obstetrics emergencies

Question	Answer
PLACENTAL ABRUPTION: (1) per vaginal bleed brownish constant frequent short lasting contractions OR (1)hard tense contracting uterus (usually with concealed abruption) (2)maternal compromise (3) fetal compromise R/F: HTM, trauma	VASA PREVIA: per vaginal bleed rupture of memranes fetal compromise R/F: low-lying placenta Mx: immediate c-section
PLACENTA PRAEVIA: per vaginal bleeding fresh, bright red maternal compromise R/F: previous praevia, previous C-section	PPH 500mL to 1000mL blood loss: minor >1000: major PRIMARY: within 24 hours SECONDARY: 24 hours to 12 weeks
UTERINE RUPTURE: tenderness on site of previous scar fetal parts palpable R/F: previous C-section	UTERINE INVERSION: 3rd stage: bleeding severe lower abdominal pain R/F: too much pulling of cord deeply implanted placenta fundal placenta Mx: JOHNSON O-SULLIVAN HAULTAIN
AMNIOTIC FLUID EMBOLISM: ACUTE onset of respiratory depression, CVS depression and hypotension, convulsions and altered mental status R/F: anything that causes a breech in the normal placental barrier MCC: Multiple gestation Mx: resucitate in ICU with hemodynamic stability, manage DIC, delivery by C-section within 5 mins of cardiac arrest to resucitate mother!!!!

Resource summary

	Created by Sarah Khan about 7 years ago