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2 results

  • Chapter 4 - Planning for elective and emergency problems
  • from Section 1 - General non-medical considerations
  • Edited by Marc van de Velde, Helen Scholefield, Lauren A. Plante
  • Book: Maternal Critical Care
  • Published online: 05 July 2013
  • Print publication: 04 July 2013, pp 26-42
  • View extract

    Summary

    This chapter presents an overview on the current recommendations and guidelines that may be implemented to improve the management of planned and unplanned urgent high-risk obstetric patients and prevent fatal outcomes for both mothers and their babies. Reviewing morbidity and mortality data over the 10 years from 2000 reveals an increase in the proportion of indirect causes of maternal deaths and demonstrates that many of the case-fatalities were women who did not receive pre-pregnancy counseling or any specific medical management. The chapter discusses two examples of multidisciplinary care planning: for women who have placenta previa with acreta and have had a previous cesarean section and for women with a serious comorbidity. The goal of rapid response teams (RRTs) is to bring critical expertise and equipment to the patient without delay, in a timely manner, and to provide a solution to the problem in a standardized manner.