Late Pregnancy Emergencies

These slides are an accompaniment to the late pregnancy emergencies teaching session and the Late Pregnancy Problems module of the EMC course.

The Royal Women’s Hospital website has a number of useful fact sheets and clinical guidelines.  The guidelines on management of acute hypertension, pre-eclampsia, and the use of magnesium are excellent.

Emergency doctors will often ask the midwives to come see a patient in the ED and perform a CTG.  It is important to know the indications for any test you order, and how to interpret the results in the given clinical setting.  Geeky Medics has a simple and easy-to-understand summary of the CTG that is worth reading.

Pages 6 – 7 of the Australian Resuscitation Council guideline on resuscitation in special circumstances provides a good summary on the causes of arrest in the pregnant patient, the physiological changes in pregnancy, and how to modify your resuscitative approach.

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