Obstetric haematology training: Optimising care through cultivated expertise

Background Obstetric Haematology, a subspecialty at the interface of Obstetric Medicine, Haematology and Maternal-Fetal Medicine, addresses the complex interplay between pregnancy and haematological disorders. Advances in survival and reproductive technologies have increased the number of individuals with complex haematological conditions achieving pregnancy, underscoring the need for specialised expertise. Exposure to expertise may vary significantly by training program and formal training in Obstetric Haematology remains limited. Methods and Results A narrative review was conducted and an approach for Obstetric Hematology training is proposed consisting of a structured curriculum incorporating reproduction planning, contraception, medication safety, haematological adaptations of pregnancy, and psychosocial support. Conclusion The development of an Obstetric Haematology curriculum can standardize education and enhance multidisciplinary collaboration with a target of improving outcomes for pregnant individuals with haematological disorders. Next steps include comprehensive needs assessment across specialties, definition of core competencies through consensus approaches, and incorporation of patient perspectives in curriculum design.