A pregnancy develops in front of you as you scroll: real anatomy, sourced stage by stage, from the pelvis to the labour ward.
Ultrasound Lab
See what matters.
Real obstetric and gynaecological ultrasound from openly licensed sources, each verified on its file page and credited beside the image. The answer waits until you have looked; images with burned-in labels are shown for learning only.
- First trimestersac, yolk sac, embryo, location
- Placentasite, cord insertion, maturity
- Fetal anatomyhead, spine, profile
- Gynaecologyuterus, endometrium, ovaries, tubes
50 studies. Grayscale is preserved; nothing is tinted.
Labour & Delivery
The board at midday. Every room is a decision.
Seven fictional patients with real charts: a labour curve on the contemporary reference, a monitor that scrolls at paper speed, labs, medications, and the one thing this room needs from you now. Then hand her over and get graded.
- 0139+2wks39+2Spontaneous labour, active phaseG1P0, 29 yStageActiveFetalReassuringNextReassess 16:00
- 0241+3wks41+3Induction for post-dates, oxytocinG2P1, 33 yStageActiveFetalDecelerations notedNextAssess now
- 0339+0wks39+0Second stage, pushingG3P2, 35 yStageSecond stageFetalVariables, recoveringNextReassess 15 min
- 0434+5wks34+5Preeclampsia with severe features, inductionG1P0, 27 yStageLatentFetalReduced variability on magnesiumNextHourly BP, bloods
- 0538+3wks38+3Spontaneous rupture of membranes, oligohydramniosG1P0, 31 yStageActiveFetalDeep variablesNextExamine for cord
- 0640+1wks40+1Early labour, prior postpartum haemorrhageG4P3, 36 yStageLatentFetalReassuringNextIV access, crossmatch
- Triage A36+4wks36+4Decreased fetal movements since the morningG2P1, 30 yStageTriageFetalNST runningNextComplete assessment
Active labour Needs assessment Second stage New admission Triage High risk, watching
Room 2 · Induction for post-dates, oxytocinOpen the room
Gynaecology
The clinic starts with a symptom.
Bleeding, pain, a mass, discharge, a missed period, the menopause: each pathway opens with the first question a clinician asks, then the exam, the scan and what the image changes.
- Heavy menstrual bleedingIs she anaemic, and is the cause structural?
- Acute pelvic painIs she pregnant, and could this be torsion?
- Chronic pelvic painWhat pattern does the pain follow, and which systems are involved?
- Absent or infrequent periodsPrimary or secondary, and is she pregnant?
- Adnexal massIs it likely benign, and does it need surgery or surveillance?
- Vaginal dischargeIs it physiological, vaginal, or cervical?
OB triage
Who do you see first?
Five one-liners at the desk, none examined yet. Order the queue by what can go wrong in the next minutes, commit, and see the model order with each patient's concern.
Open triage- 01New36+2G2P136+2G2P1Reduced movements since this morning, otherwise well
- 02Waiting33+5G1P033+5G1P0Headache, 'seeing spots', BP 164/108 at the desk
- 03Waiting39+1G3P239+1G3P2Contractions every 6 minutes for two hours, coping well
- 04Waiting38+0G2P138+0G2P1Gush of fluid 20 minutes ago, feels 'something in the vagina'
- 05Waiting9+3G1P09+3G1P0Light spotting, no pain, scan last week showed a heartbeat
Five in the waiting room, one of you. 3 sets.
The pregnancy journey
From booking to birth, in the order it happens.
Every obstetric module sits at the week it belongs to. Scrub the track: the milestone, the fetus, the mother and the care due at that visit.
Milestone
Anatomy scan
The detailed anatomy scan (18 to 22 weeks). Placental location noted; a low placenta is re-scanned at 32 weeks.
The fetus
Every organ system surveyed: head and brain, face, spine, heart in four views, abdomen, kidneys, limbs, plus the placenta, cord insertion and cervix.
The mother
Fundus at the umbilicus. From here the fundal height in centimetres tracks the weeks.
Exam and procedures
Hands, instruments, sequence.
Each procedure is taught as a sequence with the anatomy under the hands, real equipment and drawings, and consent and trauma-informed practice as part of the procedure rather than a preamble.
Acute OBGYN
When the clock starts.
Recognise it, name it, make the first moves. 4 of the emergencies run as timed simulations with live vitals; the rest are taught as recognition and first moves.
Acute OBGYN- Postpartum haemorrhageLoss of 500 mL or more after birth, or any loss with tachycardia or hypotension; a soft, boggy fundus. timed sim
- EclampsiaA generalised seizure in a pregnant or postpartum patient with hypertension. timed sim
- Shoulder dystociaThe head delivers and retracts (the turtle sign); the shoulders do not follow with gentle traction. timed sim
- Umbilical cord prolapseCord felt or seen after rupture of membranes, usually with a fetal bradycardia. timed sim
- Ruptured ectopic pregnancyShock with a positive pregnancy test; shoulder tip pain; free fluid on a bedside scan.first moves
- Ovarian torsionSudden severe unilateral pain with vomiting; an enlarged oedematous ovary, often with a cyst.first moves
- Uterine inversionThe fundus is not palpable; a mass at the introitus; shock out of proportion to the loss.first moves
- Amniotic fluid embolismSudden collapse, hypoxia, hypotension and coagulopathy during labour or just after.first moves
- Maternal cardiac arrestUnresponsive, not breathing normally, at any gestation.first moves
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