Skip to main content

Knowledge Area 6 – Maternal medicine

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
  • 12: The doctor is competent in recognising, assessing non-emergency obstetrics care

 

Summary Knowledge Requirements

PART 1 MRCOG

  • Epidemiology and pathological processes that underlie common maternal diseases in pregnancy, including diabetes and endocrine, respiratory, cardiac and haematological disease
  • Pathophysiology and presentation of common infections that affect pregnant women and the treatments and interventions used for these infections
  • Drugs used to treat maternal disease, and the potential maternal and fetal complications associated with their use
  • Imaging methods used to screen for maternal and fetal complications of maternal disease, e.g. ultrasound, X-ray and magnetic resonance imaging, and how to interpret their results

PART 2 MRCOG

  • Have a good understanding of common medical disorders and the effect that pregnancy may have on them, as well as the effect of such disorders on pregnancy (this includes both medical and obstetric problems)
  • Demonstrate your ability to assess and treat these conditions and liaise with colleagues in other specialties

PART 3 MRCOG

  • Have a good understanding of common medical disorders and the effect that pregnancy may have on them, as well as the effect of such disorders on pregnancy (this includes both medical and obstetric problems)
  • Demonstrate your ability to assess and treat these conditions, liaise with colleagues in other specialties and know when more expert help is required

 

Detailed Knowledge Requirements

  • Able to describe the natural history of diseases and illnesses that run a chronic course
  • Have knowledge of long term management plans for chronic conditions
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Hypertension: Definitions, Aetiological theories, Organ involvement (mother, fetus), Diagnosis, Drug therapy
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Kidney disease: Urinary tract infection, Pyelonephritis, Chronic renal disease, Renal stones, Transplantation, Acute renal failure
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Heart disease: Congenital, Rheumatic, Ischaemic, Cardiomyopathy, Heart failure
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Liver disease: Cholestasis, Hepatitis, Acute fatty degeneration, Gall stones
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Circulatory disorders: Coagulation defects, Thrombocytopenias, Thromboembolism, Transfusion, Replacement of blood constituents, Varicose veins (legs, vulva, haemorrhoids)
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Pulmonary diseases: Asthma, Infection, Embolism, Aspiration syndrome
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Neurological disorders: Epilepsy, Cerebrovascular disease, Multiple sclerosis, Migraine, Neuropathies, Myasthenia gravis, Paraplegia
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Bone and joint disorders: Back pain, Pelvic girdle dysfunction, Chronic arthritis
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Psychiatric disorders: Manic depressive disorders, Psychoneurosis, Puerperal disorders (blues, depression), Mood disorders, Schizophrenia, Reaction to pregnancy loss
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Haemoglobinopathies: Anaemia, Sickle cell disease, Thalassaemias
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Connective tissue diseases: Systemic lupus erythematosus, Rheumatoid arthritis, Immunosupressant drugs
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Disorders of carbohydrate metabolism: Diagnosis, Gestational diabetes, Type 1 and Type 2 diabetes, Hazards (maternal, fetal, neonatal), Ketoacidosis, Drugs (insulins, oral hypoglycaemic agents and pregnancy)
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Gastrointestinal disorders: Nausea, Vomiting, Hyperemesis, Gastric reflux, Abdominal pain, Appendicitis, Inflammatory bowel disease, Intestinal obstruction
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Neoplasia: Principles of pregnancy management following malignancy including breast cancer, Principles of pregnancy management with new diagnosis of malignancy including breast cancer
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Endocrinopathies: Thyroid (diagnosis, assessment, antibodies, therapy, fetal hazards), Adrenal (Addison’s disease, acute adrenal failure, congenital adrenal hyperplasia, phaeochromacytoma), Pituitary (prolactinoma, hypopituitarism, diabetes insipidus)
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Infectious diseases: Investigation of pyrexia, Serological tests, Principles (prevention, detection, isolation), Therapy (prophylaxis, immunization, antibiotics, antiviral agents), Maternal (preterm premature rupture of membranes, preterm labour, chorioamnionitis, puerperal sepsis, mastitis, urinary tract infection, wound infections, septic shock, malaria, other tropical infections and infestations), Fetus and neonate (streptococcus, gonococcus, syphilis, toxoplasma, listeria, haemophilus, chlamydia, mycoplasma, ureaplasma, herpes hominis, rubella, cytomegalovirus, varicella, hepatitis A, hepatitis B, hepatitis C, parvovirus, influenza, human immunodeficiency virus, neonatal sepsis)
  • Understand the epidemiology, aetiology, pathophysiology, clinical characteristics, prognostic features and management of Maternal complications due to pregnancy: Antepartum haemorrhage, Amniotic fluid embolism
  • Sheehan’s syndrome