Knowledge Area 8 Management of delivery

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

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

You’ll be expected to:

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

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

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