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Resources for MRCPI OSCE (Obs/ Gynae)
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پستهای کانال
| 2 |  بدون متن... | 73 |
| 3 |  بدون متن... | 79 |
| 4 |  بدون متن... | 76 |
| 5 |  بدون متن... | 77 |
| 6 |  📣 MRCPI OSCE GOLDEN COURSE starting Today
🏅 November 2026 Batch 🏅
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🎯 This course is designed to help you:
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📲 WhatsApp:
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🌐 Website:
www.emrcog.com | 179 |
| 7 | VBAC HomeBirth Station v2.pdf | 230 |
| 8 | 🌟 OSCE Tips for Candidates: Negotiation Stations (High-Risk Obstetric Case Requesting Home Birth)
Negotiation stations test your communication, shared decision-making, risk discussion, respect for autonomy, and ability to achieve a safe plan without conflict.
Use the following structured approach:
⸻
1️⃣ Start With the Right Attitude
✔ Calm
✔ Non-judgemental
✔ Supportive
✔ Respectful of patient wishes
Never dismiss the patient’s request immediately.
Start by understanding why she wants a home birth.
⸻
2️⃣ Build Rapport & Set the Scene
Candidate:
“Thank you for sharing your thoughts. I’d like to understand what is important to you and then we can look at your options together.”
💡 Shows empathy, partnership, and respect.
⸻
3️⃣ Explore the Patient’s Reasons (Open Questions)
Ask before you give medical advice.
Examples:
• “Can you tell me what makes you prefer a home birth?”
• “What was your experience like last time?”
• “What are you hoping to avoid or achieve this time?”
💡 This will guide your counselling and reduce patient resistance.
⸻
4️⃣ Acknowledge & Validate Concerns
Patients become defensive if they feel dismissed.
Use phrases like:
• “I can see why you feel this way.”
• “Many women feel similarly after a difficult previous birth.”
• “Your wish for a calmer birth is completely understandable.”
💡 This builds trust and opens the door for negotiation.
⸻
5️⃣ Explain the Medical Risk Clearly (in Lay Terms)
Use simple, calm, non-frightening language.
For example in a previous CS case:
• “Because of the scar on the womb, there is a small risk that it could open during labour.”
• “If that happens, it can affect you and the baby very quickly.”
• “To keep you both safe, we need continuous monitoring and immediate access to help.”
💡 Do NOT use scientific jargon (e.g., “uterine rupture rate 0.5–1%” unless the patient asks).
⸻
6️⃣ State the Hospital Recommendation
Be clear but not authoritarian.
Candidate:
“Because of your previous caesarean, a home birth would not be safe.
My strong recommendation is a hospital birth ,where you can still aim for a natural VBAC, but with safety backup.”
💡 Be firm but kind.
⸻
7️⃣ Offer Safe Alternatives (KEY in Negotiation Stations)
Examples:
• Calm birthing room
• Low-intervention approach
• Water labour (if allowed)
• Detailed birth plan respecting her wishes
• Doula involvement
• Early discussion with midwife-led team
💡 This shows you respect autonomy while guiding toward safety.
⸻
8️⃣ Use Shared Decision-Making
Ask:
• “How does this sound to you?”
• “What part of the hospital experience worries you most?”
• “Shall we design a birth plan together that meets your wishes as much as possible?”
💡 This reduces confrontation.
⸻
9️⃣ Address Misconceptions Gently
Do NOT argue or blame.
If she says:
“I heard VBAC is safer at home.”
You reply:
“I can see where that idea may come from, but the best evidence we have shows the safest place is in hospital, because we can act immediately if the scar shows signs of giving way.”
💡 Correct misinformation respectfully.
⸻
🔟 Summarise & Agree on a Plan
Candidate:
“So to summarise, I completely understand why you want a calm and natural birth.
The safest place for you and the baby “because of your scar” is the hospital.
We can still support your preferences and design a detailed birth plan.
Would that be acceptable to you?”
⸻
🔶 Bonus Tips: How Candidates Lose Marks
❌ Giving medical advice before exploring concerns
❌ Sounding authoritarian (“You cannot have that”)
❌ Using frightening phrases (“You could die if you stay at home”)
❌ Not showing empathy
❌ Not offering alternatives
❌ Not checking understanding
❌ Not providing safety netting
⸻
🔷 Bonus Tips: How to Score Distinction
⭐ Start with empathy
⭐ Explore reasons before giving advice
⭐ Use clear lay explanations
⭐ Show respect for autonomy
⭐ Offer realistic alternatives
⭐ Build a shared plan
⭐ Demonstrate calm and professional communication
⭐ Ensure safety while preserving patient trust | 239 |
| 9 |  Top 10 Exam Facts to Memorise
⭐ Water birth only for normal-risk pregnancies
⭐ Singleton, cephalic, 37–42 weeks
⭐ BMI ≤35 kg/m²
⭐ Pool temperature 35–37°C in labour
⭐ Never exceed 37.5°C
⭐ Wait ≥2 hours after pethidine
⭐ VE and ARM performed outside pool
⭐ If vertex visible and woman stands up → birth out of water
⭐ Do not routinely check for nuchal cord
⭐ Active management of third stage is recommended | 255 |
| 10 | 📕New case of counselling
for the new guideline of water birth 📚 | 238 |
| 11 |  بدون متن... | 224 |
| 12 |  4️⃣ Expedite delivery
Prepare for immediate birth by the fastest safe route. This is usually Category 1 Caesarean section, although assisted vaginal birth may be appropriate if birth is imminent.
5️⃣ Target <30 minutes
Aim for a diagnosis-to-delivery interval of less than 30 minutes.
6️⃣ Debrief and document
• Cord gases
• Clinical documentation and incident reporting
• Parent debrief
• Staff debrief
🎯 Clinical Pearl
The first life-saving intervention is not the Caesarean section. It is immediate relief of cord compression while preparations for delivery are underway.
📚 HSE & RCPI National Clinical Practice Guideline 2026
Rabaa Abdul
MBBCh, DOWH (RCPI), MRCOG (UK), MRCPI (Ireland)
Chief Mentor, eMRCOG & eMRCPI
🌐 www.emrcog.com | 252 |
| 13 | 4️⃣ Expedite delivery
Prepare for immediate birth by the fastest safe route. This is usually Category 1 Caesarean section, although assisted vaginal birth may be appropriate if birth is imminent.
5️⃣ Target <30 minutes
Aim for a diagnosis-to-delivery interval of less than 30 minutes.
6️⃣ Debrief and document
• Cord gases
• Clinical documentation and incident reporting
• Parent debrief
• Staff debrief
🎯 Clinical Pearl
The first life-saving intervention is not the Caesarean section. It is immediate relief of cord compression while preparations for delivery are underway.
📚 HSE & RCPI National Clinical Practice Guideline 2026
Rabaa Abdul
MBBCh, DOWH (RCPI), MRCOG (UK), MRCPI (Ireland)
Chief Mentor, eMRCOG & eMRCPI
🌐 www.emrcog.com | 197 |
| 14 |  🚨 Cord Prolapse: Step-by-Step Approach to Save Lives
1️⃣ Recognise immediately
Think cord prolapse if ruptured membranes + sudden fetal bradycardia or abnormal CTG. Confirm with vaginal examination.
2️⃣ Call for help
Activate the obstetric emergency team. Involve senior obstetrician, anaesthetist, neonatologist, senior midwife and theatre staff. Use ISBAR communication.
3️⃣ Relieve cord compression
✅ Manually elevate the presenting part.
✅ Position the woman:
• Knee-chest (Trendelenburg)
• Exaggerated Sims position | 169 |
| 15 |  📌 Clinical Update 2026
Umbilical Cord Prolapse
(HSE & RCPI National Guideline 2026)
🔹 Definitions
• Cord prolapse = descent of the umbilical cord beyond the presenting part.
• May be overt (visible/palpable below presenting part) or occult (alongside presenting part).
🔹 Important Risk Factors
• Non-cephalic presentation
• PPROM
• Polyhydramnios
• Unengaged presenting part
• Multiple pregnancy
• Obstetric interventions:
Amniotomy
Balloon catheter induction
Fetal scalp electrode
Intrauterine pressure catheter
External cephalic version after membrane rupture
🔹 New Recommendations
✅ Consider hospital admission after 37 weeks in women at high risk of cord prolapse.
✅ Women with PPROM and non-cephalic presentation should be managed as inpatients.
✅ Routine ultrasound screening for cord presentation is NOT recommended.
🔹 Diagnosis
Suspect cord prolapse when:
• Membranes are ruptured AND
• Sudden fetal bradycardia or abnormal CTG occurs.
Immediate vaginal examination is recommended to confirm or exclude the diagnosis.
🔹 Emergency Management
Call for help immediately.
Elevate the presenting part manually.
Position the woman:
Knee-chest (Trendelenburg)
Exaggerated Sims position
Continuous fetal monitoring where possible.
Prepare for immediate delivery.
🔹 Key Update
Bladder filling may be considered when immediate access to theatre is unavailable or when diagnosis-to-delivery interval is expected to exceed 30 minutes.
🔹 Tocolysis
⚠️ Not recommended as first-line management.
⚠️ Be aware of the risk of uterine atony.
🔹 Delivery
• Aim for diagnosis-to-delivery interval <30 minutes.
• Caesarean section is usually required.
• Assisted vaginal birth may be appropriate if birth is imminent.
🔹 Communication
The guideline strongly recommends use of ISBAR communication during the emergency.
🔹 After Birth
• Paired cord gases
• Clinical incident documentation
• Debriefing of parents
• Debriefing of staff
🎯 Exam Pearls
PPROM + Breech = Inpatient management.
Abnormal CTG after ROM = Think cord prolapse.
First action after diagnosis = Relieve cord compression by elevating the presenting part.
Tocolysis is NOT first-line treatment.
Target diagnosis-to-delivery interval = Less than 30 minutes. | 172 |
| 16 | بدون متن... | 137 |
| 17 | Irish Guideline Umbilical Cord Prolapse QSD_2026.pdf | 145 |
| 18 |  🎉 Heartfelt Congratulations to Dr. Kary Fub Mullis! 🎉
We are delighted to celebrate the outstanding achievement of Dr. Kary Fub Mullis on successfully passing the MRCOG Part 3 Examination (May 2026) and becoming eligible for Membership of the Royal College of Obstetricians and Gynaecologists.
This accomplishment reflects years of dedication, perseverance, clinical excellence, and commitment to women’s healthcare. Achieving MRCOG membership is a significant milestone that opens new opportunities for professional growth, leadership, and contribution to the field of Obstetrics and Gynaecology.
May this success be the beginning of many more achievements in your career. We wish you continued excellence, fulfilment, and success in every step of your professional journey.
🌟 Congratulations on joining the global community of MRCOG members! 🌟
With best wishes,
Dr. Rabaa Abdul
Chief Mentor, eMRCOG
🌐 www.emrcog.com
#MRCOG #MRCOGPart3 #RCOG #Congratulations #WomenInMedicine #Obstetrics #Gynaecology #eMRCOG #MedicalEducation #SuccessStory | 172 |
| 19 |  🏆 Celebrating Excellence! Our Top Achiever in MRCOG Part 3 – May 2026 🏆
A huge congratulations to Dr. Kudzanai Mwaramba on achieving an outstanding 80% and securing the Top Score in the MRCOG Part 3 Examination.
This remarkable achievement is a testament to exceptional dedication, perseverance, and commitment to excellence. Reaching the top is never easy, and your success reflects the countless hours of preparation and hard work invested throughout your journey.
We are incredibly proud of your achievement and honoured to have been part of your success story.
🌟 Congratulations, Dr. Kudzanai! You have set a benchmark of excellence and inspired many future candidates. 🌟
#TopAchiever #MRCOGPart3 #MRCOG #TopScore #FutureLeader #eMRCOG | 142 |
| 20 | I passed on first attempt (80%), thank you Dr Rabaa for a memorable journey both part 2 and 3 with you | 159 |
