O&G Cases · Intrapartum care — medical comorbidity
Cardiac disease in labour — emergency management and planning station
Emergency-management and planning station on a cardiac woman decompensating in labour: candidate leads the recognition of pulmonary oedema, the condition-specific resuscitation, the decision about mode and timing of birth, and the postpartum surveillance plan. Includes assessor timeline, marking domains, assessor key and fail criteria.
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Target exams
Station brief
Format. Emergency-management and planning station, approximately 12 minutes. You are the obstetric registrar on a birth suite with an anaesthetist and a cardiology registrar contactable. A midwife is with the patient. The assessor runs the clock and feeds new observations. [4]
Candidate instruction. Recognise and manage the decompensation, lead the team, defend your decisions about mode and timing of birth, and plan the postpartum surveillance. Verbalise your actions and your communication with the team. [4]
References2ShowHide
- [4]Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J, 2018.PMID 30165544
- [5]Ruys TP, Roos-Hesselink JW, Pijuan-Domènech A, et al. Is a planned caesarean section in women with cardiac disease beneficial? Heart, 2015.PMID 25539946