Safety Training for Obstetric Emergencies: The OB FAST Approach

Vaginal Breech Delivery

Learning objectives Identify the types of vaginal breech deliveries. Describe the complications associated with vaginal breech delivery. Be able to safely perform vaginal breech delivery. Breech presentation occurs when the presenting part of the fetus is the buttocks or feet.…

Operative Vaginal Delivery

Learning objectives Identify indications and contraindications to operative vaginal delivery Identify the flexion point and apply proper technique to vacuum-assisted vaginal delivery Describe and apply proper technique to forceps-assisted vaginal delivery List potential maternal and neonatal complications of operative vaginal…

Shoulder Dystocia

Learning objectives List risk factors for shoulder dystocia. Recognize shoulder dystocia. Describe maneuvers used to relieve shoulder dystocia. Apply a team-based approach to shoulder dystocia. Identify complications of shoulder dystocia. Shoulder dystocia is an obstetric emergency. It occurs when, following…

Intrapartum Fetal Monitoring

Learning objectives Classify fetal heart rate patterns according to the three-tiered system of categorization. Assess and develop management plans for intrapartum fetal heart rate tracings. Assess and develop management plans for uterine contraction patterns. Discuss variables that can affect the…

Obstetric Ultrasound

Learning objectives Describe tools and technique for ultrasound image optimization. Describe techniques to effectively obtain crucial obstetric information in an emergency. Image Optimization Control deck, probe type, frequency, and orientation The ultrasound control panel and keyboard share several common knobs…

Anesthesia Complications

Learning objectives List potential complications of neuraxial anesthesia. Recognize and manage common anesthesia complications. The most common modes of anesthesia used in obstetrics are neuraxial and general anesthesia. Examples of neuraxial anesthesia include epidural anesthesia and spinal anesthesia. This chapter begins…

Respiratory Distress

Learning objectives List common causes of respiratory distress. Describe evaluation and management of respiratory distress. Signs of Increased Work of Breathing Retractions and use of accessory muscles of respiration Inability to talk in full sentences Long pauses between sentences Orthopnea…

Cardiac Arrest in Pregnancy

Learning objectives Describe principles of Basic Life Support. Describe principles of Advanced Cardiovascular Life Support as they relate to pregnancy. The goal of this chapter is to highlight pregnancy-related pearls with regards to maternal resuscitation. This section presupposes knowledge of…

Delivery Room Management of a Preterm Infant

Learning Objectives Understand the basic steps of resuscitation of a newborn per Neonatal Resuscitation Program (NRP) guidelines. Anticipate the needs of a preterm infant at delivery and review the management of a preterm infant in the delivery room. List effective…