Learning Objectives Recognize warning signs of maternal sepsis. Identify initial treatment strategies for maternal sepsis. Definitions Systemic Inflammatory Response Syndromes (SIRS) Defined by two or more of the following: Temperature >38 or <36°C Heart rate >90 beats per minute Respiratory rate…
Learning Objectives Recognize the presentation of eclampsia. Describe management priorities for a patient with eclampsia. Eclampsia is defined as new-onset, generalized, tonic-clonic seizures or coma in a patient with preeclampsia. It is one of the several clinical manifestations of severe…
Learning Objectives List risk factors for uterine inversion. Recognize clinical presentation of uterine inversion. Describe management of uterine inversion. Uterine inversion occurs when the fundus of the uterus collapses after delivery and, in its most severe form, delivers through the…
Learning Objectives Identify the contents and indications for various blood component therapies. Recognize and manage transfusion reactions. In the event of a hemorrhage, blood transfusion can be lifesaving. The obstetric team must be well-versed in when to transfuse which products…
Learning Objectives Define postpartum hemorrhage. Discuss technique for quantification of blood loss. Manage postpartum hemorrhage. Postpartum hemorrhage (PPH) is defined as cumulative blood loss greater than or equal to 1000 mL or excessive blood loss leading to development of symptoms…
Learning Objectives List risk factors for uterine rupture. Recognize signs of uterine rupture. Describe management of uterine rupture. Uterine rupture, also known as uterine dehiscence, refers to the total or partial disruption of the uterine layers ( Fig. 16.1 ). It…
Learning objectives Define vasa previa. Describe risks of vasa previa. Describe antenatal management of vasa previa. The term vasa previa refers to fetal blood vessels present in the membranes covering or within 2 cm of the internal cervical os .…
Learning Objectives Evaluate patients with antepartum hemorrhage. List differential diagnoses for antepartum bleeding. Manage antepartum hemorrhage safely and promptly. Counsel patients on recurrence risks for antepartum hemorrhage. Antepartum hemorrhage is defined as any bleeding from the genital tract after the…
Learning objectives List risk factors for umbilical cord prolapse. Recognize and manage umbilical cord prolapse. Participate in constructive team debriefing after cord prolapse. Umbilical cord prolapse is a condition in which the umbilical cord presents ahead of the presenting part…
Learning Objectives Identify indication for breech extraction. Describe technique for breech extraction. Identify potential difficulties encountered during breech extraction Breech extraction has been performed for a long time with different results among the operators. It is usually used to describe…