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Section 6 - Anaesthetic Emergencies During Pregnancy

Published online by Cambridge University Press:  06 May 2021

Edwin Chandraharan
St George's University of London
Sir Sabaratnam Arulkumaran
St George's University of London
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Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 231 - 260
Publisher: Cambridge University Press
Print publication year: 2021

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Further Reading

Cook, T, Harper, N, Farmer, L, Garcez, T, Floss, K, Marinho, S, et al. Anaesthesia, surgery, and life-threatening allergic reactions: protocol and methods of the 6th National Audit Project (NAP6) of the Royal College of Anaesthetists. Br J Anaesth. 2018;121(1):124–33.
Kroigaard, M, Garvey, LH, Gillberg, L, Johansson, SGO, Mosbech, H, Florvaag, E, et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand. 2007;51(6):655–70.


Connolly, AM, Katz, VL, Bash, KL, McMahon, MJ, Hansen, WF. Trauma and pregnancy. Am J Perinatol. 1997;14(6):331–6.
Centre for Maternal and Child Enquiries (CMACE). Saving Mothers’ Lives: Reviewing Maternal Deaths to make Motherhood Safer – 2006–2008. The Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. Br J Obstet Gynaecol. 2011;118(Suppl. 1):1208.
Davis, JJ, Cohn, I. Diagnosis and management of blunt abdominal trauma. Ann Surg. 1976;183:672.
Shah, AJ, Kilcline, BA. Trauma in pregnancy. Emerg Med Clin North Am. 2003;21(3):615–29.
Esposito, TJ, Gens, DR, Smith, LG, Scorpio, R. Evaluation of blunt abdominal trauma occurring during pregnancy. J Trauma. 1989;29(12):1628–32.
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Werman, HA, Falcone, RE. Trauma in pregnancy. Emerg Med Rep Pediatr Emerg Med Rep. 2008;9(4, Suppl).
Buchsbaum, H (ed.) Penetrating injury of the abdomen. In Trauma in Pregnancy. Philadelphia: WB Saunders; 1979, 82100.
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Meunch, MV, Canterino, JC. Trauma in pregnancy. Obstet Gynecol Clin North Am. 2007;34(3):555–83.
Matthews, RM. Obstetric implications of burns in pregnancy. Br J Obstet Gynecol. 1982;89:603–9.
Akhtar, MA, Mulawakar, PM, Kulkarni, HR. Burns in pregnancy: effect on maternal and foetal outcomes. Burns. 1994;20:351–5.
Howell, C, Grady, K, Cox, C. Managing Obstetric Emergencies and Trauma: The MOET Course Manual, 2nd ed. London: RCOG, 2007.
US Army Institute of Surgical Research. Joint Theater Trauma System Clinical Practice Guideline: Damage control resuscitation at level IIb and III treatment facilities. December 21, 2014.
Holcomb, JB, Tilley, BC, Baraniuk, S; PROPPR Study Group. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA. 2015;313(5):471–82.
WOMAN Trial Collaborators. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet. 2017;389(10084):2105–16.
Roberts, I, Shakur, H, Afolabi, A, et al. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2. Randomised controlled trial. Lancet. 2011; 377(9771):1096.
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Eposito, TJ. Trauma during pregnancy. Emerg Med Clin North Am. 1994;12:167199.
Pearlman, MD, Tintinalli, JE. Evaluation and treatment of the gravida and fetus following trauma during pregnancy. Obstet Gynecol North Am. 1991:18:371–81.
Incerpi, M. Trauma in pregnancy. In Murphy Goodwin, T, Montoro, MN, Muderspach, L, Paulson, R, Roy, S (eds.), Management of Common Problems in Obstetrics and Gynecology, 5th ed. Chichester: Wiley-Blackwell; 2010, 156–9.
American College of Obstetricians and Gynaecologists. ACOG Technical Bulletin Number 161. Trauma during pregnancy. November 1991. Int J Gynaecol Obstet. 1993;40(2):165–70.
American College of Obstetricians and Gynaecologists. Guidelines for Diagnostic Imaging during Pregnancy. Committee Opinion 158. September 1995.
Hall, EJ. Scientific view of low radiation risks. Radiographics. 1991;11:509–18.
Rothenberger, DA, Quattlebaum, FW, Zabel, J, Fischer, RP. Diagnostic peritoneal lavage in blunt trauma in pregnant women. Am J Obset Gynecol. 1977;129(5):479–81.
Chames, MC, Pearlman, MD. Trauma during pregnancy: outcomes and clinical management. Clin Obstet Gynaecol. 2008;51:398408.
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McFarlane, J, Campbell, JC. Abuse during pregnancy and femicide: urgent implications for womens health. Obstet Gynecol. 2002;100(1):2736.
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.
Deakin, CD, Low, JL. Accuracy of the advanced trauma life support guidelines for predicting systolic blood pressure using carotid, femoral, and radial pulses: observational study. Br Med J. 2000;321(7262):673–74.

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