Obstetrics – Core Learning Outcomes
Learning outcomes:
* To gain knowledge, skills and experience of the treatment of the healthy pregnant woman
Core clinical learning outcomes:
* To pass the formal practical initial assessment of competence in obstetric anaesthesia and, having achieved this, be able to provide analgesia and anaesthesia asrequired for the majority of the women in the delivery suite
* To understand the management of common obstetric emergencies and be capable of performing immediate resuscitation and care of acute obstetricemergencies [e.g. eclampsia; pre-eclampsia; haemorrhage], under distant supervision but recognising when additional help is required
Knowledge
- OB_BK_01 Recalls/describes the anatomy, physiology and pharmacology related to pregnancy and labour
- OB_BK_02 Lists common obstetric indications for anaesthetic intervention on the delivery suite
- OB_BK_03 Describes the effects of aortocaval compression and how to avoid it
- OB_BK_04 Recalls/describes how to assess fetal well being in utero
- OB_BK_05 Discusses the management of pre-eclampsia and eclampsia
- OB_BK_06 Lists risk factors and describes the management of major obstetric haemorrhage
- OB_BK_07 Explains local feeding / starvation policies and the reasons behind them
- OB_BK_08 Explains the thromboprophylaxis requirements in pregnancy
- OB_BK_09 Describes the grading of urgency of Caesarean section
- OB_BK_10 Explains why anaesthetic techniques must be modified in the pregnant patient
- OB_BK_11 Lists methods of analgesia during labour and discusses their indications and contraindications
- OB_BK_12 Describes epidural or CSE analgesia in labour and recalls/discusses the indications, contraindications and complications
- OB_BK_13 Explains how to provide regional anaesthesia for operative delivery
- OB_BK_14 Understands the need to call for assistance after several attempts at placement of regional blocks proves unsuccessful
- OB_BK_15 Describes the immediate management of accidental dural puncture
- OB_BK_16 Recalls/describes maternal and basic neonatal resuscitation
- OB_BK_17 Describes how to access local maternity guidelines and the value of having these guidelines
Skills
- OB_BS_01 Undertakes satisfactory preoperative assessment of the pregnant patient
- OB_BS_02 Demonstrates the ability to clearly explain and prepare an obstetric patient for surgery
- OB_BS_03 Demonstrates the use of techniques to avoid aorto-caval compression
- OB_BS_04 Demonstrates the ability to provide epidural analgesia in labour
- OB_BS_05 Demonstrates the ability to provide spinal anaesthesia for caesarean section
- OB_BS_06 Demonstrates the ability to convert epidural analgesia to epidural anaesthesia for surgical intervention
- OB_BS_07 Demonstrates the ability to provide general anaesthesia for caesarean section
- OB_BS_08 Demonstrates an appropriate choice of anaesthesia/analgesia for instrumental delivery
- OB_BS_09 Demonstrates an appropriate choice of anaesthesia for retained placenta
- OB_BS_10 Demonstrates safe and effective management of post-delivery pain relief
- OB_BS_11 Demonstrates ability to recognise when an obstetric patient is sick and the need for urgent assistance
- OB_BS_12 Demonstrates the ability to provide advanced life support for a pregnant patient
- OB_BS_13 Demonstrates the ability to provide basic neonatal life support
- OB_BS_14 Obtains the Initial Assessment of Competence in Obstetric Anaesthesia