Module 8: Antenatal Care — Part 1

This post is Part #1 of the outline of “Module 8: Antenatal Care”. As this is a lengthy module so I decided to cover it in more than one post. This module can be organized well by dividing it into different sub-headings. 

• If you have a look at details of this module on the RCOG website, it will be evident that we should prepare it systematically starting from the Pre-conception period, Routine Antenatal Care which includes booking visits, screenings, anomaly scans and follow-up visits till the time a woman goes into labour
• A pregnancy may start as low risk but could have a bad outcome. So, Main Aim of providing antenatal care is to prevent risk, identify if it becomes a high risk and manage it accordingly
• This module is a classic example that “none of the modules can be prepared in isolation” as we have to apply certain principles from other modules also
• All these topics need to be understood in depth
• Always have the full picture in mind and read carefully each & every word in the given question
• It is essential to develop critical thinking and apply it to a given scenario in order to reach the correct answer
• Following tables provide an outline of the module which might be helpful in collecting and organizing your study material
• You can make a BIG folder “Antenatal Care” and add subfolders based on the following tables
• The most important is to EXTRACT the key-points and MAKE YOUR OWN NOTES in a format which is accessible plus easy to revise according to your suitability
• Keep practising SBAs and EMQs from authentic resources. If you come across a new point, add it to your notes
• In this post, I have mostly covered Routine Antenatal Care topics. I added Preterm Labour & Stillbirth as it could be one of the adverse outcomes of any pregnancy
• Kindly keep a follow-up of upcoming posts, which will cover the outline of the rest of the topics in this module
• It is a little effort from my end based on my own experience just to provide an idea and help to simplify this module. It is advised to modify it according to your preferences as I might have missed a few points

I hope it is helpful and suggestions to improve future posts are welcome.

Thanks,

Module 8: Antenatal Care (Click Here: Details)

Routine Antenatal Care
NICE	#201 Antenatal Care 2021
SIP	#1 Air Travel and Pregnancy #2 Umbilical Cord Blood Banking #37 Chemical Exposures During Pregnancy #38 Stem Cell Therapies in Obs & Gynae #43 Vitamin D in Pregnancy #49 Ultrasound from conception to 10+0 wks gestation #50 Developing new pharmaceutical treatments for obstetrics conditions #58 Diagnostic Biomarkers for predicting adverse early pregnancy outcomes
TOG	Vaccination in pregnancy 2015 Constipation in Pregnancy 2015 Vitamin supplementation in pregnancy 2012 Prescription drug use in pregnancy 2012
GTG	#69 Management of Nausea, Vomiting of Pregnancy and Hyperemesis Gravidarum
Non-invasive Prenatal Diagnosis & Screening in Pregnancy
SIP	#15 NIPT for chromosomal Abnormality using Maternal Plasma DNA #60 Combined use of USG and Fetal MRI for comprehensive fetal neurological assessment in Fetal Congenital Cardiac Defects
TOG	Imaging in Pregnancy 2019 Fetal surgery for open spina bifida 2019 Evolution in screening for Down Syndrome Click Here: Summary 2019 Cell-free fetal DNA-based noninvasive prenatal testing of aneuploidy 2017 Prenatal diagnosis in modern era 2016 Preimplantation genetic diagnosis 2016 The use of chromosomal microarray in prenatal diagnosis 2013 Current status of potential organ donation in cases of lethal fetal anomaly 2013 Antenatal and intrapartum care of pregnancy complicated by lethal fetal anomaly 2013
NHS	Fetal Anomaly Screening Programme Screening in Pregnancy:Website
GTG	#8 Amniocentesis and CVS Summary Click Here
Social/ Cultural Factors
NICE	#110 Pregnancy and Complex Social Factors
TOG	Smoking in Pregnancy 2019 The obstetrics care of asylum seekers and refugee women in UK 2015 Millennium development goal 4: reducing perinatal and neonatal mortality in low-resource settings 2014
Female Genital Mutilation
GTG	#53 Female Genital Mutilation and its Management
TOG	Tackling female genital mutilation in UK 2017
Domestic Violence
NICE	Domestic violence and abuse
TOG	Domestic Violence: An invisible pandemic 2022 Summary Click Here Domestic Violence: a neglected epidemic in Obs & Gynae training 2017 Domestic Violence: a clinical guide for women’s healthcare providers 2012
Perinatal Mental Health Summary Click Here
NICE	#192 Antenatal and Postnatal Mental Health
TOG	Perinatal mental health: how to ask and how to help 2017 Postpartum psychosis 2013
GP	#14 Management of women with mental health issues during pregnancy and postnatal period
SIGN	#127 Management of perinatal mood disorders
Obesity
GTG	#72 Care of women with Obesity in Pregnancy Click Here: Summary
TOG	Exercise in Pregnancy 2015 Pregnancy outcome following bariatic surgery 2013
SIP	#17 Role of Bariatric Surgery in improving reproductive health
Preterm Labour
GTG	#73 Care of women presenting with suspected PPROM from 24+0 wks gestation Click Here: Summary #74 Antenatal Corticosteroids #75 Cervical Cerclage Click Here: Summary
NICE	#25 Preterm labour and birth Click Here: Visual Summary
SIP	#29 MgSO4 to prevent Cerebral Palsy following Preterm Birth #33 Preterm Labour, Antibiotics and Cerebral Palsy #41 Perinatal Management of pregnant women at threshold of infant viability
TOG	The role of antenatal corticosteroids in improving neonatal outcomes 2021 Long-term use of corticosteroids during Pregnancy 2019 Click Here Summary Extreme prematurity and perinatal management 2018 Use of MgSO4 for neuroprotection in preterm neonate 2017 Role of transabdominal cervical cerclage techniques in maternity care 2016
Intrauterine Death
GTG	#55 Late IUFD and StillBirth #57 Reduced Fetal Movements
TOG	Care of pregnancies subsequent to stillbirth 2021 Prevention of stillbirth 2015 Use of mifepristone and misoprostol in management of late IUD 2014

You may also like:

Module 2-3: Teaching-Apppraisl-Clinical Governance-Research 
Module 5,6,7: Core Surgical Skills, Post-op Care & Surgical Procedures

Module 8: Antenatal Care — Part 2
Module 9: Maternal Medicine
Module 10/11: Labour & Delivery 12: Puerperium

Module 13: General Gynaecology
Module 14: Subfertility
Module 15: Sexual and Reproductive Health

Module 16: Early Pregnancy Care

Module 17: Gynaecological Oncology

Module 18: Urogynaecology & Pelvic Floor Problems
Starting Point for MRCOG Part 2
3Ws and General Advice for MRCOG Part 2

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