Figure 25.1 Maternal mortality from eclampsia and pre-eclampsia: England and Wales 1952–84; United Kingdom 1985–2005. Figure 25.2 Maternal mortality from eclampsia (grey) and pre-eclampsia (black) in the United Kingdom. Presentation…
Ethnicity (Black African, Asian)BMIPrevious PPHAssisted conception (multiple pregnancy or abnormal placentation)During pregnancyMultiparityMultiple pregnancyPolyhydramnios uterine fibroidsPre-eclampsiaIntrapartumOperative vaginal deliveryChorioamnionitisProlonged labourAugmented labourPrecipitate labourEpisiotomy Table 15.2 The 4 ‘T’s: the mechanisms by which bleeding…
≥656 87827 06561 68535 619Multiparous women≤5≥627 63315 63235 15514 488 Position of Vertex Persistent occipito-posterior position has been associated with increased chance of failure of IOL [8]. Body Mass Index…
Placental abruptionVasa praevia31220.5UnclassifiedMarginal34Genital tractCervicitisTraumaVulvovaginal varicositiesGenital infectionsGenital tumoursOthers8.05.02.00.50.50.5 Diagnosis and Management Antepartum haemorrhage by nature is unpredictable, and the bleeding at presentation can be significant or non-substantial. The management of any…
Figure 16.1 Placenta percreta with presence of placental lacunae on ultrasound scan. Note the ‘moth-eaten’ appearance. MRI has been shown to be equivalent to ultrasound in the diagnosis of invasive…
SBAR – clarify the situation and background, then make an assessment and a recommendation loudly for everyone to hear; including patient and companions who can then be informed in the…
Fetal (3F)Postpartum ‘trickling’Prolonged second stage of labour with a normal CTG4. Can wait until other emergencies are under controlMaternal (4M)Fetal (4F)Rupture of membranes with no contractions and normal CTGMeconium staining…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 27 The Immediate Puerperium Shankari Arulkumaran Best Practice in Labour and Delivery, Second Edition, ed. Sir Sabaratnam Arulkumaran. Published by Cambridge University Press. © Cambridge…
Figure 21.1 Non-reassuring preterm cardiotocographic trace. A nulliparous woman presented with contractions and spontaneous rupture of the membranes with maladorous amniotic fluid at 34 + 2/7 weeks’ gestation. The cervical…
Spontaneous onset of labourNo need for augmentationNo repetitive FHR abnormalitiesPrevious successful VBACMedium riskMechanical or oxytocin induction of labourOxytocin augmentationTwo or more previous low transverse caesarean birthsFewer than 18 months between…
