Obstetrics & Gynaecology Pathways
42 pathways
Work through 42 interactive obstetrics & gynaecology decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.
- Pre-eclampsia ManagementDiagnosis, antihypertensive therapy, and timing of delivery for pre-eclampsiaNICE NG133 2019
- Ectopic PregnancyDiagnosis and management — expectant, methotrexate, or surgical based on clinical stabilityNICE CG154 / RCOG GTG 21
- Postpartum HaemorrhagePrimary PPH management — uterotonic escalation, surgical and interventional optionsRCOG GTG 52 2016
- Miscarriage ManagementEPAS management of early pregnancy loss — expectant, medical, and surgical optionsNICE NG126 2019
- Induction of LabourIndications, methods, and monitoring for induction of labourNICE NG207 2021
- Antepartum Haemorrhage (APH)Haemorrhage after 24 weeks — differential of placenta praevia, abruption, and unexplained bleeding with emergency managementRCOG GTG 63 2011
- Shoulder DystociaRecognition and structured management of shoulder dystocia using the HELPERR mnemonicRCOG GTG 42 2012
- Cord ProlapseEmergency management of umbilical cord prolapse to prevent fetal hypoxiaRCOG GTG 50 2014
- Maternal SepsisRecognition and early management of sepsis in pregnancy and the puerperium using obstetric sepsis bundlesRCOG GTG 64a 2012 / MBRRACE-UK
- Breech Presentation ManagementManagement of breech at term — ECV, planned CS, and criteria for vaginal breech birthRCOG GTG 20b 2017
- Preterm Prelabour Rupture of Membranes (PPROM)Diagnosis, antibiotic prophylaxis, corticosteroids, and gestational-age-based management of PPROMRCOG GTG 73 2019
- Reduced Fetal Movements (RFM)Assessment and management of reduced fetal movements from 24 weeks gestationRCOG GTG 57 2011
- Perineal Trauma Classification & RepairClassification of perineal tears after vaginal delivery and principles of surgical repairRCOG GTG 29 2015 / OASI Bundle
- VTE in PregnancyDiagnosis and treatment of DVT and pulmonary embolism in pregnancy and the puerperiumRCOG GTG 37a 2015
- Ovarian Hyperstimulation Syndrome (OHSS)Classification and management of OHSS complicating assisted reproductionRCOG GTG 5 2016 / ESHRE
- Chorioamnionitis (Intra-amniotic Infection)Diagnosis and management of clinical chorioamnionitis — antibiotic therapy, delivery planning, and neonatal careRCOG / ACOG Practice Bulletin 712
- Operative Vaginal Delivery (OVD)Indications, prerequisites, instrument selection, and management of failed OVDRCOG GTG 26 2020
- External Cephalic VersionExternal Cephalic Version clinical pathway.RCOG — GTG 20a
- Vasa PraeviaVasa Praevia clinical pathway.RCOG — GTG 27b
- Placenta Praevia and Placenta Accreta SpectrumPlacenta Praevia and Placenta Accreta Spectrum clinical pathway.RCOG — GTG 27a
- Retained PlacentaRetained Placenta clinical pathway.RCOG — GTG 52
- Uterine InversionUterine Inversion clinical pathway.RCOG — GTG 52
- Twin-to-Twin Transfusion SyndromeTwin-to-Twin Transfusion Syndrome clinical pathway.RCOG; Fetal Medicine Society — GTG 51
- Gestational Trophoblastic DiseaseGestational Trophoblastic Disease clinical pathway.RCOG; Charing Cross GTN — GTG 38
- Postpartum PsychosisPostpartum Psychosis clinical pathway.RCOG; RCPsych — Best Practice
- Polycystic Ovary Syndrome (GTG 33)Polycystic Ovary Syndrome (GTG 33) clinical pathway.RCOG; ESHRE; NICE — RCOG GTG 33 (2014), NICE CKS PCOS
- Premenstrual Syndrome (GTG 48)Premenstrual Syndrome (GTG 48) clinical pathway.RCOG; NAPS — RCOG GTG 48 (2017)
- MenopauseMenopause clinical pathway.NICE; RCOG; BMS — NICE NG23 (updated 2024), BMS Recommendations
- Urinary IncontinenceUrinary Incontinence clinical pathway.NICE; RCOG; ICS — NICE NG123 (updated 2025)
- Pelvic Organ ProlapsePelvic Organ Prolapse clinical pathway.NICE; RCOG; ICS — NICE NG123 (updated 2025)
- Vulval ConditionsVulval Conditions clinical pathway.RCOG; BSSVD; BAD — RCOG/BSSVD Guidelines
- Maternity Triage (BSOTS Algorithms)Maternity Triage (BSOTS Algorithms) clinical pathway.RCOG; NHS England; CMACE — RCOG GPP No.17 (2023), BSOTS
- Hyperemesis GravidarumRCOG Green-top 69 — PUQE score, exclude alternatives, IV fluids + thiamine + antiemetics, admission criteria.RCOG Green-top 69 (2016)
- Gestational DiabetesNICE NG3 — risk factor screening, OGTT, diet → metformin → insulin, fetal monitoring, postnatal review.NICE NG3 (2015)
- HELLP SyndromeHaemolysis + Elevated Liver enzymes + Low Platelets — variant of pre-eclampsia, magnesium sulphate, BP control, definitive delivery.RCOG; ACOG
- Amniotic Fluid EmbolismSudden cardiovascular collapse + DIC + fetal distress in labour / immediate postpartum — supportive ALS, blood products, deliver if possible.RCOG; UK AFE Register
- Group B Streptococcus Prophylaxis in LabourRCOG GTG 36 — risk-based intrapartum antibiotic prophylaxis to prevent early-onset GBS disease.RCOG GTG 36 (2017)
- Endometriosis ManagementNICE NG73 — clinical / imaging diagnosis, hormonal therapy, surgical management for refractory / fertility.NICE NG73 (2017)
- Heavy Menstrual Bleeding (HMB)NICE NG88 — workup (PALM-COEIN), medical first (LNG-IUS, TXA, NSAIDs, hormonal), surgical for refractory.NICE NG88 (2018)
- Abnormal Cervical ScreeningNHS Cervical Screening Programme — HPV-primary screening, colposcopy referral pathway, treatment of CIN.NHSCSP 2019; BSCCP
- Subfertility WorkupNICE CG156 — when to investigate, comprehensive workup couple, NHS-funded IVF eligibility.NICE CG156 (2013, updated)
- Termination of PregnancyRCOG / Abortion Act 1967 — eligibility, gestational thresholds, medical (mifepristone + misoprostol) vs surgical, contraception + aftercare.RCOG / NICE NG140 (2019); Abortion Act 1967