Intrapartum and postpartum obstetric emergencies:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
1995
|
| Series: | Obstetrics and gynecology clinics of North America
22,2 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | VIII S., S. 197 - 389 Ill., graph. Darst. |
Staff View
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| 245 | 1 | 0 | |a Intrapartum and postpartum obstetric emergencies |c James N. Martin guest ed. |
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| adam_text | INTRAPARTUM AND POSTPARTUM OBSTETRIC EMERGENCIES
CONTENTS
Preface ix
James N. Martin, Jr
Emergent Management of the Patient in Preterm Labor 197
Christopher A. Sullivan and John C. Morrison
Early and aggressive treatment will substantially reduce the peri¬
natal morbidity and mortality associated with preterm labor.
Management should include assessment of gestational age, uter¬
ine activity, amniotic membrane status, and possible steroid and
tocolytic therapy. A logistical approach to preterm labor allows
the clinician to avoid unnecessary intervention while optimizing
neonatal outcome.
Emergency Management of Fetal Stress and Distress
in the Obstetric Patient 215
Eric H. Dellinger and Frank H. Boehm
The clinical use of intrapartum fetal heart rate monitoring re¬
mains controversial. Because of its widespread use in this coun¬
try, interpretation skills must be maintained. Clear and concise
criteria for the diagnosis of fetal stress and distress are presented
in this article, and the management of fetal distress is discussed.
Labor and Delivery Management of the Multiple Gestation 235
Margarita de Veciana, Carol Major, and Mark A. Morgan
Labor and delivery management of multiple gestations remains
controversial. The authors review issues relating to the manage
i OBSTETRICS AND GYNECOLOGY CLINICS
i OF NORTH AMERICA
VOLUME 22 • NUMBER 2 • JUNE 1995 V
ment of labor and the administration of anesthesia in twin gesta¬
tions. A comprehensive review of published data pertaining to
delivery route planning for twins using fetal presentation, gesta
tional age, and estimated fetal weight is presented. Individualiza
tion of intrapartum care in twin gestations is imperative.
Emergent Management of Shoulder Dystocia 247
Robert W. Naef III and James N. Martin, Jr.
Shoulder dystocia is an unpredictable obstetric emergency that
occurs in approximately 0.5% of all vaginal deliveries. This is a
difficult clinical problem for the delivering physician because it
can result in serious morbidity for the infant and increased mor¬
bidity for the parturient. Shoulder dystocia results from size
discrepancy between the shoulder girdle and the maternal pelvis,
abnormal labor mechanics, or both. Many obstetric maneuvers
have been described to free the impacted anterior shoulder, but
no single maneuver or sequence of manipulations has been
proven superior. Fortunately, permanent injury to the fetus is
rare but it does occur even when the delivering physician has
taken every precaution and exercised every reasonable skill.
Emergent Obstetric Management of Uterine Inversion 261
Paul J. Wendel and Susan M. Cox
Uterine inversion is a potentially life threatening complication
of the third stage of labor. Prompt diagnosis and appropriate
management are vital to a successful outcome. Manual replace¬
ment of the uterus may be accomplished in the majority of cases.
General anesthesia and uterine relaxants may be necessary in
some instances.
Puerperal Emergency: Vaginal and Vulvar Hematomas 275
Louis E. Ridgway
The puerperal hematoma is an unusual complication of child¬
birth, and if not treated promptly and correctly, can result in
serious morbidity and possible mortality. This article discusses
the incidence, etiology, classification, risk factors, diagnosis, and
treatment. The clinician must be aware of this complication so
the hematoma can be diagnosed early and treated aggressively.
Emergent Obstetric Management of Postpartum Hemorrhage 283
William E. Roberts
Postpartum hemorrhage (PPH) continues to occur in modern
obstetrics and is responsible for approximately one third of ma¬
ternal deaths due to hemorrhage. This article reviews the predis¬
posing factors for PPH with an emphasis on rapid evaluation of
the cause and severity of PPH. Utilizing this information, a logical
VI CONTENTS
approach to the development of any expeditious management
plan is presented.
Cardiac Arrest During Pregnancy 303
Gary A. Dildy and Steven L. Clark
Cardiac arrest during pregnancy is a condition in which the
survival of the mother and the fetus depends on timely interven¬
tion. It is imperative that the clinician has a basic understanding
of maternal fetal physiology and the acute management of car¬
diac arrest. This article describes the physiologic interatction
between pregnancy and cardiac arrest, illustrates the specific
modifications of cardiopulmonary resuscitation (CPR) during
pregnancy, discusses special considerations pertinent to preg¬
nancy, and provides information regarding commonly used
drugs during CPR and the effects they have on the mother and
her fetus
Emergent Management of Puerperal Eclampsia 315
Ihab M. Usta and Baha M. Sibai
Eclampsia is a life threatening emergency that continues to be a
major cause of serious maternal morbidity and is still the leading
cause of maternal mortality worldwide. Complicated and mis¬
managed cases are responsible for many maternal deaths. Perina¬
tal morbidity and mortality is also high if eclampsia occurs in the
antepartum period. This article reviews eclampsia management
with special emphasis on puerperal eclampsia. The complications
associated with eclampsia are also discussed.
Complicated Postpartum Preeclampsia Eclampsia 337
Everett F. Magann and James N. Martin, Jr.
The continuance of preeclampsia eclampsia for more than 24 to
48 hours into the postpartum period is rare. Maternal morbidity
and mortality is increased in women who persist in their disease
and do not rapidly resolve their hypertension, decreased urinary
output, depressed platelet count, and other related abnormalities
within 72 to 96 hours postpartum. Clinical management of these
patients demands continuous antepartum and postpartum reas¬
sessment so that increased maternal and perinatal morbidity and
mortality can be minimized.
Emergency Management of Sudden Puerperal Fever 357
Byron C. Calhoun and Brian Brost
The development of fever during the puerperium is a relatively
common complication. Although the primary source of these
fevers usually stems from the genital tract, a thorough evaluation
of the febrile puerperal patient for other sites of infection is
necessary before initiating antibiotic therapy. Increased awareness
CONTENTS Vii
of factors that predispose a pateint to postpartum infection has
significantly reduced maternal morbidity and mortality.
Psychiatric Emergencies 369
Stephen J. Schorr and David Richardson
Known psychiatric conditions can coexist with pregnancy. Other
psychiatric disorders possibly result from the physiologic
changes of pregnancy. In emergent cases, organic disease pro¬
cesses should be considered prior to psychotropic intervention.
Although some psychiatric conditions cannot be cured, appro¬
priate selection of therapy could facilitate successful pregnancy
outcome. Pregnancy does not impart immunity from suicide or
domestic violence. Physicians providing care for pregnant women
should understand the need for screening for physical abuse.
Index 385
Subscription Information Inside back cover
Viii CONTENTS
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| physical | VIII S., S. 197 - 389 Ill., graph. Darst. |
| publishDate | 1995 |
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| publisher | Saunders |
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| series | Obstetrics and gynecology clinics of North America |
| series2 | Obstetrics and gynecology clinics of North America |
| spelling | Intrapartum and postpartum obstetric emergencies James N. Martin guest ed. Philadelphia [u.a.] Saunders 1995 VIII S., S. 197 - 389 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 22,2 Lebensbedrohende Krankheit (DE-588)4283991-9 gnd rswk-swf Perinatalperiode (DE-588)4173771-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Lebensbedrohende Krankheit (DE-588)4283991-9 s Perinatalperiode (DE-588)4173771-4 s DE-604 Martin, James N. 1947- Sonstige (DE-588)1067301240 oth Obstetrics and gynecology clinics of North America 22,2 (DE-604)BV000617486 22,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006922381&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Intrapartum and postpartum obstetric emergencies Obstetrics and gynecology clinics of North America Lebensbedrohende Krankheit (DE-588)4283991-9 gnd Perinatalperiode (DE-588)4173771-4 gnd |
| subject_GND | (DE-588)4283991-9 (DE-588)4173771-4 (DE-588)4143413-4 |
| title | Intrapartum and postpartum obstetric emergencies |
| title_auth | Intrapartum and postpartum obstetric emergencies |
| title_exact_search | Intrapartum and postpartum obstetric emergencies |
| title_full | Intrapartum and postpartum obstetric emergencies James N. Martin guest ed. |
| title_fullStr | Intrapartum and postpartum obstetric emergencies James N. Martin guest ed. |
| title_full_unstemmed | Intrapartum and postpartum obstetric emergencies James N. Martin guest ed. |
| title_short | Intrapartum and postpartum obstetric emergencies |
| title_sort | intrapartum and postpartum obstetric emergencies |
| topic | Lebensbedrohende Krankheit (DE-588)4283991-9 gnd Perinatalperiode (DE-588)4173771-4 gnd |
| topic_facet | Lebensbedrohende Krankheit Perinatalperiode Aufsatzsammlung |
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