Respiratory disease
Provided by Royal College of Obstetricians and Gynaecologists
About the course
This course is part of the RCOG Core Knowledge series.
Respiratory disease, particularly asthma, is common in women of childbearing age. In addition, the majority of women experience shortness of breath during pregnancy. This is thought to be due to the effects of progesterone and usually does not limit normal activities. It is important to understand the physiological changes of pregnancy in order to recognise abnormal symptoms and to interpret clinical and laboratory findings.
This course is intended to cover the knowledge for the Core Curriculum, but will also outline some additional content relevant to advanced and subspecialist trainees. Note that pulmonary embolism is covered in detail in the Haematological disorders course.
When you have completed this course, you will be able to:
- use knowledge of the anatomical and physiological changes of the respiratory system to interpret investigations in the context of pregnancy and to determine the impact of pregnancy on pre-existing respiratory disease
- manage the following diseases in pregnancy including, where relevant, pre-conception care, antenatal, intrapartum and postnatal care, in conjunction with appropriate specialists: asthma, infection (including tuberculosis), adult respiratory distress syndrome (ARDS) and aspiration syndrome
- for advanced trainees, this should also include cystic fibrosis, restrictive lung disease and pneumothorax.
Dr Fran Hills MRCOG (2013, 2016, 2022)
Dr Hills is a Consultant Obstetrician at Univeristy Hospitals of Leicester. She has special interests in maternal medicine. Perinatal mental health and medical education.
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 5: Human factors
Team working
CiP 6: Developing self & others
Commits to continued learning
CiP 9: Emergency gynaecology and early pregnancy
Manages acute infections
Manages complications of treatment
CiP 10: Emergency obstetrics
Manages concerns about fetal wellbeing
Manages labour
Manages intrapartum fetal surveillance
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
Supports antenatal decision making
Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here .
Couillard S, Connolly C, Borg C, Pavord I. Asthma in pregnancy: An update. Obstetric Medicine 2021;14:135-144 .
Raveendran A, Keepanasseril A, Kumar Balu A, Shetty A, Chetty M. Tuberculosis in pregnancy. The Obstetrician and Gynaecologist 2023;25(3):175–85.
Royal College of Obstetricians and Gynaecologists. Coronavirus (COVID-19), infection in pregnancy. London: RCOG; 2022.
Vause S, Clarke B, Thorne S, James R, Lucas S, Youd E, et al. Lessons on cardiovascular disease. In: Knight M, Nair M, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care - lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2016-18. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2020.
National Institute for Health and Care Excellence. Intrapartum Care for Women with Existing Medical Conditions or Obstetric Complications and their Babies. NG121. NICE; 2019.
Product Details: Product Name Price Respiratory disease - 12 Month Access £50.40 Login to purchase
| Product Name | Price | |
| Respiratory disease - 12 Month Access | £50.40 | Login to purchase |
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