Dr Rubab Khalid: Module 8: Antenatal Care

Antenatal care pathway NHS rcog pregnancy care birth plan

This post is the second part of outline of “Module 8: Antenatal Care” and it covers the remaining topics in this module. As this is a lengthy module so, it was decided to cover the reading resources and outline in two posts.

The first part of this module can be accessed by clicking here: Module 8: Antenatal Care—Part 1
The first post of this module included the topics of “the routine antenatal care” along with preterm labour and stillbirth
This post mainly covers topics which are NOT routine care and they require additional care
Study outline for two main topics of obstetrics (Infections in Pregnancy and Obstetrical Emergencies) is added which may occur in antenatal period and effect the intrapartum/ postpartum care
Again it is evident that it is not possible to prepare any module separately
We need to develop the deep understanding of the topic and apply it on a given scenario
Following tables provide an outline of the module which might be helpful to collect and organize your study material
You can make a BIG folder “Antenatal Care” and add subfolders based on the following tables
Make your own NOTES and keep adding points as you come along new ones
Keep practicing different SBAs and EMQs from authentic resources
Kindly modify the lists as per your suitability 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)

Multiple Pregnancy
GTG	#51 Management of Monochorionic Twin Pregnancy
NICE	#137 Twin and Triplet Pregnancy
TOG	Spontaneous preterm birth prevention in multiple pregnancy 2018 Monoamniotic Twin Pregnancy 2012
Malpresentation
GTG	#20a ECV and reducing the incidence of term breech presentation #20b Management of Breech Presentation
Fetal Growth Restriction
GTG	#31 Small-for-Gestational-Age Fetus, Investigation and Management
TOG	The clinical application of Doppler Ultrasound in Obstetrics 2015 Advances and applications of fetal MRI 2015 Polyhydramnios in singleton pregnancies 2014
Trophoblastic Disease
GTG	#38 The Management of Gestational Trophoblastic Disease
Alloimune Disorders
GTG	#65 The Management of women with Red Cell Antibodies during Pregnancy
BCSH	Use of anti-D immunoglobulin for prevention of haemolytic disease of fetus and newborn
Genetics/ Congenital Malformations This topic is covered well in StratOG tutorials As this is the basic theoretical knowledge, so it is suggested to have a look into standard textbooks (Dewhurt’s / Evidence-based for MRCOG) You can check the topics to be covered in the RCOG module details Few topics are covered in Post 1
Infections In Pregnancy
GTG	#13 Chickenpox in Pregnancy #36 Early-Onset Group B Streptococcal Disease #54a Malaria in Pregnancy, Prevention #54b Malaria in Pregnancy, Diagnosis and Treatment #64a Sepsis in Pregnancy, Bacterial #64b Sepsis following Pregnancy, Bacterial
BASHH	Management of Genital Herpes in Pregnancy
BHIVA	Management HIV in Pregnancy & Postpartum
HPA	Guidance on Viral Rash in Pregnancy For visual summary: Click Here
RCOG	Corona Virus and Pregnancy Zika Virus Infection and Pregnancy SIP #56 Congenital Cytomegalovirus Infection, treatment update
TOG	Update on cytomegalovirus infection in pregnancy 2016 Genital Tract Sepsis: early diagnosis, managment and prevention 2012 Group A streptococcal puerperal sepsis: management and prevention 2012 The management of Sexually Transmitted Infections in Pregnancy 2012 Tuberculosis in Pregnancy 2010
Obstetrics Emergencies The following table outlines the topics to be prepared under this heading. It is not just limited to antenatal period but also includes some emergencies in Intrapartum and postpartum period as well It is important to be familiar with MEOWS chart (Click Here: for a sample) Some of the procedures are relevant under this topic e.g 3/4 degree perineal tear. Please click here for surgical skills module.
Antepartum Haemorrhage
GTG	#63 Antepartum Haemorrhage #27a Placenta Previa and Accreta: Diagnosis and Management #27b Vasa Previa:Diagnosis and Management
Postpartum Haemorrhage
GTG	#52 Postpartum Haemorrhage, Prevention and Management
GP	#6 The role of emergency and elective interventional radiology in PPH
TOG	Pelvic and vaginal packing for intractable venous obstetrics hemorrhage 2014 The surgical approach to postpartum haemorrhage 2009 Acute Inversion of Uterus 2009
Blood Transfusion
GTG	#47 Blood Transfusions in Obstetrics
TOG	Management of women who decline blood / products in pregnancy 2010
Shoulder Dystocia
GTG	#42 Shoulder Dystocia
Maternal Collapse
GTG	#56 Maternal Collapse in Pregnancy and Puerperium
Umbilical Cord Prolapse
GTG	#50 Umbilical Cord Prolapse