Safely manage PPH. (14.15) Non-technical: (14.15-14.18) (14.15-14.18) (14.15-14.18) Demonstrate good Understand the factors that predispose Be able to rapidly assess the NICE Clinical 1,2 1,2 communication skills and the to PPH and how these risks may be extent of haemorrhage and Guideline CG190 use of MDT. minimised. institute appropriate (2014) resuscitative measures. Intrapartum 1,2 1,2 (14.16) Technical: Acute Care. Understand the consequences of resuscitation and medication for massive acute PPH and how the Ability to lead the team for all 1,2,3 PPH situation may be investigated and aspects of PPH including the RCOG Green top monitored. acute maternal resuscitation, guideline No.52 1,2 1,2 (14.17) Technique: Uterine investigation and subsequent (2009) balloon tamponade. management. Prevention and Understand the role of the MDT for management massive PPH. 1,2 1,2 PPH. (14.18) Technical: B Lynch Be able to run skills drill for suture technique. primary PPH incorporating: Understand the surgical management of - uterine atony RCOG Good PPH: intrauterine balloon, brace suture - inverted uterus Practice internal iliac ligation hysterectomy and - adherent placenta Guideline No.6 interventional radiology (vascular - uterine rupture (2007) The role balloons and coils). 1,2 of emergency and elective Be able to debrief all involved Understand the medical management of interventional and communicate effectively in PPH: oxytocin, ergometrine, 15 1,2,3 radiology in a manner that can be easily F2, misoprostol, and PPH. understood. recombinant factor VIIa. Observation of and discussion with senior medical staff Appropriate postgraduate courses (Management of the Labour Ward
Safely manage PPH. (14.15) Non-technical: Demonstrate good communication skills and the use of MDT. (14.16) Technical: Acute resuscitation and medication for PPH (14.17) Technique: Uterine balloon tamponade. (14.18) Technical: B Lynch suture technique. 1,2 1,2 1,2 (14.15-14.18) Understand the factors that predispose to PPH and how these risks may be minimised. Understand the consequences of massive acute PPH and how the situation may be investigated and monitored. Understand the role of the MDT for massive PPH. Understand the surgical management of PPH: intrauterine balloon, brace suture internal iliac ligation hysterectomy and interventional radiology (vascular balloons and coils). Understand the medical management of PPH: oxytocin, ergometrine, 15 F2, misoprostol, and recombinant factor VIIa. 1,2 1,2 1,2 1,2 1,2 (14.15-14.18) Be able to rapidly assess the extent of haemorrhage and institute appropriate resuscitative measures. Ability to lead the team for all aspects of PPH including the acute maternal resuscitation, investigation and subsequent management. Be able to run skills drill for primary PPH incorporating: - uterine atony - inverted uterus - adherent placenta - uterine rupture Be able to debrief all involved and communicate effectively in a manner that can be easily understood. 1,2 1,2,3 (14.15-14.18) NICE Clinical Guideline CG190 (2014) Intrapartum Care. RCOG Green top guideline No.52 (2009) Prevention and management PPH. RCOG Good Practice Guideline No.6 (2007) The role of emergency and elective interventional radiology in PPH. Observation of and discussion with senior medical staff Appropriate postgraduate courses (Management of the Labour Ward 1,2,3
advanced-labour-ward-practice-atsm-2018.docx