Focus and Scope

British Journal of Obstetrics and Gynaecology, published by Wiley-Blackwell Publishing Ltd.. collaborates with British Medical Association. are dedicated to providing physicians with the best research and important information in the world of medical research and science and to present the information in a format that is understandable and clinically useful. Committed to publishing multidisciplinary research that spans the entire spectrum of healthcare and medicine access, British Journal of Obstetrics and Gynaecology aims at an international audience of pharmacists, clinicians, medical ethicists, regulators, and researchers, providing an online forum for the rapid dissemination of recent research and perspectives in this area.

British Journal of Obstetrics and Gynaecology Evidence seeks to advance clinical trial research and clinical practice by:

• Publishing high-quality studies from the front lines of medical research.
• Challenging the medical community to take new approaches to clinical trial design and execution that yield more powerful clinical evidence.
• Sparking debate and conversation around areas of medicine where clinical decisions are made without sufficient evidence.
• Engaging physicians in a more sophisticated and meaningful way with clinical evidence.

Adhering to the rigorous peer-review and quality standards expected from British Journal of Obstetrics and Gynaecology Evidence publishes:

• Original research, clinical trials, and other clinically grounded work (e.g., epidemiology studies, first-in-human trials, meta-analyses) that validate or challenge prior clinical findings.
• Standard reviews, systematic reviews, and other review types that contextualize research findings with the aim of accelerating clinical adoption of new evidence.
• Case studies and reviews of clinical trial methodology that enhance understanding of trial strengths and weaknesses.
• Curbside consult series that addresses common patient care issues.
• Morning Report series solicited case presentation articles that are delivered in a morning report format.

Generation of Evidence

The process of generating evidence is a key area of focus for British Journal of Obstetrics and Gynaecology Evidence. We encourage readers to evaluate the reasoning behind the complex decisions that investigators make in trial design and execution, and to assess the quality of evidence produced in trials. Our goal is to build a community that takes a rigorous approach to evaluating evidence and assessing its impact on clinical decision-making.

Statistical Methods

British Journal of Obstetrics and Gynaecology Evidence guides readers toward a deeper understanding of the statistical methods used in trials. We provide concise, digestible explanations of research methods to inform the interpretation of the resulting data. In addition, we introduce readers to emerging statistical methods and types of data that will play an increasingly prominent role in future trials.

Multidisciplinary Coverage

British Journal of Obstetrics and Gynaecology Evidence publishes content relevant across all medical disciplines to advance the discussion of how to generate evidence that informs patient care. Physician-scientists, trialists, and general medicine and subspecialty clinicians will all benefit from this publication.

British Journal of Obstetrics and Gynaecology covers themes including, but not limited to:

1. Obstetrics

• Antenatal (Prenatal) Care:
• Routine prenatal care, health promotion, and nutrition during pregnancy.
• Prenatal screening and diagnosis for genetic conditions (e.g., aneuploidy, neural tube defects).
• Prenatal imaging: advances in obstetric ultrasound, fetal MRI, and Doppler studies.
• Maternal-Fetal Medicine (MFM) & High-Risk Pregnancy:
• Management of medical complications in pregnancy (e.g., hypertensive disorders like preeclampsia, gestational diabetes, thyroid disease, cardiac disease).
• Preterm labor: prediction, prevention, and management.
• Multiple gestations (twins, triplets, and higher-order multiples).
• Fetal growth restriction (FGR/IUGR) and macrosomia.
• Infections in pregnancy (e.g., CMV, toxoplasmosis, Zika, Group B Strep).
• Intrapartum Care (Labor and Delivery):
• Management of normal and abnormal labor progress.
• Induction and augmentation of labor.
• Intrapartum fetal monitoring (e.g., cardiotocography - CTG).
• Analgesia and anesthesia for labor and delivery (e.g., epidurals).
• Operative vaginal delivery (forceps and vacuum).
• Cesarean section: indications, techniques, and VBAC (Vaginal Birth After Cesarean).
• Postpartum Care:
• Management of postpartum hemorrhage (PPH).
• Postpartum mental health: depression, anxiety, and psychosis.
• Lactation and breastfeeding support.
• Postpartum contraception.
• Fetal Medicine:
• Diagnosis and management of fetal anomalies.
• Fetal therapies and in-utero surgical interventions.
• Assessment of fetal well-being.

2. Gynaecology

• General and Benign Gynaecology:
• Management of abnormal uterine bleeding (AUB) and menstrual disorders.
• Pathophysiology and treatment of uterine fibroids, endometriosis, and adenomyosis.
• Diagnosis and management of benign adnexal masses (ovarian cysts).
• Pelvic inflammatory disease (PID) and other sexually transmitted infections (STIs).
• Contraception and Family Planning:
• Studies on hormonal and non-hormonal contraceptive methods.
• Long-Acting Reversible Contraception (LARC): IUDs and implants.
• Permanent sterilization methods.
• Emergency contraception and abortion care.
• Minimally Invasive Gynaecologic Surgery (MIGS):
• Laparoscopy, hysteroscopy, and robotic-assisted surgery.
• Techniques for hysterectomy, myomectomy, endometriosis excision, and other procedures.
• Paediatric and Adolescent Gynaecology:
• Management of pubertal and menstrual disorders in adolescents.
• Congenital anomalies of the reproductive tract.
• Menopause and Geriatric Gynaecology:
• Management of menopausal symptoms.
• Hormone replacement therapy (HRT): risks and benefits.
• Genitourinary Syndrome of Menopause (GSM) and postmenopausal bleeding.

3. Gynaecologic Oncology

• Cancers of the Reproductive Tract:
• Diagnosis, staging, and multimodality treatment of ovarian, endometrial, cervical, vulvar, and vaginal cancers.
• Surgical management, chemotherapy, radiation therapy, targeted therapy, and immunotherapy.
• Screening and Prevention:
• Cervical cancer screening (Pap tests, HPV testing).
• HPV vaccination.
• Genetic counseling and risk-reduction strategies for hereditary cancer syndromes (e.g., BRCA, Lynch Syndrome).
• Pre-invasive Disease:
• Management of cervical intraepithelial neoplasia (CIN), vulvar intraepithelial neoplasia (VIN), and complex atypical hyperplasia of the endometrium.

4. Reproductive Endocrinology and Infertility (REI)

• Infertility:
• Evaluation of the infertile couple.
• Ovulation induction and controlled ovarian hyperstimulation.
• Assisted Reproductive Technology (ART):
• In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), and embryo transfer techniques.
• Cryopreservation of gametes (eggs, sperm) and embryos.
• Preimplantation Genetic Testing (PGT).
• Reproductive Endocrinology:
• Management of Polycystic Ovary Syndrome (PCOS), hypothalamic amenorrhea, and premature ovarian insufficiency.
• Recurrent pregnancy loss.

5. Female Pelvic Medicine and Reconstructive Surgery (FPMRS / Urogynaecology)

• Pelvic Organ Prolapse (POP):
• Diagnosis and management (conservative, pessaries, surgical).
• Surgical techniques for repair, including native tissue and mesh-augmented repairs.
• Urinary and Fecal Incontinence:
• Urodynamic testing and diagnosis.
• Management of stress, urgency, and mixed urinary incontinence.
• Other Pelvic Floor Disorders:
• Genitourinary fistula, bladder pain syndrome/interstitial cystitis, and other complex pelvic floor conditions.

6. Cross-Cutting Themes and Foundational Science

• Public Health, Epidemiology, and Health Services Research:
• Maternal and infant mortality and morbidity.
• Access to reproductive healthcare, health disparities, and global women's health.
• Sexual and Reproductive Health and Rights (SRHR):
• Research and advocacy on sexual health, education, and reproductive rights.
• Basic and Translational Science:
• Reproductive physiology, endocrinology, and immunology.
• Genetics and molecular biology of reproductive disorders and gynecologic cancers.
• Ethics, Law, and Professionalism in OB/GYN.
• Education and Simulation in OB/GYN Training.