Liver and gastrointestinal disease

When you have completed this course you will be able to:

• understand the physiological changes that occur in the GI system and liver during pregnancy
• understand how conditions/diseases of the GI system and liver can affect pregnancy
• understand how pregnancy can affect conditions/diseases of the GI system and liver
• recognise common conditions of the liver and GI system which can present in pregnancy
• arrange appropriate investigations for conditions affecting the liver and GI system in pregnancy
• understand the range of management options for conditions of the liver and GI tract in pregnancy, and when specialist multidisciplinary input is required.

Andrea Woolner (2016, 2019, 2023)
Dr Andrea Woolner MRCOG is Senior Clinical Lecturer and Honorary Consultant Obstetrician at the Aberdeen Centre for Women’s Health Research, University of Aberdeen and Aberdeen Maternity Hospital.

This course is intended to help clinicians gain core knowledge for O&G training and the MRCOG examinations. It can also be used by O&G consultants to refresh their knowledge of the area or for teaching.

The content of this course relates to the following Capabilities in Practice (CiPs) and key skills.

CiP 1: Clinical skills and patient care
All key skills covered

CiP 6: Developing self & others
Commits to continued learning

CiP 9: Emergency gynaecology and early pregnancy
Manages other early pregnancy complications

CiP 10: Emergency obstetrics
Manages pain and bleeding in pregnancy
Manages concerns about fetal wellbeing
Manages induction, augmentation of labour
Manages emergency birth, postpartum problems
Manages maternal collapse

CiP 12: Non-emergency obstetrics
Manages pre-existing medical conditions in the pregnant woman
Manages conditions arising in pregnancy
Manages complications affected by lifestyle
Supports antenatal decision making

CiP 14: Health promotion
Promotes a healthy lifestyle

Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here.

Royal College of Obstetricians & Gynaecologists. Intrahepatic Cholestasis of Pregnancy. Green-top Guideline No. 43.

Royal College of Obstetricians & Gynaecologists. Maternal Collapse in Pregnancy and the Puerperium. Green-top Guideline No. 56.

Royal College of Obstetricians & Gynaecologists. Late Intrauterine Fetal Death and Stillbirth. Green-top Guideline No. 55.