Management of Acute Obstetric Emergencies: Female Pelvic Surgery Video Atlas Series by Baha M. Sibai, Series Editor: Mickey Karram (Female Pelvic Video Surgery Atlas Series: Elsevier Saunders) Acute medical and surgical emergencies in pregnancy and postpartum are the leading cause of maternal mortality and morbidity worldwide. During the past decade there has been a substantial increase in the incidence of these emergencies. Secondary to the change in demographics of women considering pregnancy as well as a change in obstetric practice, these emergencies are expected to continue to increase. Specifically many women are delaying pregnancy until they are in their 40s. Couple this with an epidemic of obesity as well as rising cesarean section rates (with a tremendous increase in repeat cesarean section) and one can easily understand why these emergencies will continue to commonly occur. Also due to an improvement in medical and surgical care and advances in medical technology, many women with serious preexisting medical and surgical disorders are now surviving to reproductive age and are capable of pregnancy.
Specific emergencies that have resulted from these changes in maternal demographics and obstetric practice include an increased rate of life-threatening hemorrhage (both antepartum and postpartum), cardiovascular complications (pulmonary embolism, edema, cardiomyopathy, amniotic fluid embolism, and cardiorespiratory arrest), severe life-threatening hypertensive emergencies (eclampsia, stroke, liver hemorrhage), sepsis, and septic shock.
Due to an increased likelihood of these life-threatening obstetric emergencies, it is important that obstetricians as well as health care providers in general be prepared to deal with such emergencies.
Management of Acute Obstetric Emergencies, by Baha M. Sibai, helps readers to enhance their skills in this key area of obstetrics. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively anticipate and perform a variety of emergency procedures and manage complications. Supplemental video presentations take readers step by step through high-risk obstetrical emergencies including evaluation and management of hemorrhaging (antepartum, intrapartum, and postpartum), managing maternal cardiac arrest, and more.
Case-based presentations and videos, narrated by the authors, take readers step by step through a variety of procedures including CPR in pregnancy, techniques for abdominal cerclage, Cesarean hysterectomy, and management of postpartum hemorrhage.
Highly illustrated, quick-reference chapters discuss all of the possible diagnoses for which each procedure is indicated.
Case studies describe the clinical history surrounding each case featured in the videos.
Management of Acute Obstetric Emergencies provides step-by-step, visual guidance to the diagnosis and management of obstetric emergencies, with emphasis on anticipation and preparation. Discussions and life-saving protocols prepare and guide readers through emergency situations. Detailed discussions and illustrations, video presentations, and procedures clarify how to most effectively manage a variety of obstetric emergencies and complications.
Contributors and their chapters include:
Management of Acute Obstetric Emergencies provides a step-by-step approach to the diagnosis and management of these emergencies with emphasis on anticipation and preparation in the form of education and development of protocols. The volume also emphasizes the need for a multidisciplinary team approach to deal with these emergencies. The book uses case presentation with expert discussion using photographs, illustrations, and algorithms to highlight appropriate management of the various emergencies presented.
For most of the covered topics, video clips are present in the accompanying DVD. The DVD contains numerous PowerPoint presentations, surgical procedures, and instructional videos on a variety of topics. Included is a unique video demonstration of how to appropriately manage maternal cardiac arrest in pregnancy, including techniques of cardiopulmonary resuscitation.
There are several textbooks on medical complications during pregnancy and critical care obstetrics. However, Management of Acute Obstetric Emergencies is unique in that it focuses on acute maternal emergencies in labor and delivery, postpartum, emergency room areas, and intensive care. As such it is an ideal resource to enhance the obstetric practice; the information will contribute to improved pregnancy outcomes for women worldwide.
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