HELPERR H Call for help E Evaluate for episiotomy L Legs (McRobert’s Maneuver by assistant) P Suprapubic pressure (by assistant) E Enter maneuvers/internal rotation (Rubin’s, Woods Corkscrew) R Remove posterior…
• Pregnancy with multiple fetuses • Fetal macrosomia • Fetal malpresentation • Prior uterine incision or myomectomy • Prolonged labor • Prolonged third stage (>20 min) • Previous postpartum hemorrhage • Placenta previa • Maternal obesity (BMI > 40)…
Fig. 9.1 Ultrasound image of decreased blood flow through right femoral vein DVT in transverse view. Reprinted with permission of the MedStar Georgetown University Hospital & MedStar Washington Hospital Center…
Fig. 5.1 Placenta previa. Ultrasound image showing placenta covering cervical os (arrowheads). Image courtesy of Ian Suchet Management of placenta previa depends on gestational age and stability of the mother….
Gestational period Effects Estimated threshold dosea Before implantation (0–2 weeks after conception) Death of embryo or no consequence (all or none) 50–100 mGy Organogenesis (2–8 weeks after conception) Congenital anomalies…
Causes of cardiac arrest in pregnancy Obstetric Non-obstetric Iatrogenic Eclampsia Pulmonary embolism General anesthesia-induced Amniotic fluid embolism Sepsis Regional anesthesia-induced Postpartum hemorrhage Trauma Other medications (e.g., magnesium) Antepartum hemorrhage Myocardial…
Gynecologic Genitourinary Gastrointestinal Ovarian torsion Urinary tract infection Appendicitis Ovarian cysts Pyelonephritis Cholelithiasis/cholecystitis Fibroids Urolithiasis Pancreatitis Round ligament pain – Diverticulosis/diverticulitis Vaginal infections – Bowel obstruction Pelvic inflammatory disease –…
Fig. 11.1 Anatomic and Physiologic Considerations of Pregnancy Emergency Department Evaluation and Management Primary Survey The general principles of Advanced Trauma Life Support (ATLS) apply to all pregnant trauma patients,…
Method Result Nitrazine Amniotic fluid pH 7.1–7.3 turns nitrazine paper yellow; >7.3 is blue Ferning Amniotic fluid crystallizes and appears like a fern, identified under microscope Pooling on speculum exam…
