Book contents
- Obstetric and Intrapartum Emergencies
- Obstetric and Intrapartum Emergencies
- Copyright page
- Contents
- Contributors
- Preface
- Preface to the First Edition
- Acknowledgements
- Section 1 General Principles
- Chapter 1 Anatomical and Physiological Changes in Pregnancy
- Chapter 2 Principles of Resuscitation for ‘Maternal Collapse’ During Pregnancy, Labour and Postpartum
- Section 2 Algorithms for Management of the Top Five ‘Direct Killers’
- Section 3 Intrapartum Emergencies
- Section 4 Postpartum Emergencies
- Section 5 Medical and Surgical Emergencies During Pregnancy
- Section 6 Anaesthetic Emergencies During Pregnancy
- Section 7 Neonatal Emergencies and the Management of Immediate Neonatal Problems
- Section 8 Management of Anticipated and Non-anticipated Emergencies in Pregnancy
- Section 9 Setting-Up Skills and Drills Training in Maternity Services and Reducing Avoidable Harm
- Index
- References
Chapter 2 - Principles of Resuscitation for ‘Maternal Collapse’ During Pregnancy, Labour and Postpartum
Airway, Breathing and Circulation
from Section 1 - General Principles
Published online by Cambridge University Press: 06 May 2021
Book contents
- Obstetric and Intrapartum Emergencies
- Obstetric and Intrapartum Emergencies
- Copyright page
- Contents
- Contributors
- Preface
- Preface to the First Edition
- Acknowledgements
- Section 1 General Principles
- Chapter 1 Anatomical and Physiological Changes in Pregnancy
- Chapter 2 Principles of Resuscitation for ‘Maternal Collapse’ During Pregnancy, Labour and Postpartum
- Section 2 Algorithms for Management of the Top Five ‘Direct Killers’
- Section 3 Intrapartum Emergencies
- Section 4 Postpartum Emergencies
- Section 5 Medical and Surgical Emergencies During Pregnancy
- Section 6 Anaesthetic Emergencies During Pregnancy
- Section 7 Neonatal Emergencies and the Management of Immediate Neonatal Problems
- Section 8 Management of Anticipated and Non-anticipated Emergencies in Pregnancy
- Section 9 Setting-Up Skills and Drills Training in Maternity Services and Reducing Avoidable Harm
- Index
- References
Summary
The incidence of maternal collapse and severe maternal morbidity is unknown. Recent studies estimate that maternal collapse occurs in between 0.14 and 6 per 1000 births [1, 2]. In hospital, maternal collapse and sudden cardiac arrest are usually related to peripartum events and the outcome depends on effective resuscitation and identification and effective treatment of the underlying cause [3]. Therefore, staff on the delivery suite must be expertly trained in advanced life-support techniques and resuscitation equipment should be readily available.
- Type
- Chapter
- Information
- Obstetric and Intrapartum EmergenciesA Practical Guide to Management, pp. 10 - 16Publisher: Cambridge University PressPrint publication year: 2021
References
Murphy, CM, Murad, K, Deane, R, Byrne, B, Geary, M, McAuliffe, FM. Severe maternal morbidity for 2004–2005 in three Dublin maternity hospitals. Eur J Obstet Gynecol Reprod Biol. 2009;143:34–7.CrossRefGoogle ScholarPubMed
Dildy, GA, Clark, SL. Cardiac arrest during pregnancy. Obstet Gynecol Clin North Am. 1995;22:303–14.CrossRefGoogle ScholarPubMed
Belfort, MA, Saade, GA, Foley, MR, Phelan, JP, Dildy, GA. Critical Care Obstetrics, 5th ed. Oxford: Blackwell, 2010.Google Scholar
Chesnutt, AN. Physiology of normal pregnancy. Crit Care Clin. 2004;20:609–15.CrossRefGoogle ScholarPubMed
Kerr, MG. The mechanical effects of the gravid uterus in late pregnancy. BJOG. 1965;2:513–29.Google Scholar
Prowse, CM, Gaensler, EA. Respiratory and acid-base changes during pregnancy. Anesthesiology. 1965;26:381–92.Google Scholar
Mendelson, CL. The aspiration of stomach contents onto the lungs during obstetric anaesthesia. Am J Obstet Gynecol. 1946;52:191–205.Google Scholar
Royal College of Obstetricians and Gynaecologists. Maternal collapse in pregnancy the puerperium. Green-top Guideline No. 56 London, January 2011.Google Scholar
Katz, V, Balderston, K, DeFreest, M. Perimortem cesarean delivery: were our assumptions correct? Am J Obstet Gynecol. 2005;192:1916–20.Google Scholar
Katz, VL, Dotters, DJ, Drogemueller, W. Perimortem cesarean delivery. Obstet Gynecol. 1986;68:571–6.Google Scholar
Paternina-Caicedo, A, Miranda, J, Bourjeily, G, Levinson, A, Dueñas, C, Bello-Muñoz, C, Rojas-Suarez, JA. Performance of the Obstetric Early Warning Score in critically ill patients for the prediction of maternal death. Am J Obstet Gynecol. 2017;216(1):58.CrossRefGoogle ScholarPubMed
Brace, V, Kernaghan, D, Penney, G. Learning from adverse clinical outcomes: major obstetric haemorrhage in Scotland, 2003–05. BJOG. 2007;114:1388–96.CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists. Reducing the risk of thrombosis and embolism during pregnancy and the puerperium. Green-top guideline No. 37A. London: RCOG, 2009.Google Scholar
Knight M, Tuffnell D, Brocklehurst P, Spark P, Kurinczuk, JJ. UK Obstetric Surveillance System: incidence and risk factors for amniotic fluid embolism. Obstet Gynecol. 2010;115:910-7e.CrossRefGoogle ScholarPubMed
Malhotra, S, Yentis, SM. Reports on confidential enquiries into maternal deaths: management strategies based on trends in maternal cardiac deaths over 30 years. Int J Obstet Anesth. 2006;15:223–6.CrossRefGoogle ScholarPubMed
Levy, MM, Evans, LE, Rhodes, A. The Surviving Sepsis Care Bundle: update 2018. Intens Care Med. 2018;44(6):925–8.CrossRefGoogle Scholar
Foxall, G, McCahon, R, Lamb, J, Hardman, JG, Bedforth, NM. Levobupivacaine-induced seizures and cardiovascular collapse treated with intralipid. Anaesthesia. 2007;62:516–18.CrossRefGoogle ScholarPubMed
The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers’ Lives: Reviewing Maternal Deaths to make Motherhood Safer – 2003–2005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. London: CEMACH, 2007.Google Scholar
Weinberg, GL, Palmer, JW, Vade-Boncouer, TR, Zuechner, MB, Edelman, G, Hoppel, CL. Bupivacaine inhibits acylcarnitine exchange in cardiac mitochondria. Anesthesiology. 2000;92:5234–8.Google Scholar
Vanden, Hoek, TL, Morrison, LG, Shuster, M, Donnino, M, Sinz, E, Lavonas, EJ, et al. Cardiac arrest in special situations: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:S821–61.Google Scholar
Chu, J, Johnston, TA, Geoghegan, J, on behalf of the Royal College of Obstetricians and Gynaecologists. Maternal collapse in pregnancy and the puerperium. BJOG. 2019; https://doi.org/10.1111/1471–0528.15595.CrossRefGoogle Scholar