O&G Cases · Antenatal care — preconception
Pre-pregnancy counselling — communication and planning station
Communication and planning station: build a pre-pregnancy optimisation plan for a woman with type 2 diabetes on a teratogenic antihypertensive and a too-low folate dose. Tests medication review, the HbA1c target, the contraception-until-ready message, and non-stigmatising counselling. Includes assessor key and marking domains.
On this page
Study tools
Target exams
Station brief
Format. Communication and planning station, approximately 12 minutes. You are the obstetric registrar in pre-pregnancy clinic. An actor plays the woman; the assessor runs the clock and feeds you new information. [1]
Candidate instruction. Build her pre-pregnancy optimisation plan and communicate it clearly and without stigma. Verbalise your medication review, your glycaemic target, and your contraception-until-ready message. [1]
References4ShowHide
- [1]Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Pre-pregnancy counselling (C-Obs 3a), Version 13.1 RANZCOG Clinical Guideline, 2024.Source
- [2]Cooper KM, Szymanski LM, David PS, et al. Prepregnancy Care and Counseling: A Review JAMA, 2026.PMID 42008245
- [5]American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics ACOG Practice Bulletin No. 201: Pregestational Diabetes Mellitus Obstet Gynecol, 2018.PMID 30461693
- [8]Adam MP, Polifka JE, Friedman JM Evolving knowledge of the teratogenicity of medications in human pregnancy Am J Med Genet C Semin Med Genet, 2011.PMID 21766440