Sexually Transmitted Infections Donna LaFontaine 27 Sexual intercourse is a risk factor for both pregnancy and the acquisition of a sexually transmitted infection (STI). Therefore, STIs represent a fairly common…

Infections in Pregnant Women                                    Rosemary J. Froehlich and Brenna L. Hughes 24 Infectious diseases commonly manifest during pregnancy, ranging from benign to life-threatening conditions. Many of these women will present…

                                        Periviable Obstetric Management Lindsay Maggio 8 PERIVIABILITY The limit of viability has been a moving target in the past several decades. With improvements in neonatal care and interventions that have…

                                                                Labor Evaluation Elisabeth D. Howard 18 The process of childbirth at term is normally initiated by regular uterine contractions, spontaneous rupture of membranes, or both (Cunningham, Leveno, & Bloom, 2014)….

                       Critical Postpartum Medical Complications Courtney Clark Bilodeau and Srilakshmi Mitta 32 The postpartum woman who presents to triage can be a clinical challenge. Common postpartum complaints can result from benign…

      Secondary Postpartum Hemorrhage and Endometritis Rachel Shepherd and Martha Pizzarello 30 In the postpartum period, secondary postpartum hemorrhage (SPPH) and endometritis are two conditions that frequently present to an obstetric…

III: MANAGEMENT OF OBSTETRIC CONDITIONS (GREATER THAN VIABILITY)   Fetal Evaluation and Clinical Applications Edie McConaughey 12 Electronic fetal heart rate monitoring (EFM) technologies and ultrasound are the primary surveillance…

V: MANAGEMENT OF POSTPARTUM COMPLICATIONS COMMONLY SEEN IN OBSTETRIC TRIAGE   Postpartum Preeclampsia Complications Mollie A. McDonnold 28 Hypertensive disorders are one of the most common causes of presentation for…

                      Severe Medical Complications in Pregnancy Lucia Larson and Karen Rosene-Montella 19 Pregnant women with potentially serious medical illnesses are a challenge to the clinician. Women can develop new medical illnesses…

                                                          Trauma in Pregnancy Roxanne Vrees 16 Trauma is estimated to complicate 1 in 12 pregnancies and is the leading cause of nonobstetric maternal death in the United States (Mendez-Figueroa, Dahlke,…