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Managing Obstetric Emergencies and Trauma

Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented. This manual covers life-threatening emergencies of pregnancy in a systematic and comprehensive way, teaching the skills and procedures needed to save the mother and fetus. Essential anatomical, physiological and pathological information is presented and clinically applied, and treatment algorithms give clear, step-by-step management advice. This easy to read, practical handbook is recommended reading prior to the Managing Obstetric Emergencies and Trauma (MOET) course, providing structured preparation and revision. It is also an aide memoire for senior doctors facing rare events and is invaluable in promoting a multidisciplinary approach in complex conditions. Trainee obstetricians, midwives and anaesthetists will find this invaluable in developing their ability and confidence when facing emergencies, and a useful resource for advanced exams. No obstetric clinician should be without it!
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Table of Contents

Acknowledgements; Abbreviations; Part I. Introduction: 1. Introduction; 2. Saving mothers' lives: lessons from the Confidential Enquiries; 3. Structured approach to emergencies in the obstetric patient; Part II. Recognition: 4. Recognising the seriously sick patient; 5. Shock; 6. Sepsis; 7. Intravenous access and fluid replacement; Part III. Resuscitation: 8. Airway management and ventilation; 9. Cardiopulmonary resuscitation in the nonpregnant and pregnant woman; 10. Amniotic fluid embolism; 11. Pulmonary thromboembolism; 12. Resuscitation of the baby at birth; Part IV. Trauma: 13. Introduction to trauma; 14. Domestic abuse; 15. Thoracic emergencies; 16. Abdominal trauma in pregnancy; 17. The unconscious patient; 18. Spine and spinal cord injuries; 19. Musculoskeletal trauma; 20. Burns; Part V. Other Medical and Surgical Emergencies in Pregnancy: 21. Abdominal emergencies in pregnancy; 22. Cardiac, diabetic and neurological emergencies in pregnancy; 23. Perinatal psychiatric illness; Part VI. Obstetric Emergencies: 24. Pre-eclampsia and eclampsia; 25. Major obstetric haemorrhage; 26. Caesarean section; 27. Placenta accreta and retained placenta; 28. Uterine inversion; 29. Ruptured uterus; 30. Ventouse and forceps delivery; 31. Shoulder dystocia; 32. Umbilical cord prolapse; 33. Face presentation; 34. Breech delivery and external cephalic version; 35. Twin pregnancy; 36. Complex perineal and anal sphincter trauma; 37. Symphysiotomy and destructive procedures; 38. Anaesthetic complications in obstetrics; Part VII. Triage and Transfer: 39. Triage; 40. Transfer; Part VIII. Human Issues: 41. Human factors; 42. Consent matters; Index.

About the Author

Sara Paterson-Brown is a Consultant Obstetrician and Gynaecologist at Queen Charlotte's Hospital, Imperial Healthcare Trust, London. Charlotte Howell is a Consultant Anaesthetist at the University Hospital of North Staffordshire, specialising in paediatric anaesthesia.

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