Pregnancy is a common and often straightforward physiological process—but it also has the potential to become complex, requiring careful clinical assessment and timely escalation.
In this episode of Aussie Med Ed, Dr Gavin Nimon is joined by Adelaide-based obstetrician and gynaecologist Dr Allison Munt for a comprehensive discussion on the practical management of pregnancy, tailored for medical students and general practitioners.
Together, they explore the continuum of care from the initial GP presentation through to delivery and the postpartum period, with a focus on clinical reasoning, risk stratification, and shared decision-making.
Key topics include:
What constitutes a low-risk vs high-risk pregnancy, and how this influences models of care
The role of the GP in the first trimester, including history, examination, and initial investigations
Current approaches to screening, including non-invasive prenatal testing (NIPT) and morphology ultrasound
Identification and management principles for common complications such as gestational diabetes, hypertensive disorders of pregnancy, and fetal growth restriction
Monitoring strategies in the second and third trimesters, including when additional imaging or CTG assessment may be indicated
Considerations around timing and mode of delivery, including induction of labour and caesarean section
The importance of postpartum care, including pelvic floor rehabilitation, breastfeeding support, and perinatal mental health
This episode emphasises a balanced, patient-centred approach, acknowledging that pregnancy care varies depending on individual circumstances, patient preferences, and local resources. It also highlights the importance of multidisciplinary care involving GPs, obstetricians, midwives, and allied health professionals.
⚠️ Important Disclaimer
The information discussed in this episode reflects the clinical experience and perspectives of the speakers and is intended for educational purposes only. It does not constitute medical advice and should not be used as a substitute for independent clinical judgment.
Management of pregnancy and obstetric conditions may vary based on local guidelines, patient factors, and evolving evidence, and clinicians should refer to current recommendations and consult appropriate specialists when required.
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