Episode 16: Knot to be missed - The RCOG surgical skills podcast | Complex obstetric operating

A key recommendation in the workforce of the future focus is review of complex obstetric operating and training. In this episode, the Surgical Skills Fellows are joined by Dr Alison Wright, Mr Albaro Jose Nieto Calvache and Dr Kat Barton to discuss the challenges in this area of O&G operating. ​ They discuss the introduction of a standardized protocol to enhance safety during challenging caesarean sections, focusing on reducing maternal morbidity and mortality. Key surgical strategies include improved pelvic access in cases of adhesions, safer bladder mobilization, and targeted control of postpartum hemorrhage through detailed anatomical guidance. They emphasise early risk identification, team preparedness, simulation-based training, and continuous surgical outcome evaluation to foster a culture of safety and excellence in obstetric care.