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Journal articles on the topic 'Obstetric emergencies'

Author: Grafiati

Published: 4 June 2021

Last updated: 20 June 2025

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1

Simarjeet Kaur, Poonam Sheoran, and Jyoti Sarin. "Review of Obstetrical Emergencies: Its Concept and Optimal Management." Indian Journal of Forensic Medicine & Toxicology 15, no. 3 (2021): 474–78. http://dx.doi.org/10.37506/ijfmt.v15i3.15349.

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Obstetrical emergencies are life threatening conditions that occur in pregnancy during labour and after delivery. It is common that approximately 15% of all pregnant women develop serious complication from conception to delivery. Obstetrical emergencies may turn catastrophic in women, so every little contribution to save maternal and neonatal life brings about reduction in maternal and neonatal mortality and morbidity. Among all the emergency situations which may arise across the field of obstetrics, there are small numbers which call urgent practical steps to be taken in order to safeguard the life of the mother or the baby or both. Emergency obstetric care is a set of critical lifesaving functions commonly called signal functions provided by a health care facility throughout the day and week. Obstetric complications can neither be predicted nor be prevented but can be managed by timely provision of life saving services. When obstetric emergencies occur, effective and efficient care by the health care professionals is essential for good outcome and safety. Diagnosis of serious situation to delivery interval should be less than 30 minutes; however, it is expected to be lengthy then appropriate measure should be taken to manage the obstetric complications. Prompt diagnosis , timely performed intervention and positive impact of maternal and neonatal management have significantly improved the maternal and neonatal outcome.

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2

Robson, V., and A. Holdcroft. "Obstetric Emergencies." Current Anaesthesia & Critical Care 11, no. 2 (2000): 80–85. http://dx.doi.org/10.1054/cacc.2000.0237.

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3

LEVENO, KENNETH J. "OBSTETRIC EMERGENCIES." Clinical Obstetrics and Gynecology 33, no. 3 (1990): 405. http://dx.doi.org/10.1097/00003081-199009000-00003.

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4

&NA;. "Obstetric Emergencies." Clinical Obstetrics and Gynecology 33, no. 3 (1990): 535–36. http://dx.doi.org/10.1097/00003081-199009000-00019.

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5

Mirza, Fadi G., and Sreedhar Gaddipati. "Obstetric Emergencies." Seminars in Perinatology 33, no. 2 (2009): 97–103. http://dx.doi.org/10.1053/j.semperi.2009.01.003.

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6

Scrutton, Mark. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 6, no. 3 (2005): 100–105. http://dx.doi.org/10.1383/anes.6.3.100.62228.

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7

Westgren, Magnus. "Obstetric emergencies." Acta Anaesthesiologica Scandinavica 41, S110 (1997): 22. http://dx.doi.org/10.1111/j.1399-6576.1997.tb05486.x.

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8

Crochetière, Chantal. "Obstetric emergencies." Anesthesiology Clinics of North America 21, no. 1 (2003): 111–25. http://dx.doi.org/10.1016/s0889-8537(02)00026-3.

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9

Johnson, Calvin, and Charles Cauldwell. "OBSTETRIC EMERGENCIES." Anesthesiology Clinics of North America 14, no. 2 (1996): 281–305. http://dx.doi.org/10.1016/s0889-8537(05)70274-1.

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10

Dahlke, Joshua D., Asha Bhalwal, and Suneet P. Chauhan. "Obstetric Emergencies." Obstetrics and Gynecology Clinics of North America 44, no. 2 (2017): 231–43. http://dx.doi.org/10.1016/j.ogc.2017.02.003.

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11

Lah, Francis X. "Obstetric emergencies." Baillière's Clinical Anaesthesiology 7, no. 2 (1993): 299–313. http://dx.doi.org/10.1016/s0950-3501(05)80245-4.

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12

Gleeson, Claire, and Mark Scrutton. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 9, no. 3 (2008): 115–21. http://dx.doi.org/10.1016/j.mpaic.2008.01.003.

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13

King, Siobhan, and Mark Scrutton. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 12, no. 3 (2011): 102–7. http://dx.doi.org/10.1016/j.mpaic.2010.12.003.

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14

Britton, Neil, and Graeme G. Flett. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 14, no. 8 (2013): 350–54. http://dx.doi.org/10.1016/j.mpaic.2013.05.007.

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15

Ash, Charlotte, and Graeme G. Flett. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 17, no. 8 (2016): 384–89. http://dx.doi.org/10.1016/j.mpaic.2016.05.004.

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16

Summers, Brynmor A., and Graeme G. Flett. "Obstetric emergencies." Anaesthesia & Intensive Care Medicine 20, no. 9 (2019): 500–505. http://dx.doi.org/10.1016/j.mpaic.2019.07.001.

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17

Chamberlain, Geoffrey, and Philip Steer. "Obstetric emergencies." BMJ 318, no. 7194 (1999): 1342–45. http://dx.doi.org/10.1136/bmj.318.7194.1342.

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18

Baltaji, Stephanie, Shaun F. Noronha, Samir Patel, and Amit Kaura. "Obstetric Emergencies." Critical Care Nursing Quarterly 46, no. 1 (2023): 66–81. http://dx.doi.org/10.1097/cnq.0000000000000438.

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19

Radhika, Rai, Solanki Priyanka, Pancholi Sanjay, Pawde Yogesh, Yadav Ashok, and Likhar Khushbu. "Transfusion Practices During Obstetric Emergencies- A Central India Study." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 745–50. https://doi.org/10.5281/zenodo.11266358.

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<strong>Background:</strong> Common obstetric emergencies require blood and blood components transfusion. The use of blood and its components has become a lifesaving strategy in management of obstetric hemorrhage. This study was aimed to know what transfusion practices during emergencies in obstetrics cases should be. <strong>Methods:</strong> A review of 1250 patients of obstetric emergencies requiring blood and its component transfusion was done. <strong>Results:</strong> Requirement of blood and blood components transfusion in obstetric emergencies in one-year period was 20.4%. Mostly multiparous women required blood transfusions (58.12%) and belonged to rural areas (69%). Anemia is a risk factor for obstetric emergencies and the mean pre-transfusion hemoglobin ±SD was7.54±1.0 (g/dl). Obstetric hemorrhage (59.6%) was the most common indication for transfusion and packed red cells were most commonly (60.07%) transfused. The overall percentage of adverse reactions seen during transfusion was 1.54%. <strong>Conclusions: </strong>The present study reinforces the importance of Proper transfusion practices during obstetrics emergencies. Specific blood component use avoids many of the hazards associated with use of whole blood. All blood components should be made available at peripheral hospitals as most of the patients require specific blood component and they are referred to tertiary care centre in emergencies which can be avoided.      

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20

Saha, R., and P. Gautam. "Obstetric Emergencies: Feto-maternal Outcome at a Teaching Hospital." Nepal Journal of Obstetrics and Gynaecology 9, no. 1 (2014): 37–40. http://dx.doi.org/10.3126/njog.v9i1.11186.

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Aims: This study was done to know the pattern of obstetric emergencies and its influence on maternal and fetal outcome. Methods: A descriptive study was carried out in the department of obstetrics and gynecology at Kathmandu Medical College Teaching Hospital from 1st June 2013 to 31st May 2014. Cases were categorized as early pregnancy emergencies (ruptured ectopic pregnancy, complications of abortion), ante-partum emergencies and intra-partum emergencies (antepartum haemorrhage, preeclampsia, eclampsia, preterm prelabor rupture of membranes, rupture uterus), post-partum emergencies (postpartum haemorrhage, retained placenta, placenta accreta, uterine inversion), puerperal emergencies (postpartum sepsis), fetal emergencies (cord prolapse, shoulder dystocia). Outcome noted were type of emergency, obstetric intervention done, maternal and perinatal morbidity and mortality. Results: A total of 80 (4.45%) obstetric emergencies occurred among 1796 deliveries .The most common obstetric emergencies were obstetric hemorrhage (62.5%), severe preeclampsia (23.5%) and preterm prelabor rupture of membranes (10%). The obstetric interventions done were cesarean section (43.75%), exploratory laparotomy (33.75%) and blood transfusion (40%). Obstetric emergencies were responsible for 66.6% of total maternal death and 24.56% of total perinatal death. Conclusions: In spite of best efforts, some obstetric emergencies do occur. Obstetric hemorrhage and severe preeclampsia are the frequent obstetric emergencies. Cesarean section, exploratory laparotomy and blood transfusion were the commonly performed interventions. A better outcome can be achieved by national policy of promoting utilization of antenatal care, institutional deliveries, skilled birth attendance at delivery, liberal blood transfusion and regular training of doctors and nurses. DOI: http://dx.doi.org/10.3126/njog.v9i1.11186 NJOG 2014 Jan-Jun; 2(1):37-40

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21

Miguel Ángel Ródenas Monteagudo, Odette Gutiérrez Pérez, Eva Romero García, and Pilar Argente Navarro. "Evaluación del trabajo en equipo en emergencias obstétricas, ¿contamos con las herramientas necesarias?" Revista Electrónica AnestesiaR 10, no. 11 (2018): 5. http://dx.doi.org/10.30445/rear.v10i11.647.

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Las emergencias obstétricas son un escenario que aparece con relativa frecuencia. En los últimos años, diferentes trabajos orientan a que muchos eventos adversos en obstetricia se producen por un pobre trabajo en equipo durante las situaciones de crisis. Existen varias herramientas que evalúan las habilidades no técnicas de los equipos en estas situaciones. El objetivo de este trabajo fue valorar si estas herramientas son realmente válidas en el contexto obstétrico. ABSTRACT Obstetric emergencies are situations that appear relatively frequent. In the last years, some studies suggest that many adverse outcomes in obstetrics are produced by poor teamwork in emergencies. There are some assessment tools to evaluate the nontechnical skills of the teams in these situations. The purpose of this review was to find if these tools are valuable in obstetrics.

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22

Prasad, Dipali, Huma Nishat, Bhawana Tiwary, Swet Nisha, Archana Sinha, and Neeru Goel. "Review of obstetrical emergencies and fetal out come in a tertiary care centre." International Journal of Research in Medical Sciences 6, no. 5 (2018): 1554. http://dx.doi.org/10.18203/2320-6012.ijrms20181467.

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Background: Obstetric emergencies can occur suddenly and unexpectedly. Obstetrics is unique in that there are two patients to consider and care for, a mother and a baby or fetus. Identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness can reduce the incidence of obstetric emergencies. Present study was carried out to know the incidence, nature and outcome of obstetric emergencies.Methods: Retrospective study of obstetric emergencies admitted to Obstetrics and Gynaecology department of Indira Gandhi Institute of Medical science, Patna from March 2015 to September 2017.Results: The common clinical presentation was Ectopic Pregnancy (19.64%), Heart Disease (16.64%), Abortion (13.69%), Severe Anaemia (16.66%), Purpureal Sepsis (9.52%), Sever pregnancy induced hypertension (3.57%), Eclampsia/ HELLP Syndrome (2.38%), Multiple Pregnancy (1.19%) Malignancy Disorder with Pregnancy (2.97%) and HIV in pregnancy (0.59%). Intervention done include Dilation and evacuation (13.69%), Caesarean section (28.57%), Vaginal delivery (22.62%), Caesarean Hysterectomy (2.38%), Exploratory Laparotomy (20.83%) and conservative management in (11.90%) of patients. Maternal outcome include shock due to rupture ectopic and post-partum (16.68%), Blood Transfusion done in (27.99%), Septicaemia (15.48%), ICU admission (8.92%), HDU (12.5%), Pulmonary oedema (6.54%), DIC (4.16%), CCF (3.57%), Ventilatory Support (1.78%) and Maternal Mortality (2.38%). Fatal outcome includes live birth (58.8%), NICU Admission (27.45%), Ventilatory Support (7.84%) and Neonatal mortality (5.88%).Conclusions: High risk pregnancy identification and proper antenatal, intranatal and postnatal care will reduce the incidence of obstetrical emergencies. Peripheral health care system need to be strengthen and early referral need to be implemented for better maternal and fetal outcome.

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23

Adamolekun, Patience Arinola, Bisola Betsy Fasakin, and Covenant Oyeronke Oyeromi. "Knowledge, Causes and Effects of Obstetric Emergencies among Pregnant Women In Selected Health Centres in Akure South Local Government, Ondo State." Research and Reviews in Intensive and Critical Care Nursing 2, no. 2 (2024): 6–15. https://doi.org/10.5281/zenodo.12604701.

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<em>Obstetric emergencies are potentially fatal situations that can arise prior to, during, or following childbirth. Approximately 15% of all pregnant women experience significant complications from conception to delivery. According to WHO, obstetric emergencies are the leading cause of maternal morbidity and mortality worldwide, particularly in developing countries with low literacy rates, poverty, a lack of antenatal care, and inadequate staffing and equipment all contribute to the problem's escalation. This study was designed to assess the knowledge, causes and effects of obstetric emergencies among pregnant women in selected health centres in Akure South Local Government, Ondo state. A descriptive cross-sectional design was adopted and 105 pregnant women from health centres were recruited for the study using proportionate sampling technique. Data was collected using a self-developed questionnaire which was eventually analyzed with SPSS software using descriptive statistics and Chi square test hypothesis testing. The findings from this study shows that a total number of 57% of the respondents have good knowledge of what obstetrics emergency is while 43% have poor knowledge of it. 53.4% were able to identify the causes of obstetric emergencies while 46.5% could not. 60.5% agreed to obstetric emergencies having effect on the mother while 39.5% disagreed, 65.3% agreed that obstetric emergencies have effect on the fetus while 34.7% disagreed. In addition, P value was less than 0.05 for all hypothesis testing confirming that there is a significant relationship between the ages of the respondents and knowledge of obstetric emergencies among pregnant women. Finally, it is important to adequately health educate women on the various types of obstetric emergencies, the causes and the effect it has on the mother and baby. When they are abreast of the causes of this problem, they will be able to avoid it and be safe.</em>

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24

Kochenour, Neil K. "Intrapartum Obstetric Emergencies." Critical Care Clinics 7, no. 4 (1991): 851–64. http://dx.doi.org/10.1016/s0749-0704(18)30284-7.

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25

James, David. "Common obstetric emergencies." Current Obstetrics & Gynaecology 2, no. 1 (1992): 37. http://dx.doi.org/10.1016/0957-5847(92)90009-z.

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26

Mrs., Sudha Swamy, and Vikas Choudhary Dr. "A evaluatory study to findout influence of self-made informatic booklet on knowledge and attitude of obstetrics practioner regarding selected obstetrics emergencies and their management of complications in third stage labour in Dr.kamlesh Tandon hospital and IVF center Agra (U. P)." International Multispeciality Journal of Health 8, no. 8 (2022): 01–07. https://doi.org/10.5281/zenodo.7110914.

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<strong>Abstract</strong><strong>—</strong> <strong>Problem Statement</strong> To Evaluate the influence of self-made informatics booklet on knowledge and attitude of obstetric practioner regarding selected obstetric emergencies and their management of complication in third stage of labour, Dr.kamlesh tendon hospital,Agra (U.P) <strong>Objectives</strong> To assess the existing level of knowledge and attitude of obstetric practioner regarding selected obstetric emergencies and their management of complication in third stage of labour among nursing officers. To find co-relation between the knowledge and attitude score of selected obstetric practioner and their management of complication in third stage of labour with selected demographic variable. <strong>Research Hypothesis</strong> <strong>HA1-</strong> There will be significant difference in knowledge and attitude score of obstetric practioner with regard to obstetric emergencies and their management of complication in third stage of labour. <strong>H01-</strong> There will be no significant difference in knowledge and attitude score of obstetric practioner with regard to obstetric emergencies and their management of complication in third stage of labour. <strong>HA3:</strong> There will be significant co- relation between knowledge and attitude score among obstetric practioner with regard to obstetric emergencies and their management of complication in third stage of labour. <strong>H03:</strong> There will be significant co- relation between knowledge and attitude score among obstetric practioner with regard to obstetric emergencies and their management of complication in third stage of labour.

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27

Cetin, I. "Managing Obstetric Emergencies, Managing Gynecological Emergencies." Placenta 24, no. 6 (2003): 710. http://dx.doi.org/10.1016/s0143-4004(03)00062-6.

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28

Durst, Jennifer, Lorene Temming, Christine Gamboa, Methodius Tuuli, George Macones, and Omar Young. "Interdisciplinary Obstetric Simulation for Common Obstetric Emergencies." Obstetrics & Gynecology 130 (October 2017): 48S. http://dx.doi.org/10.1097/01.aog.0000525747.92638.68.

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29

Hernández, Encarna, Marcos Camacho, César Leal-Costa, et al. "Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills?" Healthcare 9, no. 2 (2021): 170. http://dx.doi.org/10.3390/healthcare9020170.

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Clinical simulation in obstetrics has turned out to be a tool that can reduce the rate of perinatal morbidity and mortality. The objective of this study was to analyze the impact and evaluate the effects of training with high-fidelity simulation of obstetric emergencies on a multidisciplinary group. The quasi-experimental research study was structured in three phases: a first phase where the most important obstetric emergencies were determined, a second phase of design and development of the selected cases for simulation training, and a third and final phase where the abilities and satisfaction of the multidisciplinary team were analyzed. Three scenarios and their respective evaluation tools of obstetric emergencies were selected for simulation training: postpartum hemorrhage, shoulder dystocia, and breech delivery. The health professionals significantly improved their skills after training, and were highly satisfied with the simulation experience (p < 0.05). An inter-observer agreement between good and excellent reliability was obtained. Regarding conclusions, we can state that high-fidelity obstetric emergency simulation training improved the competencies of the health professionals.

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30

Sheen, Jean-Ju, Dena Goffman, and Shad Deering. "Simulation in Obstetric Emergencies." Obstetrics and Gynecology Clinics of North America 49, no. 3 (2022): 637–46. http://dx.doi.org/10.1016/j.ogc.2022.04.005.

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31

Garland, Melissa. "Obstetric Emergencies during Labour." InnovAiT: Education and inspiration for general practice 2, no. 5 (2009): 291–98. http://dx.doi.org/10.1093/innovait/inp020.

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It is not every day that a GP is faced with an obstetric emergency, but in the event that you are it is essential to know what to do in these cases for the safe management of the situation. There are many complications that can occur during pregnancy and this article focuses on the management of obstetric emergencies during labour.

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32

MAUPIN, ROBERT T. "Obstetric Infectious Disease Emergencies." Clinical Obstetrics and Gynecology 45, no. 2 (2002): 393–404. http://dx.doi.org/10.1097/00003081-200206000-00010.

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33

Gezginc, Kazim, and Elif Utku Dalkilic. "Management of Obstetric Emergencies." Journal of Academic Emergency Medicine 10, no. 3 (2011): 128–32. http://dx.doi.org/10.5152/jaem.2011.027.

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34

Coppola, Marco, and David A. Della-Giustina. "Obstetric and gynecologic emergencies." Emergency Medicine Clinics of North America 21, no. 3 (2003): xi—xii. http://dx.doi.org/10.1016/s0733-8627(03)00046-4.

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35

Nadel, Eric, and Janet Talbot-Stern. "OBSTETRIC AND GYNECOLOGIC EMERGENCIES." Emergency Medicine Clinics of North America 15, no. 2 (1997): 389–97. http://dx.doi.org/10.1016/s0733-8627(05)70306-0.

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36

Borhart, Joelle, and Rebecca A. Bavolek. "Obstetric and Gynecologic Emergencies." Emergency Medicine Clinics of North America 37, no. 2 (2019): i. http://dx.doi.org/10.1016/s0733-8627(19)30022-7.

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37

Palmer, Susan K. "Anesthesia for Obstetric Emergencies." ASA Refresher Courses in Anesthesiology 14 (January 1986): 171–83. http://dx.doi.org/10.1097/00126869-198614000-00012.

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38

Dantoni, Susan E., and Peter J. Papadakos. "Obstetric and Gynecologic Emergencies." Critical Care Clinics 32, no. 1 (2016): i. http://dx.doi.org/10.1016/s0749-0704(15)00092-5.

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39

Mattu, Amal. "Obstetric and Gynecological Emergencies." Emergency Medicine Clinics of North America 30, no. 4 (2012): xiii—xiv. http://dx.doi.org/10.1016/j.emc.2012.10.002.

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40

Borhart, Joelle, and Rebecca A. Bavolek. "Obstetric and Gynecologic Emergencies." Emergency Medicine Clinics of North America 37, no. 2 (2019): xvii—xviii. http://dx.doi.org/10.1016/j.emc.2019.02.002.

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Mattu, Amal. "Obstetric and Gynecological Emergencies." Emergency Medicine Clinics of North America 37, no. 2 (2019): xv—xvi. http://dx.doi.org/10.1016/j.emc.2019.02.003.

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42

Laifer-Narin, Sherelle L., and Nora Tabori. "Ultrasound for Obstetric Emergencies." Ultrasound Clinics 6, no. 2 (2011): 177–93. http://dx.doi.org/10.1016/j.cult.2011.03.008.

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43

Ehmke, Sabrina, Stacey Van Gelderen, Marilyn Swan, and Laura Bourdeanu. "Obstetric Nurses’ Self-Efficacy, Demographic Characteristics, and Family-Focused Care during Simulated Events." Creative Nursing 28, no. 4 (2022): 253–60. http://dx.doi.org/10.1891/cn-2022-0050.

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Introduction/Background: A study involving 48 obstetric nurses explored the relationship between self-efficacy scores and demographic variables, and family-focused care during obstetrical emergencies. Methods: Obstetric Nursing Self-Efficacy Scale scores and demographic data were collected, and the Van Gelderen Family Care Rubric (VGFCR) was administered following simulation of obstetrical emergencies. Results: Two variables were found to influence the VGFCR scores. Nursing specialty certification and previous education in family-focused care. Conclusion: Improvements in the delivery of family-focused care can be achieved with simulation education and nursing specialty certification achievement.

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44

Senthil, Kumar Sivananthan, Veni S. Kamala, Mahalakshmi G, and Saravin S.N. "Anaesthesia in Obstetrics: Maternal and Neonatal Outcomes." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 1851–61. https://doi.org/10.5281/zenodo.12516963.

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Anesthesia plays a crucial role in obstetric care, providing pain relief during labor, facilitating operative deliveries, and managing various obstetric emergencies. This research paper aims to review the impact of anesthesia on maternal and neonatal outcomes in obstetrics. We will discuss the different types of anesthesia used in obstetric practice, including regional and general anesthesia, and evaluate their effects on maternal morbidity, mortality, and neonatal outcomes. The paper will also explore recent advancements in anesthesia techniques and their potential implications for improving obstetric care. By synthesizing existing evidence, this study aims to enhance our understanding of anesthesia’s role in optimizing maternal and neonatal outcomes in obstetrics.      

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45

Singh, Neelima, Sreedevi ., and Sushma . "Observational study of maternal and fetal outcome in obstetric emergencies admitted to tertiary care centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 7 (2021): 2712. http://dx.doi.org/10.18203/2320-1770.ijrcog20212317.

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Background: Objectives of the current study were to evaluate the risks factors, clinical presentations, the management and maternal and fetal outcome of common obstetric emergencies encountered at Government general hospital Nizamabad, Telangana, from April 2019 to November 2019.Methods: It is an Observational, hospital-based study done department of obstetrics and gynaecology in 160 cases of obstetric emergencies managed in 8 months study period were reviewed.Results: Out of 3000 deliveries there were 160 cases of obstetric emergencies giving a percentage of 5.33%. About 84% had antenatal care and 16% had not taken ANC with perinatal mortality of 91.9% in booked cases. Out of 160 cases of obstetric emergencies, obstetric haemorrhage constituted 94 (58.75%) cases and among those cases, 23 cases (24.5%) were PPH including both atonic and traumatic, abruptio placenta constituted 35 cases (37.3%). Out of 160 cases of obstetric emergencies, obstructed labour constituted 29 cases (18.1%) being a frequent indication for emergency caesarean section, 1 case of septic abortion and 30 cases eclampsia. 29 perinatal deaths giving the perinatal mortality rate as 181 per 1000 live births. One maternal mortality due to rupture uterus. Maternal morbidity was in the form of wound infections which was found in 6 cases (3.75%), wound gaping in 2 cases (1.25%) PPH in 19 cases (11.81%), septicaemia in 17 cases (10.6%), puerperal pyrexia 6 cases (3.7%), vaginal or cervical injury 6 cases (3.7%), ICU admissions in 9 cases (5.6%). This morbidity increased the number of days of hospital stay to the patients.Conclusions: In majority of cases, the complications are preventable and treatable with proper antenatal and intranatal care. Identification of high risks cases, education of people about the importance of supervised pregnancy, delivery and emergency obstetric care will reduce the maternal mortality and morbidity and perinatal mortality and morbidity significantly.

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46

Nisha, Toshniwal, Pandya Munjal, Mehta Dipenti, Prajapati Dhrumi, Patel Nikunj, and Patel Keyur. "Review of Obstetrical Emergencies at Tertiary Care." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 1440–47. https://doi.org/10.5281/zenodo.11204093.

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<strong>Introduction:</strong> A serious and frequently dangerous situation that arises suddenly and unexpectedly and necessitates immediate action to save lives is referred to as an emergency. The leading cause of maternal mortality worldwide are obstetric emergencies, especially in developing nation where a lake of antenatal care, poor transportation infrastructure ,low literacy rates and inadequate staff and equipment all contribute to problem. <strong>Aims and Objective:</strong> To review of obstetrical emergencies, its cause, management and outcome at tertiary care hospital. <strong>Material and Methodology:</strong> A prospective observational study conducted in our hospital on the patients with obstetric emergency at labour ward of LG hospital during November 2022 to November 2023. <strong>Results:</strong> In our study majority of the patients (42%) were in the 25 to 29 year old age range. Only 7.1% were over the age of 35, while 31.4% were under 24.The majority of patients who needed emergency obstetric care were lower gravida women. Emergency caesarean section accounted for 48.6% of deliveries.77.1 % outcome were uneventful. 5.7% of patient developed sepsis, 11.4% has significant anaemia. 6.3% of all maternal deaths were from 6 causes; PPH, sepsis, difficult labour, pulmonary oedema, and abruption with IUD. <strong>Conclusion: </strong>Obstetric emergencies are a significant cause of morbidity and mortality among pregnant women and their newborns. The management of these emergencies requires timely and appropriate intervention to improve maternal and fetal outcomes.    

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Bahadur, B. Rao, Prabhadevi Kodey, Jeevitha Tanniru, and Suhasini Tirumala. "Study of outcome of obstetric emergencies admitted to intensive care unit." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (2018): 2909. http://dx.doi.org/10.18203/2320-1770.ijrcog20182905.

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Background: Critically ill obstetric patients pose challenges to the intensive care unit team due to their altered physiology as well as due the presence of the foetus and safety of both the mother and the foetus is of paramount importance.Methods: All antenatal and postnatal cases within 42days of delivery requiring ICU admission from October 2014 to September 2016. Detailed history taken and outcome noted. Results were subjected to statistical evaluation using SSP software.Results: (n=75): obstetric reasons (n=51, 68%) of which 21(28%) had PPH and 17(22.6) had hypertensive disorders of pregnancy. Non-obstetric reasons (n=24, 32%) of which 7(9.3%) cases had jaundice and 4(5.3%) had malaria. Mechanical ventilation was needed in the majority of cases (n=44, 58.7%) followed by inotropic support (n=30, 40%).Maternal mortality was 16%. Mortality was higher (n=8, 66.6%) among patients admitted for obstetric reasons as opposed to non-obstetric indications (n=4, 33.3%).Conclusions: Early detection and prompt referral to the tertiary centre with intensive care facilities should be promoted among the medical fraternity to reduce the incidence of ICU admissions and maternal mortality. All residents of obstetrics and gynaecology should have short mandatory training phase in critical care. Multicentre randomised studies are required for formulating evidence-based national guidelines.

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Subrahmanyam, Namitha, Jisha Joseph, and Rinu Abraham. "Obstetric emergency preparedness among staff nurses working in obstetric care units." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 7 (2017): 2960. http://dx.doi.org/10.18203/2320-1770.ijrcog20172916.

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Background: Pregnancy and child birth process heralds some risks at every point of time. Being primary health care provider nurses have key roles in identification and prompt management of obstetric emergencies. The aim of this study was to assess the obstetric emergency preparedness among staff nurses working in obstetric care units of a tertiary care centre.Methods: A descriptive survey was carried out among all staff nurses (n=117) working in obstetric care units of a tertiary care hospital in Ernakulam district, Kerala using a structured questionnaire that contain items on personal and professional characteristics and obstetric emergency preparedness.Results: The percentage of nurses reported attendance to obstetric emergency drills at work setting (28.2%), Familiarity with procedures for staff call up systems during emergencies (44.4%), Familiarity with emergency crash cart at work setting (50.4%) and being acquainted with correct triaging of obstetric emergencies (57.3%) were found to be low in the study. The overall emergency preparedness score showed significant association with age (p=0.003), educational qualification (p=0.002), type of employment (p=0.001), years of experience (p=0.016), experience in handling obstetric emergencies (p=0.015) and attendance to Continuing Nursing Education(CNE) on obstetric emergencies (p=0.001).Conclusions: The areas where the nurses lag obstetric emergency preparedness need to be strengthened through appropriate empowerment strategies in order to ensure competency in managing obstetric emergencies among staff `nurses.

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Doan-Wiggins, Lynnette. "Drug Therapy for Obstetric Emergencies." Emergency Medicine Clinics of North America 12, no. 1 (1994): 257–72. http://dx.doi.org/10.1016/s0733-8627(20)30461-2.

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Gupta, Anurag, Suyash Kulkarni, Nitin S. Shetty, Saketh Rao, and Harshit Bansal. "Interventional Radiology in Obstetric Emergencies." Indian Journal of Critical Care Medicine 25, S3 (2022): S273—S278. http://dx.doi.org/10.5005/jp-journals-10071-24090.

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