14.08) Non-technical: Formulate Understand the influence of fetal growth Be able to construct a suitable NICE Clinical clear intrapartum care plans restriction, discordant growth, intrapartum care plan, liaising Guideline CG based on clear communication prematurity, chorionicity and appropriately. 129 of all issues. malpresentation on the Management of 1,2 recommendation and successful twin and triplet Be able to explain the delivery conduct for all modes of delivery for pregnancies in (14.09) Technical: Competency options and any associated multiple pregnancies. the antenatal for the delivery of preterm maternal and fetal risks in a 1,2 period. multiple pregnancy. manner that is easy to 1,2 Understand the role of intrapartum understand. ultrasound and CTG monitoring for risks RCOG Green top (14.10) Technical: Competency multiple pregnancies. guideline N0.51 for delivery by term caesarean 1,2,3 Monochorionic section and term vaginal Be able to run a multiple twin pregnancy. delivery. pregnancy skills drill that could include: Malpresentation of twin RCOG Consent 1 Advice No.7 Malpresentation of twin (2009) 2 after vaginal delivery Caesarean of twin 1. Section CTG concerns Preterm labour ECV in labour Internal podalic version Safe rotational vaginal delivery. 1,2 (14.11-14.12) (14.11-14.12) (14.11-14.12) (14.11) Non-technical: Provide Understand the indications and Be able to advise on the most RCOG Green top 1,2 appropriate information to for each form of instrumental appropriate mode of delivery guideline No.26 support informed choice for all delivery: and to explain your reasoning (2011) Operative method of delivery options. Neville Barnes forceps in a way that is easy to vaginal delivery. Kiellands forceps understand so that valid 1,2 (14.12) Technical: Competency Kiwi cup ventouse consent may be obtained. STRATOG in at least 2 of the following 3 Soft cup ventouse eLearning and 1,2,3 methods to rotate to the Metal cup ventouse including the Understand your own simulation for position: manual posterior cup. limitations for each method and
14.08) Non-technical: Formulate clear intrapartum care plans based on clear communication of all issues. (14.09) Technical: Competency for the delivery of preterm multiple pregnancy. (14.10) Technical: Competency for delivery by term caesarean section and term vaginal delivery. 1,2 1,2 Understand the influence of fetal growth restriction, discordant growth, prematurity, chorionicity and malpresentation on the recommendation and successful conduct for all modes of delivery for multiple pregnancies. Understand the role of intrapartum ultrasound and CTG monitoring for multiple pregnancies. 1,2 Be able to construct a suitable intrapartum care plan, liaising appropriately. Be able to explain the delivery options and any associated maternal and fetal risks in a manner that is easy to understand. risks Be able to run a multiple pregnancy skills drill that could include: Malpresentation of twin 1 Malpresentation of twin 2 after vaginal delivery of twin 1. CTG concerns Preterm labour ECV in labour Internal podalic version 1,2,3 NICE Clinical Guideline CG 129 Management of twin and triplet pregnancies in the antenatal period. RCOG Green top guideline N0.51 Monochorionic twin pregnancy. RCOG Consent Advice No.7 (2009) Caesarean Section Safe rotational vaginal delivery. (14.11) Non-technical: Provide appropriate information to support informed choice for all method of delivery options. (14.12) Technical: Competency in at least 2 of the following 3 methods to rotate to the position: manual 1,2 1,2 (14.11-14.12) Understand the indications and for each form of instrumental delivery: Neville Barnes forceps Kiellands forceps Kiwi cup ventouse Soft cup ventouse Metal cup ventouse including the posterior cup. 1,2 (14.11-14.12) Be able to advise on the most appropriate mode of delivery and to explain your reasoning in a way that is easy to understand so that valid consent may be obtained. Understand your own limitations for each method and 1,2,3 (14.11-14.12) RCOG Green top guideline No.26 (2011) Operative vaginal delivery. STRATOG eLearning and simulation for
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