1,2 Cardiac and Respiratory (11.03) Congenital heart disease (11.03) (11.03-11.06) (11.03-11.06) Review the effects of pregnancy on the Take an appropriate history for RCOG Good 1,2 1,2,3 (11.04) Ischaemic heart disease cardiovascular system and the risks this each condition. practice creates for co-existing ischaemic heart guideline No.13 disease and the main forms of adult (2011) Cardiac (11.05) Pregnancy with artificial Be able to perform a thorough congenital heart disease. Understand disease and heart valve. cardiovascular examination. how each may present in pregnancy pregnancy. and how the pregnancy should be (11.06) Peripartum Be able to interpret ECHO and 1,2 monitored. Attend Adult cardiomyopathy. ECG findings. Cardiac (11.06) Clinics, Adult Be able to offer pre-pregnancy 1,2,3 1,2 Understand how peripartum Congenital Heart and booking advice, suitable cardiomyopathy presents, is Disease Clinics. antenatal monitoring, investigated and treated. Understand intrapartum and postpartum the implications for any future MDT meetings care plans. pregnancies. on ITU/HDU, Obstetric Liaise appropriately to anaesthesia cardiologists, haematologists, reviews. anaesthetists for further assessment and treatment. STRATOG Advanced, Recognise and act promptly if 1,2 Maternal there are signs of deterioration. Medicine eLearning: Peripartum cardiomyopathy (2015). Gastrointestinal 1,2 (11.06) Acute fatty liver of (11.06) (11.06) (11.06) pregnancy Review the symptoms and signs of Be able to rapidly assess the MDT meetings 1,2 AFLP; in particular consider how these seriousness of the clinical on ITU/HDU, may mimic other hypertensive and renal situation. Obstetric conditions in pregnancy. anaesthesia
Cardiac and Respiratory (11.03) Congenital heart disease (11.04) Ischaemic heart disease (11.05) Pregnancy with artificial heart valve. (11.06) Peripartum cardiomyopathy. 1,2 (11.03) Review the effects of pregnancy on the cardiovascular system and the risks this creates for co-existing ischaemic heart disease and the main forms of adult congenital heart disease. Understand how each may present in pregnancy and how the pregnancy should be monitored. (11.06) Understand how peripartum cardiomyopathy presents, is investigated and treated. Understand the implications for any future pregnancies. 1,2 1,2 (11.03-11.06) Take an appropriate history for each condition. Be able to perform a thorough cardiovascular examination. Be able to interpret ECHO and ECG findings. Be able to offer pre-pregnancy and booking advice, suitable antenatal monitoring, intrapartum and postpartum care plans. Liaise appropriately to cardiologists, haematologists, anaesthetists for further assessment and treatment. Recognise and act promptly if there are signs of deterioration. 1,2 1,2 (11.03-11.06) RCOG Good practice guideline No.13 (2011) Cardiac disease and pregnancy. Attend Adult Cardiac Clinics, Adult Congenital Heart Disease Clinics. MDT meetings on ITU/HDU, Obstetric anaesthesia reviews. STRATOG Advanced, Maternal Medicine eLearning: Peripartum cardiomyopathy (2015). Gastrointestinal (11.06) Acute fatty liver of pregnancy 1,2 (11.06) Review the symptoms and signs of AFLP; in particular consider how these may mimic other hypertensive and renal conditions in pregnancy. 1,2 (11.06) Be able to rapidly assess the seriousness of the clinical situation. 1,2,3 1,2,3 (11.06) MDT meetings on ITU/HDU, Obstetric anaesthesia