Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.
Edited by two renowned practitioners in the field of obstetric emergencies, providing evidence-based management to each problem as well as discussion of first-hand experience in tackling problems, especially in those areas where evidence is lacking
Includes contributions from authors from a wide range of different backgrounds, specialties and geographical locations, offering the best available evidence and experience-based management and care plans
Covers obstetric, medical, anesthetic, neonatal and surgical emergencies comprehensively – areas neglected in standard texts on this subject
Contents
Part I. General Principles:
1. Anatomical and physiological changes during pregnancy: impact on emergency care
2. Principles of resuscitation for 'maternal collapse' during pregnancy, labour and postpartum: airway, breathing and circulation
Part II. Algorithms for Management of the Top Five 'Direct Killers':
3. Management of deep-vein thrombosis and pulmonary embolism: antepartum, intrapartum and postpartum
4. Management of severe pre-eclampsia and eclampsia: antepartum, intrapartum nd postpartum
5. Management of massive obstetric haemorrhage: antepartum, intrapartum and postpartum
6. Management of septicaemia and septic shock: antepartum, intrapartum and postpartum
7. Management of amniotic fluid embolism
Part III. Intrapartum Emergencies:
8. Uterine rupture
9. Breech delivery
10. Umbilical cord prolapse
11. Fetal compromise: diagnosis and management
12. Shoulder dystocia
13. Twin delivery
14. Instrumental vaginal delivery
15. 'Crash' emergency caesarean section
16. Unintended trauma and complications during caesarean section
17. Managing obstetric emergencies during 'home births' and in low-risk midwifery units
Part IV. Postpartum Emergencies:
18. Acute puerperal uterine inversion
19. Sudden postpartum maternal collapse
20. Retained placenta
21. Perineal trauma during delivery
Part V. Medical and Surgical Emergencies during Pregnancy:
22. Palpatations in pregnancy
23. Breathlessness in pregnancy
24. Abdominal pain in pregnancy
25. Blurring of vision and sudden loss of vision in pregnancy
26. Psychiatric emergencies in pregnancy
27. Drug overdose in pregnancy
28. Diabetic ketoacidosis in pregnancy
29. Convulsions and epilepsy in pregnancy
30. Musculoskeletal considerations in pregnancy
31. Endocrine emergencies in pregnancy
Part VI. Anaesthetic Emergencies during Pregnancy:
32. General anesthesia and failed intubation in pregnancy
33. Fluid underload and overload and the management of cardiac emergencies in pregnancy
34. Transfusion and anaphylactic and adverse drug reactions in pregnancy
35. Major trauma, including road traffic accidents, in pregnancy
Part VII. Neonatal Emergencies and the Management of Immediate Neonatal Problems:
36. Neonatal resuscitation and the management of immediate neonatal problems
Part VIII. Management of Anticipated and Non-Anticipated Emergencies in Pregnancy:
37. Placenta acreta Spectrum (PAS) disorders
38. Peri- and postmortem caesearean section
39. Preterm labour and rescue cerclage
40. Failed operative vaginal delivery: minimizing maternal and fetal morbidity
Part IX. Setting-Up Skills and Drills Training in Maternity Services and Reducing Avoidable Harm:
41. Addressing human factors in obstetric emergencies
42. Setting up and running labor ward fire drills
43. Simulation training for obstetric emergencies
44. Learning from mbrrace and each baby counts
45. Risk-management for emergency obstetric and intrapartum care
