This study attempts to evaluate patients' satisfaction with certain aspects of a first visit antenatal or gynaecological consultation and the reaction to and preferences during a pelvic examination. Embarrassment and apprehension were emotions experienced by at least half those surveyed and the speculum examination was uncomfortable to more women than the bimanual examination. However, less than 10% found the pelvic examination worse than they had anticipated.

This article describes the construction and use of a simple trainer for the loop electrosurgical excision procedure (LEEP), also known as large loop excision of the cervical transformation zone (LLETZ).

Summary The benefits of lumbar epidural analgesia may be made available more easiy in peripheral hospitals if obstetricians give the injections themselves, instead of being dependent on anesthetic colleagues to do so. The technique used is described in detail and the results given in a series of 100 patients.

No abstract