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Part 3 MRCOG syllabus: Management of labour

This page illustrates how the five core clinical skills can be applied to the management of labour core module (module 10) for the Part 3 Clinical Assessment. 

Communicating with patients and families

  • Demonstrates an ability to communicate to the woman and her partner and/or family the interventions for abnormal labour and instrumental or operative delivery
  • An ability to explain the risks and benefits of interventions for both the mother and the fetus

Communicating with colleagues

  • Makes clear the reason for the interaction with colleagues e.g. handover
  • Ability to prioritise cases appropriately into urgent, semi-urgent and non-urgent cases
  • Ability to delegate tasks to colleagues and midwives appropriately
  • Demonstrates understanding of limits of own competence and when to call for senior help or involve other specialties
  • Demonstrates an ability to form a logical differential diagnosis for intrapartum complications and to be able to convey that to colleagues including when the consultant is off site
  • Appropriate amount of detail to ensure management plans are clear and easily understood by colleagues
  • Demonstrates team working to support colleagues during peaks of activities on the labour ward
  • Ability to teach appropriate skills to other colleagues in a logical and coherent manner with recognition of the learner, environment and resources available

Information gathering

  • Ability to synthesise a clear clinical picture from the patient, the notes, the partogram and information about the fetal heart in order to assess the clinical situation
  • Ability to describe a clear action plan and rationale for decisions made based on the discussion

Patient safety

  • Awareness of patient safety in labour in different environments e.g. waterbirth, birthing outside hospital
  • Demonstrates understanding of risks from interventions such as regional analgesia, therapeutics in labour and invasive procedures
  • Ensures use of chaperones for intimate examination
  • Maintains patient dignity at all times
  • Accurate prescribing in labour including management of intravenous infusions
  • Acknowledges medical error, poor care or omissions and apologises as appropriate
  • Demonstrates an understanding of risk management and clinical governance processes in relation to intrapartum care
  • Ability to critically appraise intrapartum care in adverse events

Applied clinical knowledge

  • Knowledge of intrapartum care including induction of labour, management of normal and abnormal labour, obstetric interventions, the interpretation of the CTG
  • Ability to critically appraise medical media including guidelines, protocols and scientific papers
  • Demonstrates an ability to think and work under pressure from competing priorities when the workload on the labour ward is heavy
  • Demonstrates a working knowledge of the roles and responsibilities of other members of the multi-disciplinary team
  • Demonstrates and ability to appropriately delegate tasks when the workload on labour ward requires

Further information

For further information about the management of labour core module please go to the management of labour core module page.

Elsewhere on the site

Specialty training in O&G
Overview of the specialty training programme in obstetrics and gynaecology, including how the MRCOG exams fit in
Curriculum
The full specialty training programme in O&G – core modules, ultrasound, ATSMs, subspecialty and academic