Obstetrics & Gynaecology Pathways

Diagnosis, antihypertensive therapy, and timing of delivery for pre-eclampsia

Diagnosis and management — expectant, methotrexate, or surgical based on clinical stability

Primary PPH management — uterotonic escalation, surgical and interventional options

EPAS management of early pregnancy loss — expectant, medical, and surgical options

Indications, methods, and monitoring for induction of labour

Haemorrhage after 24 weeks — differential of placenta praevia, abruption, and unexplained bleeding with emergency management

Recognition and structured management of shoulder dystocia using the HELPERR mnemonic

Emergency management of umbilical cord prolapse to prevent fetal hypoxia

Recognition and early management of sepsis in pregnancy and the puerperium using obstetric sepsis bundles

Management of breech at term — ECV, planned CS, and criteria for vaginal breech birth

Diagnosis, antibiotic prophylaxis, corticosteroids, and gestational-age-based management of PPROM

Assessment and management of reduced fetal movements from 24 weeks gestation

Classification of perineal tears after vaginal delivery and principles of surgical repair

Diagnosis and treatment of DVT and pulmonary embolism in pregnancy and the puerperium

Classification and management of OHSS complicating assisted reproduction

Diagnosis and management of clinical chorioamnionitis — antibiotic therapy, delivery planning, and neonatal care

Indications, prerequisites, instrument selection, and management of failed OVD

External Cephalic Version clinical pathway.

Vasa Praevia clinical pathway.

Placenta Praevia and Placenta Accreta Spectrum clinical pathway.

Retained Placenta clinical pathway.

Uterine Inversion clinical pathway.

Twin-to-Twin Transfusion Syndrome clinical pathway.

Gestational Trophoblastic Disease clinical pathway.

Postpartum Psychosis clinical pathway.

Polycystic Ovary Syndrome (GTG 33) clinical pathway.

Premenstrual Syndrome (GTG 48) clinical pathway.

Menopause clinical pathway.

Urinary Incontinence clinical pathway.

Pelvic Organ Prolapse clinical pathway.

Vulval Conditions clinical pathway.

Maternity Triage (BSOTS Algorithms) clinical pathway.

RCOG Green-top 69 — PUQE score, exclude alternatives, IV fluids + thiamine + antiemetics, admission criteria.

NICE NG3 — risk factor screening, OGTT, diet → metformin → insulin, fetal monitoring, postnatal review.

Haemolysis + Elevated Liver enzymes + Low Platelets — variant of pre-eclampsia, magnesium sulphate, BP control, definitive delivery.

Sudden cardiovascular collapse + DIC + fetal distress in labour / immediate postpartum — supportive ALS, blood products, deliver if possible.

RCOG GTG 36 — risk-based intrapartum antibiotic prophylaxis to prevent early-onset GBS disease.

NICE NG73 — clinical / imaging diagnosis, hormonal therapy, surgical management for refractory / fertility.

NICE NG88 — workup (PALM-COEIN), medical first (LNG-IUS, TXA, NSAIDs, hormonal), surgical for refractory.

NHS Cervical Screening Programme — HPV-primary screening, colposcopy referral pathway, treatment of CIN.

NICE CG156 — when to investigate, comprehensive workup couple, NHS-funded IVF eligibility.

RCOG / Abortion Act 1967 — eligibility, gestational thresholds, medical (mifepristone + misoprostol) vs surgical, contraception + aftercare.