Learning Objectives Describe the pathophysiology of amniotic fluid embolism. List risk factors for amniotic fluid embolism. Identify clinical presentation of amniotic fluid embolism. Describe a management strategy for amniotic fluid embolism. Amniotic fluid embolism is a fortunately rare obstetric emergency.…
Learning Objectives Describe the clinical presentation of pheochromocytoma in pregnancy. Discuss appropriate management of pheochromocytoma in pregnancy. Pheochromocytoma is a catecholamine-secreting tumor that arises from chromaffin cells of the adrenal medulla or the sympathetic ganglia. Clinical Presentation Symptoms ( Fig. 24.1 ): Severe…
Learning Objectives Recognize clinical presentation of thyrotoxicosis. Describe management of thyrotoxicosis in pregnancy. Thyroid storm and thyrotoxic heart failure are life-threatening hypermetabolic states in pregnancy. Thermoregulation, cardiovascular, nervous, and gastrointestinal systems can be affected, typically leading to multisystem failure (…
Learning Objectives Identify risk factors for diabetic ketoacidosis in pregnancy. Recognize presentation of diabetic ketoacidosis in pregnancy. Describe management algorithm for diabetic ketoacidosis in pregnancy. Diabetic ketoacidosis (DKA) is a relatively rare but life-threatening condition. Pregnant women are prone to…
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…