Revised College Statements

The following revised statements were approved by RANZCOG Council and Board in November 2016 and March 2017:

• Influenza vaccination during pregnancy (C-Obs 45)
  Revisions include:
  – Addition of Good Practice Points regarding free vaccination for pregnant women
• Management of obesity in pregnancy (C-Obs 49)
  Revisions include:
  – Addition of a patient summary
  – Inclusion of updated evidence regarding management based on the ability of the healthcare facility to provide experienced clinicians and adequate infrastructure
• Substance Use in Pregnancy (C-Obs 55)
  Revisions include:
  – Strengthening of recommendation that pregnant women with identified substance abuse should be screened for blood-borne viruses, Hepatitis B, Hepatitis C and HIV
• Polypropylene vaginal mesh implants for vaginal prolapse (C-Gyn 20)
  Revisions include:
  – Addition of a patient summary
  – Inclusion of evidence that transvaginal polypropylene mesh is not recommended as the first line treatment of any vaginal prolapse
  – Reclassification of transvaginal mesh as a Class III ‘high-risk device’
  – Strengthening of recommendations regarding patient consent due to the very limited robust data available on the efficacy and safety of the transvaginal mesh products available in Australasia
• Long-term consequences of PCOS (C-Gyn 26)
  Revisions include:
  – Addition of a patient summary
  – Recommendation that woman with PCOS be screened for metabolic dysfunction
  – Increased focus on the assessment of the woman’s mental health and wellbeing
• Management of Gestational Trophoblastic Disease (C-Gyn 31)
  Revisions include:
  – Strengthening of recommendations and inclusion of management flow chart

Retired College Statements

The following College statement has been retired:

• Obstetricians and Childbirth (C-Obs 1)

A full list of College Statements can be viewed on the Statements and Guidelines page of the RANZCOG website.

RANZCOG Patient information Pamphlets

Three new pamphlets have been approved and released on the RANZCOG website: www.ranzcog.edu.au/Womens-Health/Patient-Information-Guides/Patient-Information-Pamphlets

• Depression and anxiety during pregnancy and following birth
• Chronic pelvic pain
• Pudendal neuralgia