Obstetrics and Gynaecology – Introduction

Obstetric and gynaecological emergencies form a vital component of Emergency Medicine practice and are frequently tested in the MRCEM SBA exam. The emergency physician must be able to recognise and manage life-threatening complications of pregnancy—such as ectopic pregnancy, ante-partum and post-partum haemorrhage, pre-eclampsia/eclampsia, and maternal sepsis—as well as acute gynaecological presentations like pelvic pain, heavy menstrual bleeding, and vaginal discharge.

The focus in the SBA exam is on rapid identification of red flags, safe stabilisation, and appropriate referral pathways, in line with NICE, RCEM, and RCOG guidelines. Understanding the physiological changes of pregnancy, as well as the principles of safe prescribing, imaging, and resuscitation in pregnant patients, is essential.

This chapter aims to equip you with a structured, evidence-based approach to the assessment and management of obstetric and gynaecological presentations in the Emergency Department.
Mastering these topics ensures not only exam success but also the ability to deliver safe, multidisciplinary, and compassionate emergency care to one of the most high-risk patient groups you will encounter.

Course Curriculum