Obstetrics and gynaecology is a dynamic and rapidly changing speciality. Great advances have been made in prenatal diagnosis, the management of infertility and contraceptive techniques. The introduction of minimally invasive surgical procedures has reduced bed occupancy and analgesic requirements allowing women to return home more rapidly. Service delivery development, required to meet improving NHS standards, has seen the introduction of a new multidisciplinary approach, new roles for midwives and the emergence of the gynaecological nurse practitioner