Obstetric and Intrapartum Emergencies

Part I. General Principles: 1. Anatomical and physiological changes during pregnancy: impact on emergency care; 2. Principles of resuscitation for 'maternal collapse' during pregnancy, labour and postpartum: airway, breathing and circulation; Part II. Algorithms for Management of the Top Five 'Direct Killers': 3. Management of deep-vein thrombosis and pulmonary embolism: antepartum, intrapartum and postpartum; 4. Management of severe pre-eclampsia and eclampsia: antepartum, intrapartum nd postpartum; 5. Management of massive obstetric haemorrhage: antepartum, intrapartum and postpartum; 6. Management of septicaemia and septic shock: antepartum, intrapartum and postpartum; 7. Management of amniotic fluid embolism; Part III. Intrapartum Emergencies: 8. Uterine rupture; 9. Breech delivery; 10. Umbilical cord prolapse; 11. Fetal compromise: diagnosis and management; 12. Shoulder dystocia; 13. Twin delivery; 14. Instrumental vaginal delivery; 15. 'Crash' emergency caesarean section; 16. Unintended trauma and complications during caesarean section; 17. Managing obstetric emergencies during 'home births' and in low-risk midwifery units; Part IV. Postpartum Emergencies: 18. Acute puerperal uterine inversion; 19. Sudden postpartum maternal collapse; 20. Retained placenta; 21. Perineal trauma during delivery; Part V. Medical and Surgical Emergencies during Pregnancy: 22. Palpatations in pregnancy; 23. Breathlessness in pregnancy; 24. Abdominal pain in pregnancy; 25. Blurring of vision and sudden loss of vision in pregnancy; 26. Psychiatric emergencies in pregnancy; 27. Drug overdose in pregnancy; 28. Diabetic ketoacidosis in pregnancy; 29. Convulsions and epilepsy in pregnancy; 30. Musculoskeletal considerations in pregnancy; 31. Endocrine emergencies in pregnancy; Part VI. Anaesthetic Emergencies during Pregnancy: 32. General anesthesia and failed intubation in pregnancy; 33. Fluid underload and overload and the management of cardiac emergencies in pregnancy; 34. Transfusion and anaphylactic and adverse drug reactions in pregnancy; 35. Major trauma, including road traffic accidents, in pregnancy; Part VII. Neonatal Emergencies and the Management of Immediate Neonatal Problems: 36. Neonatal resuscitation and the management of immediate neonatal problems; Part VIII. Management of Anticipated and Non-Anticipated Emergencies in Pregnancy: 37. Placenta acreta Spectrum (PAS) disorders; 38. Peri- and postmortem caesearean section; 39. Preterm labour and rescue cerclage; 40. Failed operative vaginal delivery: minimizing maternal and fetal morbidity; Part IX. Setting-Up Skills and Drills Training in Maternity Services and Reducing Avoidable Harm: 41. Addressing human factors in obstetric emergencies; 42. Setting up and running labor ward fire drills; 43. Simulation training for obstetric emergencies; 44. Learning from mbrrace and each baby counts; 45. Risk-management for emergency obstetric and intrapartum care.