Gynaecological emergencies

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About the course

This course is part of the RCOG Core Knowledge series.

Gynaecological emergencies form a large proportion of the workload of a gynaecologist. Diagnosis and treatment of gynaecological emergencies have progressed markedly in the light of evidence-based practice and accurate diagnostic tools. Combined with a good clinical assessment, this allows for appropriate management.

Where possible, management is often conservative for conditions such as ovarian cyst haemorrhage, torsion and pelvic infection, to minimise the exposure to surgery and minimise future fertility problems. This tutorial will cover non-pregnancy-related conditions presented to the gynaecologist in an emergency setting. It outlines the increasing use of minimal access surgery, which improves recovery from many emergency conditions.

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

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

  • understand the epidemiology, aetiology, biological behaviour, pathophysiology, clinical characteristics, prognostic features and management of emergency gynaecological problems
  • understand the role of ultrasound in the diagnosis and monitoring of women in the emergency gynaecological setting
  • perform or instigate appropriate investigations
  • demonstrate understanding of laparoscopic surgery in management of common gynaecological emergencies
  • counsel patients sensitively about their condition and prognosis in the emergency gynaecology setting
  • explain the nature, complications and side effects of emergency medical and surgical treatments.

Dr Alice Main (2023)
Dr Alice Main is an obstetrics and gynaecology ST5 registrar working in NHS Lothian. She is currently undertaking the Scottish Clinical Leadership Fellow with NHS Education for Scotland and the Scottish Government Health Workforce Directorate.

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 3: Leadership
Demonstrates insight
Manages stress and fatigue
Effective use of resources,

CiP 4: Quality improvement
All key skills covered

CiP 5: Human factors
All key skills covered

CiP 6: Developing self & others
Commits to continued learning
Develops people
Provides pastoral care
Performance management

CiP 7: Innovation and research
Critical thinking

CiP 8: Educator
Effective teaching
Interprofessional learning
Supervises and appraises

CiP 9: Emergency gynaecology and early pregnancy
All key skills covered

CiP 11: Non-emergency gynaecology and early pregnancy
Manages abnormal vaginal bleeding
Manages pelvic and vulval bleeding
Manages pelvic masses
Manages suspected cancer symptoms

CiP 13: Non-discrimination and inclusion
All key skills covered

CiP 14: Health promotion
Promotes a healthy lifestyle
Promotes illness prevention,
Aware of globalisation of healthcare

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

Royal College of Obstetricians and Gynaecologists. Diagnosis and Management of Ectopic Pregnancy. Green-top Guideline No. 21 .

Royal College of Obstetricians and Gynaecologists. Gestational Trophoblastic Disease. Green-top Guideline No. 38 .

National Insitute for Health and Care Excellence. Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management. NICE Guideline [NG126] .

British Association for Sexual Health and HIV. UK National Guideline for the Management of Pelvic Inflammatory Disease.

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