O&G Cases · Antenatal care — medical disorders of pregnancy
Acute severe asthma in pregnancy — resuscitation and communication station
Resuscitation station: acute severe asthma in pregnancy, with the underlying cause of ICS cessation. The candidate must recognise severity, run the acute bundle with named drugs and doses, restart chronic therapy, and counsel the woman on ICS safety — while preparing for the carboprost trap if PPH ensues. Includes assessor key, marking domains and fail criteria.
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Station brief
Format. Resuscitation station, approximately 12 minutes. You are the obstetric registrar on labour ward. The candidate plays the registrar; the assessor plays the midwife, the woman and the consultant (via phone). Real-time management: severity assessment, acute bundle, escalation, counselling.[8]
Candidate instruction. Take handover from the midwife, recognise the severity, run the acute bundle, restart chronic therapy, counsel the woman. The consultant is 20 minutes away and will expect a structured SBAR handover when she arrives.[1]
References5ShowHide
- [1]Murphy VE, Clifton VL, Gibson PG Asthma exacerbations during pregnancy: incidence and association with adverse pregnancy outcomes Thorax, 2006.PMID 16443708
- [4]Robijn AL, Jensen ME, McLaughlin K, Gibson PG, Murphy VE Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta-analysis Clin Exp Allergy, 2019.PMID 31357230
- [5]National Asthma Education and Prevention Program Asthma and Pregnancy Working Group; National Heart, Lung, and Blood Institute NAEPP expert panel report. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update J Allergy Clin Immunol, 2005.PMID 15637545
- [6]Davis AE, Wechsler ME, Namazy JA, Schatz M The safety of asthma treatment and management strategies in pregnancy Expert Rev Respir Med, 2025.PMID 40536883
- [8]Murphy VE, Gibson PG Asthma in pregnancy Clin Chest Med, 2011.PMID 21277452