Transcription of Obstetric Emergencies
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Obstetric Emergencies
AmericAn JournAl of clinicAl medicine Spring 2009 Volume Six, number Two42 Obstetric EmergenciesObstetric EmergenciesDaniel M. Avery, MDAbstractNo specialty of medicine is more inundated with Emergencies than obstetrics . This paper describes a number of the more common Obstetric Emergencies from a practical and rural prac-titioner standpoint. obstetrics is unique in that there are two patients to consider and care for. This paper discusses basic emergency care, Obstetric and fetal assessment, preterm labor, premature rupture of membranes, severe preeclampsia, eclamp-sia, prolapsed umbilical cord, antepartum hemorrhage, abortion with hemorrhagic shock, ectopic pregnancy with shock, acute abdominal pain during pregnancy, DIC, uterine inversion, post-partum hemorrhage, retained placenta, abdominal pregnancy, shoulder dystocia, amniotic fluid embolism, trauma, CPR during pregnancy, postmortem cesarean section, cesarean section with local or no anesthesia, and transport of the Obstetric obstetrics there are two patients to care for instead of one, a mother and a baby or fetus.
AmericAn JournAl of clinicAl medicine® • Spring 2009 • Volume Six, number Two 43 Obstetric Emergencies If the patient is in labor, a labor and delivery nurse should ac-company the patient in the ambulance. If delivery is immi-
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