(15.02) Determine each -Presenting part (cephalic, breech ultrasound may also be presentation and lie for twin flexed, extended and footling as well as module. acquired in Be able to advice on the 1,2,3 pregnancy at term. shoulder presentation), women intrapartum care based upon 1,2 - Identify the landmarks of the fetal head in the third your ultrasound findings. Direct - Determine the position of the fetal trimester. (15.03) Determine the supervision on spine, placental location and amniotic presenting part in preterm or the delivery suite fluid volume. suspected preterm labour. wherever OSAT possible. (15.04) Locate fetal heart beat 1,2 (15.04) (15.04) intrapartum Be able to confirm and appropriately Be able to explain the findings (15.01-15.07) 1,2 1,2,3 These skills may record intrapartum fetal viability. in a manner that is easy to also be acquired understand. through ultrasound assessments in (15.05) Confirmation of 1,2 (15.05) (15.05) non-labouring intrauterine fetal demise. Be able to rapidly and accurately On confirmation of the 1,2 1,2,3 women during determine the activity of the fetal heart diagnosis be able to explain the third within the fetal chest and whether a fetal the findings in a sympathetic trimester. heartbeat is present. Recognise the manner and advise on a ultrasound features of intrauterine suitable and safe management demise and record plan. (15.06) Intrapartum Identification 1,2 (15.06 -15.07) (15.06-15.07) of occipital-anterior presentation. Understand how ultrasound may be Be able to correctly orientate 1,2 1,2 used to augment and confirm the the probe so that the clinical findings of abdominal palpation intrapartum orientation of the (15.07) Intrapartum identification 1,2 and vaginal examination. fetal occiput can be correctly of occipito-posterior determined. presentation. Recognise the necessary landmarks: 1,2 intracranial (midline echo, thalami, head shape) and extracranial (position of the ears, eyes, nose and fetal spine) so that the attitude of the fetal head and the position of the occiput may be determined.
(15.02) Determine each presentation and lie for twin pregnancy at term. (15.03) Determine the presenting part in preterm or suspected preterm labour. 1,2 -Presenting part (cephalic, breech flexed, extended and footling as well as shoulder presentation), - Identify the landmarks of the fetal head - Determine the position of the fetal spine, placental location and amniotic fluid volume. Be able to advice on the intrapartum care based upon your ultrasound findings. ultrasound module. Direct supervision on the delivery suite wherever possible. (15.01-15.07) These skills may also be acquired through ultrasound assessments in non-labouring women during the third trimester. may also be acquired in women in the third trimester. OSAT (15.04) Locate fetal heart beat intrapartum 1,2 (15.04) Be able to confirm and appropriately record intrapartum fetal viability. 1,2 (15.04) Be able to explain the findings in a manner that is easy to understand. (15.05) Confirmation of intrauterine fetal demise. 1,2 (15.05) Be able to rapidly and accurately determine the activity of the fetal heart within the fetal chest and whether a fetal heartbeat is present. Recognise the ultrasound features of intrauterine demise and record 1,2 (15.05) On confirmation of the diagnosis be able to explain the findings in a sympathetic manner and advise on a suitable and safe management plan. (15.06) Intrapartum Identification of occipital-anterior presentation. (15.07) Intrapartum identification of occipito-posterior presentation. 1,2 1,2 (15.06 -15.07) Understand how ultrasound may be used to augment and confirm the clinical findings of abdominal palpation and vaginal examination. Recognise the necessary landmarks: intracranial (midline echo, thalami, head shape) and extracranial (position of the ears, eyes, nose and fetal spine) so that the attitude of the fetal head and the position of the occiput may be determined. 1,2 1,2 (15.06-15.07) Be able to correctly orientate the probe so that the intrapartum orientation of the fetal occiput can be correctly determined. 1,2 1,2,3 1,2,3 1,2,3
advanced-labour-ward-practice-atsm-2018.docx