
Published online:
01 November 2020
Published in print:
01 January 2021
Online ISBN:
9780191799501
Print ISBN:
9780198734949
Contents
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Anatomy and physiology of pregnancy Anatomy and physiology of pregnancy
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Airway Airway
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Breathing Breathing
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Circulation Circulation
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The pregnant patient The pregnant patient
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Taking a history Taking a history
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Examination Examination
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Shock in pregnancy Shock in pregnancy
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General approach General approach
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External haemorrhage External haemorrhage
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Airway Airway
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Breathing Breathing
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Circulation Circulation
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Ectopic pregnancy Ectopic pregnancy
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Risk factors Risk factors
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Presenting features Presenting features
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Immediate management Immediate management
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Miscarriage Miscarriage
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Risk factors Risk factors
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Presenting features Presenting features
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Immediate management Immediate management
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Septic abortion Septic abortion
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Toxic shock syndrome Toxic shock syndrome
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Presenting features Presenting features
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Immediate management Immediate management
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Antepartum haemorrhage Antepartum haemorrhage
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Placenta praevia Placenta praevia
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Presenting features Presenting features
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Immediate management Immediate management
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Placental abruption Placental abruption
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Presenting features Presenting features
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Immediate management Immediate management
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Hypertensive disorders: eclampsia and pre-eclampsia Hypertensive disorders: eclampsia and pre-eclampsia
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Risk factors Risk factors
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Presenting features: pre-eclampsia Presenting features: pre-eclampsia
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Immediate management Immediate management
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Pre-eclampsia Pre-eclampsia
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Eclampsia Eclampsia
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Other problems during pregnancy Other problems during pregnancy
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Appendicitis Appendicitis
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Asthma Asthma
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Fibroids Fibroids
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Deep vein thrombosis and pulmonary embolism Deep vein thrombosis and pulmonary embolism
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Pyelonephritis Pyelonephritis
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Preterm labour Preterm labour
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Possible features include: Possible features include:
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Trauma in pregnancy Trauma in pregnancy
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Patient management Patient management
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Primary survey Primary survey
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Secondary survey Secondary survey
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Traumatic placental abruption Traumatic placental abruption
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Presenting features Presenting features
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Immediate management Immediate management
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Traumatic uterine rupture Traumatic uterine rupture
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Presenting features Presenting features
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Immediate management Immediate management
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Blunt trauma Blunt trauma
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Penetrating trauma Penetrating trauma
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Normal labour Normal labour
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First stage First stage
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What happens What happens
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Management Management
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Second stage of labour Second stage of labour
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What happens What happens
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Management Management
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The Apgar score The Apgar score
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Third stage of labour Third stage of labour
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Management Management
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Retained placenta Retained placenta
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Postpartum haemorrhage Postpartum haemorrhage
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Cord Prolapse Cord Prolapse
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Abnormal labour Abnormal labour
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Shoulder dystocia Shoulder dystocia
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Malpresentations: breech Malpresentations: breech
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Extended breech Extended breech
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Flexed breech Flexed breech
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Footling breech Footling breech
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Management Management
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Other abnormal presentations/abnormal lie Other abnormal presentations/abnormal lie
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Management Management
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Multiple births Multiple births
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Obstructed labour Obstructed labour
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Neonatal resuscitation Neonatal resuscitation
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Airway Airway
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Breathing Breathing
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Circulation Circulation
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Monitoring Monitoring
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Drugs Drugs
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Stopping resuscitation Stopping resuscitation
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Chapter
12 Emergency obstetrics, gynaecology, and care of the newborn
Get access
Pages
659–698
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Published:November 2020
Cite
Greaves, Ian, and Keith Porter, 'Emergency obstetrics, gynaecology, and care of the newborn', Oxford Handbook of Pre-hospital Care, 2 edn, Oxford Medical Handbooks (Oxford , 2021; online edn, Oxford Academic, 1 Nov. 2020), https://doi.org/10.1093/med/9780198734949.003.0012, accessed 29 Apr. 2025.
Abstract
This chapter starts with the anatomy and physiology of pregnancy and the approach to managing a severely ill or injured pregnant patient. It covers taking a history and examination, before describing the management of specific issues. These include shock, ectopic pregnancy, miscarriage, toxic shock syndrome, antepartum haemorrhage, placental abruption, hypertensive disorders (eclampsia and pre-eclampsia), pre-term labour, trauma in pregnancy, and normal labour. The chapter goes on to goes on to describe the retained placenta, abnormal labour, and normal birth. Neonatal resuscitation, and the circumstances in which it should be stopped, are explained.
Subject
Emergency Medicine
Series
Oxford Medical Handbooks
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
More
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
© Oxford University Press
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