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Knowledge Area 13 – Early pregnancy care

Capability in practice (CiP)

  • 1: The doctor is able to apply medical knowledge, clinical skills and professional values for the provision of high-quality and safe patient-centred care
  • 6: The doctor takes an active role in helping self and others to develop
  • 9: The doctor is competent in recognising, assessing and managing emergencies in gynaecology and early pregnancy

 

Summary Knowledge Requirements

PART 1 MRCOG

  • Basic sciences pertaining to early pregnancy and its loss, including the endocrine aspects of the maternal recognition of pregnancy, the luteal maintenance of early pregnancy and the physiology of fetomaternal communication
  • Aetiology and histopathology of miscarriage, ectopic pregnancy and trophoblastic disease
  • Diagnostic features of ultrasound used in early pregnancy, the epidemiology of pregnancy loss and the medical agents used to manage pregnancy loss (miscarriage, ectopic pregnancy and trophoblastic disease)
  • How to interpret the results of investigations used in early pregnancy problems

PART 2 MRCOG

  • Have a good understanding of early pregnancy and pregnancy loss, including diagnosis, investigations, management and psychological support in miscarriage and ectopic pregnancy
  • Be able to assess and manage these conditions both medically and surgically
  • Have knowledge of the use of ultrasound in diagnosis and management

PART 3 MRCOG

  • Have a good understanding of early pregnancy and pregnancy loss, including diagnosis, investigations, management and psychological support in miscarriage and ectopic pregnancy
  • Be able to assess and manage these conditions both medically and surgically
  • Demonstrate your ability to communicate relevant information to the patient
  • Have knowledge of the use of ultrasound in diagnosis and management

 

Detailed knowledge requirements

  • Epidemiology, aetiology, pathogenesis and clinical features of miscarriage
  • Trophoblastic disease and ectopic pregnancy
  • Medical management of ectopic pregnancy
  • Indications and limitations of Investigations: endocrine, anatomical, immunological, genetic, radiological, bacteriological
  • Understanding of management options
  • Prognosis after miscarriage(s) and ectopic pregnancy