Obstetric and Intrapartum Emergencies

Every day, approximately 1000 women die from preventable causes related to pregnancy and childbirth, most of which result from common treatable complications, such as haemorrhage, infections, pre-eclampsia and obstructed labour, which have not been recognized in time or treated properly. Every unborn child also faces risk of stillbirth, birth trauma, oxygen deprivation and neonatal death or long-term brain damage during birthing. Obstetric and Intrapartum Emergencies: A Practical Guide to Management is written by a wide variety of obstetric experts in developing and developed countries and provides an easy-to-use guide to recognize and treat perinatal emergencies before it is too late. The text includes learning tools such as 'Key Pearls' and 'Key Pitfalls', a section on managing emergencies in a low-resource setting and contains detailed illustrations throughout. This book is a practical and invaluable guide for obstetricians, neonatologists, midwives, medical students and the wider perinatal team.Part I. General Principles: 1. Anatomic and physiologic changes during pregnancy Edwin Chandraharan; 2. Principles of resuscitation for maternal collapse Renate Wendler; Part II. Algorithms for Management of the Top Five 'Direct Killers': 3. Deep-vein thrombosis and pulmonary embolism Tahrir A. Mahmood and Adnan Hasan; 4. Severe pre-eclampsia and eclampsia Lucy Higgins and Alexander Heazell; 5. Massive obstetric hemorrhage Edwin Chandraharan; 6. Septicemia and septic shock Austin Ugwumadu and Nicola Lack; 7. Amniotic fluid embolus Derek Tuffnell; Part III. Intrapartum Emergencies: 8. Uterine rupture Malik Goonewardene and M. F. M. Rameez; 9. Breech delivery Usama Abughazza and Edwin Chandraharan; 10. Umbilical cord prolapse Malik Goonewardene; 11. Fetal compromise: diagnosis and management Edwin Chandraharan; 12. Shoulder dystocia Edwin Chandraharan and Sabaratnam Arulkumaran; 13. Twin delivery Deepal S. Weerasekera; 14. Instrumental vaginal delivery Vikram Sinai Talaulikar and Sabaratnam Arulkumaran; 15. Emergency Cesarean section Chitra Ramanathan and Leonie Penna; 16. Unintended trauma during Cesarean section Usama Abughazza and Edwin Chandraharan; Part IV. Postpartum Emergencies: 17. Acute puerperal uterine inversion Hemantha Senanayake; 18. Sudden postpartum maternal collapse Amarnath Bhide; 19. Retained placenta Kapila Gunawardane; 20. Perineal trauma Stergios K. Doumouchtsis; Part V. Medical and Surgical Emergencies During Pregnancy: 21. Chest pain and palpitations in pregnancy Siromi Gunaratne and Edwin Chandraharan; 22. Breathlessness Hassan Shehata; 23. Acute abdomen Archana Krishna and Edwin Chandraharan; 24. Blurring of vision and sudden loss of vision Anomi Pandotharatne and Edwin Chandraharan; 25. Psychiatric emergencies Andrew Kent and Lorraine Cleghorn; 26. Drug overdose Laksham Karaliedde and Indika Gawarammana; 27. Diabetic ketoacidosis in pregnancy Ingrid Watt-Coote and Julia Kopeika; 28. Convulsions and epilepsy Julia Kopeika and Ingrid Watt-Coote; 29. Musculoskeletal considerations in pregnancy Hiran Amarasekera; 30. Endocrine emergencies in pregnancy Manika Sumanatilekke; Part VI. Anesthetic Emergencies: 31. General anesthesia and failed intubation Christina Wood; 32. Fluid underload and overload Renate Wendler; 33. Transfusion and anaphylactic and drug reactions Rehana Iqbal; 34. Major trauma including RTAs Kirsty Crocker and Tim Patel; Part VII. Neonatal Emergencies and Resuscitation: 35. Neonatal emergencies and resuscitation Nigel Kennea, Justin Richards and Siromi Gunaratne; Part VIII. Management of Anticipated and Non-anticipated Emergencies: 36. Morbidly adherent placentae Edwin Chandraharan; 37. Peri- and post-mortem Cesarean section Edwin Chandraharan; Part IX. Setting-up Skills and Drills Training in Maternity Services: 38. Labor ward 'fire drills' Edwin Chandraharan; 39. Simulation training Polly Hughes; 40. Risk-management Jessica Moore.