Completion of ASM 10: Key Intrapartum Obstetric Medical Disorders Date Signature Safe and effective management of these maternal medical conditions has been achieved through direct exposure and decision making for a range of clinical cases including timely liaison with the MDT and tertiary services if appropriate. ASM 14: Key intrapartum scenarios: non-technical and technical skills Professional skills and Training Evidence/ Clinical competency GMP Knowledge criteria GMP GMP attitudes support assessment Safely manage non-cephalic presentation. (14.01- 14.04) (14.01-14.04) (14.01-14.04) For this ASM (14.01) Non-technical: each Recognition and informed intrapartum Understand the appropriateness of the Be able to communicate RCOG Green top 1,2 1,2,3 counselling for breech scenario listed different modes of delivery for breech, effectively in a manner that can guideline No. presentation. is core to the transverse and oblique lie easily be understood the risks 20a (2006) ECV safe practice on presentations. accompanying all non-cephalic reducing the risk 1,2 (14.02) Technical: Competency the delivery presentations and the options of breech 1,2 for the recognition of suite. available. presentation. Understand how management might cephalic presentation. differ for multiple pregnancy. Be able to construct a safe No.20b (2006) 1,2 1,2 (14.03) Delivery of vaginal For each of the birth plan and where Management of Understand the manoeuvres to breech (may use Other appropriate modify this Breech scenarios your minimise the risks for both assisted Methodology). according to the clinical Presentation. supporting breech delivery and breech extraction 1,2 findings as they evolve. evidence must for singleton and multiple pregnancies (14.04) Delivery at caesarean be based upon during vaginal delivery and also at 1,2,3 section for breech and more than one caesarean section. Effectively liaise where 1,2 case in which transverse lie. appropriate, with anaesthetists, you have been
Completion of ASM 10: Key Intrapartum Obstetric Medical Disorders Date Signature Safe and effective management of these maternal medical conditions has been achieved through direct exposure and decision making for a range of clinical cases including timely liaison with the MDT and tertiary services if appropriate. ASM 14: Key intrapartum scenarios: non-technical and technical skills Clinical competency GMP Knowledge criteria GMP Professional skills and attitudes GMP Training support Evidence/ assessment Safely manage non-cephalic presentation. (14.01) Non-technical: Recognition and informed counselling for breech presentation. (14.02) Technical: Competency for the recognition of presentation. (14.03) Delivery of vaginal breech (may use Other Methodology). (14.04) Delivery at caesarean section for breech and transverse lie. 1,2 1,2 1,2 (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. 1,2 1,2 1,2 1,2 (14.01-14.04) 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, 1,2,3 1,2,3 (14.01-14.04) RCOG Green top guideline No. 20a (2006) ECV reducing the risk of breech presentation. No.20b (2006) Management of Breech Presentation. For this ASM each intrapartum scenario listed is core to the safe practice on the delivery suite. For each of the scenarios your supporting evidence must be based upon more than one case in which you have been cephalic
advanced-labour-ward-practice-atsm-2018.docx