Maternal Emergency and Collapse Flashcards
What position should a collapsed mother be managed in if conscious?
Supine with L manual uterine displacement
30 degree tilt
If uncousious left lateral position
What is an amniotic fluid embolism?
When amniotic fluid gets into the maternal circulation
What position helps with delivery of shoulder dystocia?
McRobert’s manoeuvre - knees up to chest
‘Head bobbing’ refers to when baby’s head keeps appearing at cervix and then going back in again. What medical emergency is this associated with?
Shoulder dystocia
When is a mother most at risk of massive PE?
Postnatally
At what stage in ABCDE is the baby monitored?
E - exposure and extras
What are the 4Hs and Ts of reversible causes of cardiac arrest?
What are the 2 additional Cs in pregnancy?
Hypothermia
Hypo/hyper metabolic
Hypovolaemia
Hypoxia
Tamponade
Thrombo-embolism
Toxins
Tension pneumothorax
Eclampsia
Intracerebral bleed
When performing CPR on a pregnant woman at what point must you consider saving the baby and how do you do this?
No response after 4 mins
Peri-mortem C-section
Just done then and there
What are the 2 shockable and unshockable rhythms again?
Shockable
- VT
- VF
Unshockable
- Astyole
- PEA
When is adrenaline given?
When is amiodarone given?
After 3rd shock and then every other cycle (4mins)
After 3rd shock
What is calcium gluconate used to treat?
Magnesium toxicity
Hyperkalaemia with ECG chanegs
Cord prolapse is an emergency.
What should you do if you see this?
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Category 1 C-section (immediate delivery)
