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About the course

This course is part of the RCOG Core Knowledge series.

This course outlines the physiological changes to the maternal pituitary, adrenal and thyroid hormones in pregnancy. The aim is to provide information on the characteristics, management options and fetal and maternal hazards for the most common causes of pituitary, adrenal and thyroid dysfunction.

Course overview Authors Audience Capabilities in Practice (CiPs) Related guidelines

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

  • the physiological changes to maternal pituitary hormones in pregnancy
  • prolactinoma, hypopituitarism, acromegaly, Cushing syndrome and diabetes insipidus in pregnancy
  • the physiological changes to maternal adrenal hormones in pregnancy
  • Addison's disease, acute adrenal failure, congenital adrenal hyperplasia and pheochromocytoma in pregnancy
  • the physiological changes to maternal and foetal thyroid hormones in pregnancy
  • the maternal and foetal risks associated with thyroid disorders in pregnancy
  • the assessment, antibodies and therapy for thyroid dysfunction in pregnancy.

Dr Charlotte Hickson MRCOG (2024)

Charlotte Hickson is a specialty registrar in the East Midlands North deanery. Her interests are maternal medicine and foetal care.

Dr Dipanwita Kapoor (2016, 2019)

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
Relevant to all key skills CiP 1

CiP 6: Developing self & others
Commits to continued learning
Manages other early pregnancy complications

CiP 10: Emergency obstetrics
Manages concerns about fetal wellbeing
Manages suspected pre-term labour/SROM
Manages labour
Manages intrapartum fetal surveillance
Manages induction, augmentation of labour
Manages emergency birth, postpartum problems
Manages maternal collapse
Manages pre-existing medical conditions in the pregnant woman

CiP 12: Non-emergency obstetrics
Manages conditions arising in pregnancy
Manages fetal concerns
Supports antenatal decision making
Manages complications affected by lifestyle
Manages a postnatal consultation

CiP 13: Non-discrimination and inclusion
Awareness of social wellbeing
Mental and physical health associations

CiP 14: Health promotion
Promotes a healthy lifestyle
Promotes illness prevention

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

National Institute for Health and Care Excellence. Intrapartum Care for Women with Existing Medical Conditions or Obstetric Complications and their Babies. NG121. London: NICE; 2019.


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