Obstetrics

CPD modules: Obstetrics

You are free to download, print and study the modules. Once you have completed your reading come back and take the multichoice test. If you obtain a pass mark of over 80% you will have the option of printing out a certificate of completion.

Changes in Pregnancy Relevant to Anaesthesia

Pregnancy causes major physiological changes to the mother’s body. An understanding of these changes is the key to safe obstetric anaesthesia. The causes of these changes are initially hormonal; metabolic and mechanical factors also contribute as the fetus develops.
Length of Study: 60 min
Difficulty: Medium

Placental Abruption

Placental abruption is defined as separation of the placenta from the decidua basalis before delivery of the fetus. It is extremely serious and potentially fatal.
Length of Study: 60 min
Difficulty: Easy

An urgent call to the labour ward

Emergencies on the labour ward may have obstetric, anaesthetic, or general medical causes. This module covers the most common emergencies on the ward and what the response should be.
Length of Study: 90 min
Difficulty: Easy

Management of Major Obstetric Haemorrhage

Major obstetric haemorrhage is a common cause of maternal morbidity and mortality and the recognition of major obstetric haemorrhage can be challenging. This module discusses it causes, symptoms and importantly anaesthetic management of cases.
Length of Study: 75 min
Difficulty: Medium

Difficult and failed intubation in obstetrics

Obstetric general anaesthesia is associated with a number of deleterious effects and it has long been recognised that airway management can be challenging and tracheal intubation more likely to fail. This module covers whys, hows and what to do when it goes wrong.
Length of Study: 75 min
Difficulty: Medium

Pre-eclampsia and Anaesthetics

Pre-eclampsia is a pregnancy complication characterised by high blood pressure and signs of damage to another organ system, often the kidneys. Left untreated, pre-eclampsia can lead to serious even fatal complications for both mother and baby and the only cure is delivery.
Length of Study: 60 min
Difficulty: Easy

When Anaesthetics Go Wrong

This one is a little different. There is no test at the end. The video is the story of Elaine Bromiley who died while under anaesthetic for a routine elective surgical procedure. Viewing this is a must for anyone working in the operating theatre and it is perfect to write up as an example of reflective practice. The PDF is an anonymous version of an Independent Report on the death of Elaine Bromiley.
Length of video: 15 minutes
  

Amniotic Fluid Embolism

Amniotic Fluid Embolism (AFE) is a rare but potentially fatal syndrome that is unique to pregnancy. AFE has emerged as one of the leading causes of direct maternal death within developed countries such as Australia, the UK and the USA.
This module discusses AFE, its presentation, diagnosis and treatment.
Length of Study:  60 min
Difficulty: Difficult

Post dural puncture headache

Post dural puncture headache is unpleasant, it may interfere with a new mother’s
ability to care for her newborn and it may extend the length of hospital stay. This module covers both prevention and treatment options.
Length of Study:  60 min
Difficulty: Easy

Enhanced Recovery From Surgery (ERAS)

Enhanced recovery is a modern evidence-based approach that helps people recover more quickly after having major surgery.  Many hospitals – although not all – have enhanced recovery programmes in place, and it’s becoming standard practice following surgery for many procedures.
Length of Study: 75 min
Difficulty: Medium

Spinal Anaesthesia

This module covers the relevant anatomy, physiology and pharmacology of safe and satisfactory spinal anaesthesia.
Length of Study: 90 min
Difficulty: Medium