FRANZCOG interactive diagrams

Maternal adaptation to pregnancy + Nephron + diuretic sites: Maternal physiological adaptations in pregnancy, cardiovascular (CO ↑30-50%, peripheral vasodilation, BP nadir mid-trimester), haematological (physiological anaemia, hypercoagulability, platelet trends), renal (GFR ↑50%

Renin-angiotensin-aldosterone system: Hypertensive disorders of pregnancy, classification per ISSHP criteria (chronic hypertension, gestational hypertension, pre-eclampsia, eclampsia, superimposed pre-eclampsia); pathophysiology of placental maldevelopment;

Glucose homeostasis: Maternal medical conditions complicating pregnancy, diabetes mellitus (GDM OGTT diagnosis, pre-existing type 1/2 insulin regimens), thyroid disorders (hypothyroidism TSH targets, Graves' disease, fetal effects of propyl

Iron homeostasis: Haematological and thromboembolic disorders in pregnancy, iron-deficiency and haemolytic anaemias, sickle-cell disease, thalassaemia trait screening; immune thrombocytopenia (ITP vs HELLP vs TTP distinction); diagnosis

Coagulation cascade + Renin-angiotensin-aldosterone system: Specific drug classes in pregnancy, anticoagulants (LMWH dosing and monitoring, warfarin teratogenicity in first trimester, bridging strategies); antihypertensives (safety profile of methyldopa, labetalol, nifedipine; A

CTG interpretation trainer: Be able to interpret tests of fetal well-being, including cardiotocography, ultrasound, Doppler studies, and biophysical assessment

Mechanism of normal labour, cardinal movements: Normal and abnormal labour progress, definition of active first-stage labour (cervical dilatation ≥6 cm with regular contractions); cervicogram and partograph use; diagnosis of failure to progress (dilatation <1 cm/hour

CTG interpretation trainer: Intrapartum fetal surveillance, CTG interpretation using RANZCOG classification (normal/suspicious/pathological): baseline rate, variability, accelerations, decelerations (early, late, variable, prolonged); systematic R

Mechanism of normal labour, cardinal movements: Malpresentation and malposition, occipitoposterior position (diagnosis on VE, Leopold manoeuvres; manual rotation vs rotational instrumental delivery; extended pushing time allowed); transverse lie (causes, placenta pr

CTG interpretation trainer: Be able to perform and interpret fetal monitoring during labour and manage fetal heart rate abnormalities

Coagulation cascade + Acute kidney injury staging: Postpartum haemorrhage and coagulation disorders, primary PPH definition (≥500 mL vaginal birth, ≥1000 mL caesarean; any amount with haemodynamic compromise); 4 Ts aetiology and targeted management (Tone, oxytocin, erg

Fetal circulation & transition at birth + Mechanical ventilation modes: Neonatal resuscitation and immediate assessment, Apgar scoring at 1 and 5 minutes (colour, tone, grimace, respirations, heart rate; threshold for intervention not score but individual signs); NRP algorithm (stimulation,

Glucose homeostasis: Neonatal effects of maternal conditions and medications, neonate of a diabetic mother (macrosomia; hypoglycaemia, insulin clamp mechanism; polycythaemia, increased oxygen demand; hypocalcaemia; hypomagnesaemia; respir

Fetal circulation & transition at birth: Be able to resuscitate a newborn baby, including rapid clinical assessment of neonatal asphyxia, external cardiac compression of neonate and use of bag and mask ventilation

Renin-angiotensin-aldosterone system + Acute kidney injury staging: Pre-eclampsia, eclampsia, and HELLP syndrome in the acute setting, SOMANZ diagnostic criteria for severe features (BP ≥160/110, symptoms of severe PE); acute antihypertensive treatment (labetalol IV, hydralazine IV, nif

Starling capillary forces: Ovarian hyperstimulation syndrome (OHSS), pulmonary and cardiovascular critical illness, OHSS: severe and critical classification (ESHRE criteria); pathophysiology (VEGF-mediated capillary leak); management (fluid balan

V/Q distribution (West / Riley): Pulmonary embolism, anaphylaxis, and cardiac arrest in the obstetric patient, massive pulmonary embolism (haemodynamic instability: tachycardia, hypotension, right heart strain on ECG; CTPA preferred for diagnosis in st

Maternal adaptation to pregnancy: Systematic emergency team approach and haemodynamic monitoring in obstetric critical illness, emergency activation (crash call systems; team roles including recorder; documentation of times and interventions; structured

Menstrual cycle & HPO axis: Oligomenorrhoea, amenorrhoea, and the hypothalamic-pituitary-ovarian axis, normal cycle physiology (GnRH pulse frequency, FSH/LH surge, folliculogenesis, corpus luteum lifespan); hypothalamic amenorrhoea (low BMI, exerc

Menstrual cycle & HPO axis: Polycystic ovary syndrome (PCOS), ESHRE/ASRM 2023 International Evidence-based Guideline (Rotterdam criteria still diagnostic: 2 of 3: oligo/anovulation, hyperandrogenism clinical or biochemical, polycystic ovarian morp

Menstrual cycle & HPO axis: Disorders of the hypothalamic-pituitary-ovarian axis and gonadal failure, hyperprolactinaemia (prolactinoma, microadenoma <10 mm vs macroadenoma ≥10 mm; dopamine agonist cabergoline 0.5 mg weekly, MRI monitoring; surg

Hypothalamic-pituitary-adrenal axis: Androgen insensitivity, hyperandrogenism, and disorders of sex hormone synthesis, complete androgen insensitivity syndrome (CAIS: 46,XY, female external phenotype, absent or scanty pubic/axillary hair, primary amenorrho

Hypothalamic-pituitary-adrenal axis: Endocrine causes of subfertility and thyroid/adrenal disorders in reproductive medicine, thyroid disease and fertility (hypothyroidism, TSH >4 mIU/L associated with reduced fecundity, miscarriage risk; levothyroxine su

Fetal circulation & transition at birth: Describe placental physiology and maternofetal exchange including placental hormone production (hCG, hPL, progesterone, oestrogen), drug transfer principles (lipid solubility, ionisation, molecular weight, protein bindin

Coagulation cascade: Venous thromboembolism prophylaxis in obstetrics and gynaecology, risk stratification tools (Caprini score for surgical patients; RCOG/RANZCOG antenatal VTE risk stratification, at least 3 risk factors or ≥4 medium-ris

Spirometry, V-t + flow-volume loop + Glucose homeostasis: Preoperative assessment and management of medical comorbidities, preoperative assessment framework (history, examination, investigations guided by risk, NICE NG45 principles); ASA classification; cardiac risk assessmen