OSATS, high risk pregnancy ATSM Skip to main content

OSATS, high risk pregnancy ATSM

This page sets out the OSATS requirements for the ATSM in high risk pregnancy.

External cephalic version

Items under observation:

  • Appropriate patient selection
  • Ensuring patient and accompanying partner understand procedure
  • Confirmation of fetal position with ultrasound prior to procedure
  • Ensuring reassuring fetal monitoring prior to procedure
  • Use of tocolysis if appropriate
  • Appropriate preparation and positioning
  • Careful ultrasound assessment of fetal and placental position, liquor volume and limbs
  • Safe and systematic movement of fetus
  • Regular assessment of fetal wellbeing with ultrasound during procedure
  • Ensuring no excessive maternal discomfort
  • Confirmation of fetal presentation post procedure with ultrasound
  • Ensuring reassuring fetal monitoring post procedure
  • Ensuring Rhesus status and appropriate administration of Anti-D
  • Checking appropriate follow-up arrangements

Elsewhere on the site

An explanation of OSATS: what they are and how they are used within O&G training
Resources for trainees
Resources to support specialty trainees in O&G