Obstetrics and gynecology with Dr. Ekram Ghazal

A short update on the SBA series.

Technical problems stopped me from going live on Saturday, and I am sorry I could not be there. Thank you to everyone who set a reminder and waited.

Here is the new plan: the series continues as recorded Premieres. The same SBAs, the same NICE reasoning, and I will be in the chat answering your questions while it plays.

🎬 Round 1: Hypertension in pregnancy (NICE NG133)
🗓 Premiere: Tuesday 10 November at [9 pm Cairo time]
🔔 Tap "Set reminder" on the video page.

Can you answer these four? 135/85 · 160/110 · 75 to 150 mg · 30 mg/mmol. Tell me below what each one means.
✨grap your study notes from this link payhip.com/b/Nuasb
Round 2, diabetes in pregnancy: Saturday 14 November.

Revision for doctors, based on NICE guidelines. Not advice for any individual patient.
visite Dr. Ekram Ghazal online store linkpayhip.com/DrEkramGhazal
Dr. Ekram Ghazal · www.drekram.com for more information contact info@drekram.com

5 hours ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

There was some technical difficulties starting today’s live stream, we will attempt a new live stream soon within the next few days.

12 hours ago | [YT] | 0

Obstetrics and gynecology with Dr. Ekram Ghazal

Question: Which drug does NG133 offer first to treat hypertension in a pregnant woman with pre-eclampsia?

A. Labetalol
B. Enalapril
C. Losartan
D. Bendroflumethiazide

.✨👑grap your study notes from this link payhip.com/b/Nuasb


attend today first live round at [9 pm Cairo time] to confirm your answer.

1 day ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

🩺 Hypertension in pregnancy: 4 things to know (NICE NG133)

💊 Aspirin 75 to 150 mg a day, from 12 weeks until birth
🚨 Warning signs: severe headache, vision problems, pain below the ribs, vomiting, sudden swelling
🎯 Treatment target: 135/85 or lower
🔁 It comes back in about 1 in 5 later pregnancies

Which one do you forget? Tell me below 👇

🔴 Live practice questions: Saturday 7 November at [9 pm Cairo time]. Tap "Set reminder".
🎓😎grap your study notes from this link payhip.com/b/Nuasb

Revision for doctors. Not advice for any individual patient.
Dr. Ekram Ghazal · www.drekram.com

1 day ago | [YT] | 0

Obstetrics and gynecology with Dr. Ekram Ghazal

✨🎓Question: A 36-year-old in her third pregnancy has a BMI of 37 at her first visit and no other risk factors. What is correct under NG133?

A. Advise aspirin, because a BMI of 35 or more is a high-risk factor
B. Advise aspirin, because any one moderate factor is enough
C. Aspirin is advised only with more than one moderate factor, so not on these criteria alone (correct)
D. Advise aspirin 150 mg from 20 weeks

Explanation:😎 A BMI of 35 or more at the first visit is one moderate risk factor. NG133 advises aspirin for more than one moderate factor, or for any one high-risk factor.

Live Tomorrow at [9 pm Cairo time]: Round 1, hypertension in pregnancy, 17 SBAs.

2 days ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

💊 Aspirin in pregnancy: who gets it, how much, and from when?

A favourite from NICE NG133. Look at the picture, then test yourself.

HIGH RISK (one factor is enough)
Chronic hypertension · chronic kidney disease · type 1 or 2 diabetes · autoimmune disease (SLE, antiphospholipid syndrome) · hypertensive disease in a previous pregnancy

MODERATE RISK (two or more)
First pregnancy · age 40 or older · pregnancy interval over 10 years · BMI 35 or more at first visit · family history of pre-eclampsia · twins or triplets

THE REGIMEN
75 mg to 150 mg once daily, from 12 weeks until birth.

The trap: one high-risk factor is enough, but moderate factors need two or more.

❓ Can you answer this? A 41-year-old in her first pregnancy, BMI 36 at booking, no other risk factors. Aspirin or not? Answer in the comments.

🔴 Saturday 7 November at [9 pm Cairo time]: Round 1 of the live series, hypertension in pregnancy (NG133), 17 SBAs. Tap "Set reminder" on the live page.
✨🎓grab your study notes from the link payhip.com/b/Nuasb

Revision for doctors, based on NICE NG133. Not advice for any individual patient. Whether to take aspirin is decided between each woman and her own doctor or midwife.

Dr. Ekram Ghazal · Consultant Obstetrician and Gynaecologist
www.drekram.com

#MRCOG #MRCOGPart2 #ObGyn #NICE #Preeclampsia

2 days ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

🔴 NEW LIVE SERIES: 10 NICE Guidelines, 10 Saturdays

Every Saturday I go live to work through 17 SBAs on one NICE guideline, built for MRCOG Part 2.

How each live runs:
1️⃣ You vote in the chat
2️⃣ I reveal the answer
3️⃣ We go through the guideline reasoning behind it

THE 10 ROUNDS
1. Hypertension in pregnancy (NG133) · 7 Nov
2. Diabetes in pregnancy
3. Antenatal care
4. Postnatal care
5. Induction of labour
6. Caesarean birth
7. Heavy menstrual bleeding
8. Ectopic pregnancy and miscarriage
9. Fertility problems
10. Endometriosis

📅 Round 1 starts Saturday 7 November at [9 pm Cairo time].
🔔 Tap "Set reminder" on the live page so you get notified.

Warm-up question: which of these numbers can you explain right now? 135/85 · 160/110 · 75 to 150 mg · 30 mg/mmol
Answers in the comments, and I will go through them on Saturday.
✨👌grap hypertension in pregnancy study notes from this link payhip.com/b/Nuasb

Independent study aid based on NICE guidelines. Not endorsed by NICE or the RCOG, and not a substitute for the full guideline.

Dr. Ekram Ghazal
Consultant Obstetrician and Gynaecologist
www.drekram.com

3 days ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

🚨 The Golden Hour starts NOW.

🚨Your Para 2 patient is 3 weeks post-miscarriage and spiking a 38.5°C fever.
In the post-pregnancy period, robust physiological reserve can mask early shock—meaning if you wait for classic signs of cardiovascular collapse, you are already too late.

The Obstetric Sepsis Six is your non-negotiable lifeline. But in the emergency room, sequence matters just as much as speed.

Examine the Sepsis Six wheel below. 👇


🧠😎Clinical Question: Which specific step MUST be completed before you push that first dose of broad-spectrum IV antibiotics?Drop your answer and your clinical reasoning in the comments! 💬

✨👌(Hint: We break down this exact clinical trap and the NICE NG255 red flags in the newest MRCOG Part 3 OSCE Mastery Clinical video!) video link:https://youtu.be/bOM57-RRZz0?si=0jrhh...

3 days ago | [YT] | 1

Obstetrics and gynecology with Dr. Ekram Ghazal

🚨 38.5°C Fever, 3 Weeks Post-Miscarriage. What’s your next move? 🚨


You are covering the acute gynecology unit. A Para 2 patient presents with a temperature of 38.5°C exactly three weeks after a spontaneous miscarriage. She reports feeling generally unwell with mild pelvic discomfort.

With the physiological adaptations of pregnancy still resolving, her baseline parameters can mask early systemic inflammatory response syndrome (SIRS). According to the latest MBRRACE-UK reports and RCOG/NICE guidelines, maternal sepsis remains a leading cause of mortality—and the clock is ticking.

Before we dive into the full case breakdown in today’s video, what is your most critical immediate diagnostic step?

👇 Vote below and defend your answer in the comments! 👇



A) Immediate Transvaginal Ultrasound for RPOC

B) Point-of-care serum lactate & blood cultures

C) Start empiric Piperacillin-Tazobactam

D) Pelvic CT to rule out Septic Pelvic Thrombophlebitis

6 days ago | [YT] | 5

Obstetrics and gynecology with Dr. Ekram Ghazal

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1 week ago | [YT] | 2