

The booking visit: history, examination, laboratory tests and supplements started.

Second-trimester review of blood pressure, fundal height, fetal heart and scan results.

Growth and blood pressure check, repeat anaemia testing, and counselling on danger signs.

Third-trimester review of fetal growth, fetal movements and maternal wellbeing.

Assessment of growth, presentation and blood pressure, with birth planning discussed.

Confirmation of fetal presentation and agreement on the place and mode of delivery.

A late pregnancy check of fetal wellbeing, blood pressure and signs of labour.

Term review of fetal wellbeing, with a plan if the pregnancy continues past the due date.

Closer monitoring for hypertension, diabetes, twins or a previous caesarean section.

An injection protecting mother and newborn against tetanus.

Daily tablets dispensed to prevent anaemia in the mother and defects in the baby.

Daily calcium where dietary intake is low, to lower the risk of pre-eclampsia.

A single dose after the first trimester, to reduce anaemia caused by intestinal worms.

A long-lasting net issued at the first antenatal visit to prevent malaria in pregnancy.

A rapid test and pregnancy-safe antimalarial treatment whenever fever occurs.

HIV testing with lifelong antiretroviral treatment to stop transmission to the baby.

A blood test and penicillin treatment to prevent stillbirth and congenital syphilis.

Identifies mothers needing treatment and babies needing a birth-dose vaccine.

Routine tests for blood group and Rhesus, anaemia and urinary infection.

A blood sugar test detecting diabetes arising in pregnancy.

An anti-D injection preventing antibodies that would harm a future baby.

Acetic acid applied to the cervix reveals pre-cancerous lesions, read immediately.

Cells brushed from the cervix and sent to the laboratory to detect pre-cancer.

A laboratory test on a cervical sample detecting the virus that causes cervical cancer.

An injection protecting against the HPV types responsible for most cervical cancers.

Systematic palpation of both breasts and armpits to detect lumps or nipple change.

Examination and tests for syphilis, gonorrhoea, chlamydia, trichomoniasis and HIV.

A rapid HIV test with counselling before and after, and linkage to treatment.

Antibiotic treatment of infection of the uterus, tubes and ovaries causing pelvic pain.

A small copper device placed in the uterus, giving years of reversible contraception.

The device is withdrawn through the cervix when it is no longer wanted.

A small rod placed under the skin of the upper arm for several years of contraception.

The rod is removed under local anaesthesia through a small incision in the arm.

A hormonal injection given every three months to prevent pregnancy.

Prescription and supply of daily hormonal pills, with counselling on correct use.

A pill taken within five days of unprotected sex to prevent an unintended pregnancy.

A magnified examination of the cervix after an abnormal screening test, with biopsy if needed.

A small piece of cervix taken for laboratory analysis to confirm pre-cancer or cancer.

A heated probe destroys pre-cancerous cervical tissue in one outpatient session.

Pre-cancerous cervical tissue is frozen and destroyed with a cold gas probe.

An electrical wire loop removes the abnormal cervical area for treatment and analysis.

A thin tube samples the lining of the uterus to investigate abnormal bleeding.

A benign growth on the cervix is removed and sent for examination.

A small skin sample taken from the vulva to diagnose a persistent lesion.

The swollen vulval gland is opened and drained under local anaesthesia.

The uterus is emptied by suction after incomplete miscarriage, with contraception offered.

A silicone ring fitted in the vagina to support a prolapsed uterus.

A scan confirming the pregnancy is in the uterus, alive, and dating it accurately.

A detailed scan around twenty weeks checking fetal anatomy and placental position.

A scan measuring fetal growth, amniotic fluid and presentation before delivery.

A scan of the uterus and ovaries to investigate pain, bleeding, fibroids or cysts.

Under anaesthesia the cervix is opened and the uterine lining removed.

A stitch placed around a weak cervix to prevent late miscarriage or preterm birth.

An emergency operation removing a pregnancy implanted in the fallopian tube.

Permanent contraception achieved by cutting and tying both fallopian tubes.

An ovarian cyst is removed while the healthy ovary is preserved.

Fibroids are removed from the uterus through an abdominal incision, preserving fertility.

Surgical removal of the uterus for fibroids, heavy bleeding or other benign disease.

The uterus is removed and the vaginal walls repaired through the vagina.

A thin camera inspects the uterine cavity for polyps, fibroids or adhesions.

Keyhole examination of the pelvis for pain, infertility or suspected endometriosis — arranged by referral.

Surgical closure of an opening between bladder and vagina after obstructed labour — arranged by referral.

Surgery for cancer of the cervix, uterus or ovary, arranged at a referral cancer centre.