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Knowledge Area 8 – Management of delivery

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
  • 10: The doctor is competent in recognising, assessing and managing emergencies in obstetrics

 

Summary Knowledge Requirements

PART 1 MRCOG

  • Labour, and the mechanism and physiology of childbirth and the third stage of labour
  • Aetiology and pathology of congenital and bone malformations of the genital tract
  • Mode of action of drugs used in labour, at delivery and in the third stage of labour
  • Indications for and risks of operative delivery
  • Biochemical basis of acid–base balance, normal fetal physiological changes in labour and how to interpret fetal and cord blood analysis
  • Female perineum and principles underlying the management of perineal repair

PART 2 MRCOG

You’ll be expected to:

  • Have knowledge and understanding of the processes and management of normal and abnormal delivery

PART 3 MRCOG

You’ll need to demonstrate your ability to:

  • Demonstrate certain aspects of practical skill relating to normal and abnormal delivery and their communication to patients under challenging conditions

 

Detailed Knowledge Requirements

  • Normal vaginal delivery
  • Operative vaginal delivery
  • Complex vaginal delivery
  • Retained placenta
  • Management of female genital mutilation
  • Malpresentation (brow, face, shoulder, variable lie)
  • Malpositions
  • Manual rotation of the fetal head
  • Outlet forceps/ventouse
  • Mid-cavity forceps/ventouse
  • Rotational forceps/ventouse
  • Pelvic floor anatomy
  • Episiotomy
  • Perineal trauma and repair
  • Female genital mutilation
  • Assisted breech delivery
  • Breech extraction
  • Twin delivery
  • High order multiple births
  • Shoulder dystocia
  • Caesarean section: Indications for and complications of caesarean section, Routine, Repeat, Acute emergency, Sterilisation procedures
  • Anaesthesia: General anaesthesia, Regional anaesthesia, Induction agents, Inhalation agents, Prophylactic measures, Complications
  • The unconscious patient
  • Resuscitation
  • Intensive care