Understand how MCA vMax is used to 1,2 pregnancies in abnormal values monitor for signs of anaemia the antenatal and explore the (1.09) Severe early onset fetal (1.09-1.16) period. antenatal growth restriction Able to formulate a suitable 1,2,3 management. (1.08) management plan, liaising Cervical length: transcervical where appropriate and always RCOG Green top (1.10) Late onset fetal growth 1,2 1,2 measurement of cervical length, the considering the individuals guideline N0.51 These are restriction criteria for accurate and reproducible hopes and expectations for the Monochorionic common measurement. pregnancy. twin pregnancy. findings and (1.11) Twin pregnancy with 1,2 should be growth discordance 1,2 based upon Recognises when cervical length should STRATOG direct patient be offered. Advanced, (1.12) Twin-twin transfusion 1,2 care. Clinical Case syndrome Studies (1.09-1.10) 1,2 eLearning: OSAT Management of growth restriction (1.13) Suspected preterm 1,2 Management of according to National Guidelines. When ruptured membranes the SGA fetus to refer to the Tertiary Centre. CBD (2016). (1.14) Polyhydramnios 1,2 (1.11-1.12) Reflective 1,2 Multiple pregnancies: able to recognise Practice (1.15) Low lying placenta and manage growth discordance. 1,2 Understand the influence of chorionicity. (1.16) Ultrasound guided For monochorionicity to be able to procedures: ECV for Breech 1,2 monitor for signs of TTTS and refer to the tertiary centre in accordance with 1,2 local guidelines. Aware of the ultrasound features of TRAP (Twin reverse arterial perfusion sequence) and conjoined twins. (1.13) 1,2 Aware of the role and limitations of ultrasound in the management of suspected preterm ruptured membranes. 1,2
(1.09) Severe early onset fetal growth restriction (1.10) Late onset fetal growth restriction (1.11) Twin pregnancy with growth discordance (1.12) Twin-twin transfusion syndrome (1.13) Suspected preterm ruptured membranes (1.14) Polyhydramnios (1.15) Low lying placenta (1.16) Ultrasound guided procedures: ECV for Breech 1,2 1,2 1,2 1,2 1,2 1,2 1,2 1,2 Understand how MCA vMax is used to monitor for signs of anaemia (1.08) Cervical length: transcervical measurement of cervical length, the criteria for accurate and reproducible measurement. Recognises when cervical length should be offered. (1.09-1.10) Management of growth restriction according to National Guidelines. When to refer to the Tertiary Centre. (1.11-1.12) Multiple pregnancies: able to recognise and manage growth discordance. Understand the influence of chorionicity. For monochorionicity to be able to monitor for signs of TTTS and refer to the tertiary centre in accordance with local guidelines. Aware of the ultrasound features of TRAP (Twin reverse arterial perfusion sequence) and conjoined twins. (1.13) Aware of the role and limitations of ultrasound in the management of suspected preterm ruptured membranes. 1,2 1,2 1,2 1,2 1,2 1,2 1,2 (1.09-1.16) Able to formulate a suitable management plan, liaising where appropriate and always considering the individuals hopes and expectations for the pregnancy. pregnancies in the antenatal period. RCOG Green top guideline N0.51 Monochorionic twin pregnancy. STRATOG Advanced, Clinical Case Studies eLearning: Management of the SGA fetus (2016). abnormal values and explore the antenatal management. These are common findings and should be based upon direct patient care. OSAT CBD Reflective Practice 1,2,3
high-risk-pregnancy-atsm-2018.docx