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This course is part of the RCOG Core Knowledge series.

The tenth MBRRACE-UK annual report of the Confidential Enquiry into Maternal Deaths and Morbidity, includes enquiries into the care of women who died between 2019 and 2021 in the UK and Ireland. Chapter 3 focusses on deaths from obstetric haemorrhage during or up to six weeks after the end of pregnancy in 2019-21 (Table 3.1). The overall mortality rate from obstetric haemorrhage is 0.80 per 100,000 maternities (95% CI 0.48-0.1.27). Although not statistically significant, this is an increase from the previous triennium. Twelve women (71%) died after a caesarean birth. The reviewers identified that improvements to care which may have made a difference to outcome in 72% of maternal deaths from this cause.

Recurring learning themes centred on recognition of the clinical signs of significant blood loss, delays in treatment associated with NHS systems under pressure and the need for situational awareness and senior leadership. Important new messages included need for specialist care for women with abnormally invasive placentation, the management of obstetric haemorrhage and around the prioritisation of emergency versus elective caesarean births.

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

  • identify the anatomy of the posterior compartment and understand the physiology of defecation
  • define the different types of posterior compartment pelvic floor dysfunction (PCPFD) and understand the pathophysiology of PCPFD
  • assess a patient with PCPFD
  • use and be able to interpret relevant investigations
  • counsel patients with PCPFD about their management
Leanne Morgan (2020, 2022)
This course is intended to help clinicians gain core knowledge for O&G training and the MRCOG examinations.

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

CiP 1: Clinical skills and patient care
Relevant to all key skills

CiP 2: Working in health organisations
Understands ethical principles

CiP 3: Leadership
Influences and negotiates
Leadership skills
Demonstrates insight
Effective use of resources

CiP 5: Human factors
Relevant to all key skills

CiP 10: Emergency obstetrics
Manages emergency birth, postpartum problems

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

Product Details:

Product Name Price
Postpartum haemorrhage - 12 Month Access £50.40

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