consultants who do not perform major gynaecological surgery. (16.17) Management of 1,2 (16.17) (16.17) (16.17) (16.17) lie in labour, internal (Note: These skills are also found in Be able to communicate RCOG Green top OSAT podalic version / external ASM14: 14.01- 14.04) effectively in a manner that can guideline No. cephalic version if appropriate. Understand the appropriateness of the easily be understood the risks 20a (2006) ECV CBD 1,2 different modes of delivery for breech, accompanying all non-cephalic reducing the risk transverse and oblique lie presentations and the options of breech Log of cases presentations. available. presentation. 1,2 Understand how management might Be able to construct a safe No.20b (2006) differ for multiple pregnancy. birth plan and where Management of appropriate modify this Breech 1,2 according to the clinical Presentation. Understand the manoeuvres to findings as they evolve. minimise the risks for both assisted breech delivery and breech extraction for singleton and multiple pregnancies Effectively liaise where during vaginal delivery and also at appropriate, with anaesthetists, caesarean section. midwifery and theatre staff and 1,2 neonatologists. Understand when ECV in labour (for breech, transverse lie and second twin) may be considered and the techniques involved. 1,2 Understand when and how internal podalic version is appropriate for multiple pregnancy.
consultants who do not perform major gynaecological surgery. (16.17) Management of lie in labour, internal podalic version / external cephalic version if appropriate. 1,2 (16.17) (Note: These skills are also found in ASM14: 14.01- 14.04) Understand the appropriateness of the different modes of delivery for breech, transverse and oblique lie presentations. Understand how management might differ for multiple pregnancy. Understand the manoeuvres to minimise the risks for both assisted breech delivery and breech extraction for singleton and multiple pregnancies during vaginal delivery and also at caesarean section. Understand when ECV in labour (for breech, transverse lie and second twin) may be considered and the techniques involved. Understand when and how internal podalic version is appropriate for multiple pregnancy. 1,2 1,2 1,2 1,2 1,2 (16.17) Be able to communicate effectively in a manner that can easily be understood the risks accompanying all non-cephalic presentations and the options available. Be able to construct a safe birth plan and where appropriate modify this according to the clinical findings as they evolve. Effectively liaise where appropriate, with anaesthetists, midwifery and theatre staff and neonatologists. (16.17) RCOG Green top guideline No. 20a (2006) ECV reducing the risk of breech presentation. No.20b (2006) Management of Breech Presentation. (16.17) OSAT CBD Log of cases