Abstract
It is not every day that a GP is faced with an obstetric emergency, but in the event that you are it is essential to know what to do in these cases for the safe management of the situation. There are many complications that can occur during pregnancy and this article focuses on the management of obstetric emergencies during labour.
Get full access to this article
View all access options for this article.
References
1.
Arulkumaran
S.
Symonds
I.M.
Fowlie
A.
Oxford handbook of obstetrics and gynaecology (2004 ) Oxford : Oxford University Press ISBN: 978019263181–7.
2.Clinical evidence: Post partum haemorrhage -pregnancy and childbirth . Accessed via www.clinicalevidence.bmj.com/ceweb/conditions/pac/1410/1410_background.jsp [date last accessed 16.11.2008].
3.Confidential Enquiry into Stillbirths and Deaths in Infancy: The 5th annual report: focus group—ruptured uterus . (1998 ) Accessed via www.cemach.org.uk/getattachment/511a4718-6815-4a0a-819e-484e0e2c9163/5th-Annual-Report.aspx [date last accessed 16.11.2008].
4.Confidential Enquiry into Stillbirths and Deaths in Infancy: The 5th annual report focus group—shoulder dystocia . (1998 ) Accessed via www.cemach.org.uk/getattachment/511a4718-6815-4a0a-819e-484e0e2c9163/5th-Annual-Report.aspx [date last accessed 16.11.2008].
5.European Resuscitation Council Guidelines for Resuscitation 2005: Cardiac arrest in special circumstances . Accessed via www.erc.edu/index.php/guidelines_download_2005/en/ [date last accessed 16.11.2008].
6.
Nahum
G.
Emedicine: uterine rupture in pregnancy . Accessed via www.emedicine.com/MED/topic3746.htm [date last accessed 16.11.2008].
7.National Collaborating Centre for Women's and Children's Health Commissioned by NICE: Caesarean section . (2004 ) Accessed via www.nice.org.uk/nicemedia/pdf/CG013fullguideline.pdf [date last accessed 16.11.2008].
8.Patient plus article: Post partum haemorrhage . (2007 ) Accessedviawww.patient.co.uk/showdoc/40000261/ [date last accessed 16.11.2008].
9.Patient plus article: Retained placenta . (2006 ) Accessedviawww.patient.co.uk/showdoc/40000263/ [date last accessed 16.11.2008].
10.RCGP
Curriculum statements 10.1: Women's health . Accessed via www.rcgp-curriculum.org.uk/PDF/curr_10_1_Womens_Health.pdf [date last accessed 16.11.2008].
11.Resuscitation Council (UK) : Adult basic life support algorithm . (2005 ) Accessed via www.resus.org.uk/pages/blsalgo.pdf [date last accessed 16.11.2008].
12.Royal College of Obstetricians and Gynaecologist Green-top Guideline : Blood transfusion in obstetrics . (2007 ) Accessed via www.rcog.org.uk/resources/Public/pdf/Greentop47BloodTransfusions1207amended.pdf [date last accessed 16.11.2008].
13.Royal College of Obstetricians and Gynaecologists G : Placenta praevia and placenta praevia accreta: diagnosis and management . (2005 ) Accessed via www.rcog.org.uk/resources/Public/pdf/placenta_previa_accreta.pdf [date last accessed 16.11.2008].
14.Royal College of Obstetricians and Gynaecologists Green-top Guideline : Shoulder dystocia . (2005 ) Accessed via www.rcog.org.uk/resources/Public/pdf/shoulder_dystocia_42.pdf [date last accessed 16.11.2008].
15.The Royal College of Obstetricians and Gynaecologist Green-Top Guideline : Umbilical cord prolapse . (2008 ) Accessed via www.rcog.org.uk/resources/Public/pdf/Greentop50UmbilicalCordProlapse.pdf [date last accessed 16.11.2008].
16.
Simon
C.
Everitt
H.
Kendrick
T.
Oxford handbook of general practice (2nd edn
2005 ) Oxford : Oxford University Press ISBN: 978019856581–9.
17.The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom: Saving mothers' lives: amniotic fluid embolism . (2007 ) Accessed via www.cemach.org.uk/getattachment/927cf18a-735a-47a0-9200-cdea103781c7/Saving-Mothers-;Lives-2003-2005_full.aspx [date last accessed 16.11.2008].
18.World Health Organisation : Managing complications in pregnancy and childbirth —prolapsed cord . (2003 ) Accessed via www.who.int/reproductive-health/impac/Symptoms/Prolapsed_cord_S97_S98.html [date last accessed 16.11.2008].
19.World Health Organisation : Managing complications in pregnancy and childbirth—shoulder dystocia . (2003 ) Accessed via www.who.int/reproductive-health/impac/Symptoms/Shoulder_dystocia_S83_S85.html [date last accessed 16.11.2008].
20.World Health Organisation : Managing complications in pregnancy and childbirth—vaginal bleeding after childbirth . (2003 ) Accessed via www.who.int/reproductive-health/impac/Symptoms/Vaginal_bleeding_after_S25_S34.html [date last accessed 16.11.2008].
21.World Health Organisation : Recommendations for the prevention of post partum haemorrhage . (2006 ) Accessed via www.who.int/reproductive-health/publications/pph/recommendations_pph.pdf [date last accessed 16.11.2008].
