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GPs have a key role in the management of miscarriage

22 Mar 2021Registered users

First trimester miscarriage affects up to one in four pregnancies. While some women will experience bleeding and pain, others have no symptoms and are given the diagnosis at their 12-13 week booking scan. In 50-85% of cases the cause is due to a spontaneous chromosomal abnormality, most commonly trisomy. Many women suffer from psychological sequelae including PTSD, anxiety and depression. GPs should offer a follow-up appointment to all women who have had a miscarriage to: discuss any questions the woman has regarding her miscarriage; assess the woman’s psychological wellbeing and offer counselling if appropriate.

Optimising the assessment and management of osteoporosis

22 Mar 2021Registered users

Osteoporosis affects around 40% of women and 13% of men at some point in their lives. While almost any bone can fracture as the result of osteoporosis, the most common sites are the wrist, spine, hip and humerus. The presence of one or more clinical risk factors in individuals aged 50 and over is an indication for a fracture risk assessment. There is a strong evidence base for drug treatment in DXA proven osteoporosis and those with low trauma vertebral fractures.