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Obstetric emergencies
Authors:Neil Britton  Graeme G. Flett
Abstract:For more than 60 years the Confidential Enquiries into Maternal Deaths triennial reports have helped build a picture of maternity care within the UK, highlighting not only our successes but failures in caring for women within the puerperal period. Despite most obstetric emergencies being well described and having clear management strategies and guidance, there continues to be substandard management with poor outcomes recorded and this has been highlighted within the latest triennium report. This article describes some common obstetric emergencies with which the anaesthetist will become involved. It emphasizes management related to some deficiencies identified in the Centre for Maternal and Child Enquiries report as well as highlighting a multidisciplinary approach throughout. Good communication between team members is paramount in all aspects of medical care, but this approach should be fostered routinely to ensure that rapid and appropriate decisions are made in a safe and timely manner.
Keywords:Amniotic fluid embolus  CMACE  emergency caesarian section  local anaesthetic toxicity  magnesium toxicity  maternal collapse  maternal resuscitation  multidisciplinary obstetric emergency simulation  sepsis
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