Emergency Hysterotomy
Emergency Hysterotomy Megan E. Healy Efrat R. Kean OVERVIEW Resuscitative hysterotomy is the delivery of a potentially viable fetus by rapid cesarean section in the setting of maternal cardiopulmonary arrest….
Twin Deliveries
Twin Deliveries Nuriya D. Robinson OVERVIEW Deliveries of multifetal gestations can prove challenging for even the most experienced obstetrics provider.1 Fetal lie, monitoring challenges with more than one fetus, and…
Breech Deliveries
Breech Deliveries Cindy Chang Michael Ghermezi Nuriya D. Robinson INTRODUCTION Breech presentation is defined as the fetus in a longitudinal lie whose buttocks, knees, or feet are adjacent to the…
Normal Vaginal Deliveries
Normal Vaginal Deliveries Liza G. Smith OVERVIEW Most women in labor present directly or are triaged to an obstetric unit so births occurring in the prehospital or emergency department (ED)…
Placental Abnormalities
Placental Abnormalities James Wong III Megan C. Henn Michelle D. Lall OVERVIEW The placenta is the lifeline of the growing fetus. Maternal blood enters the placenta through approximately 120 spiral…
Prelabor Rupture of Membranes
Prelabor Rupture of Membranes Motunrayo Mobolaji-Lawal Karen J. Jubanyik OVERVIEW Background Prelabor rupture of membranes (PROM) is the spontaneous rupture of fetal membranes before the onset of labor at any…
Preterm Labor
Preterm Labor Luce A. Kassi Samantha P. DeAndrade Audra R. Meadows OVERVIEW Preterm labor is a common cause of hospitalization in pregnancy and may lead to preterm birth. Preterm birth…
Peripartum Cardiomyopathy
Peripartum Cardiomyopathy Alisa Anderson Eric J. Lee Rebecca Barron OVERVIEW Peripartum cardiomyopathy (PPCM) can be an elusive diagnosis with a clinical presentation that is similar to signs and symptoms of…
Hypertensive Disorders in Pregnancy
Hypertensive Disorders in Pregnancy Ramu Kharel Megan C. Henn Michelle D. Lall OVERVIEW The primary causes of maternal mortality around the world are hemorrhage, hypertension, and infection.1 In the United…
Preparation for Precipitous Delivery
Preparation for Precipitous Delivery Alison Schroth Hayward Tess Wiskel OVERVIEW Emergency medicine providers must be prepared to manage obstetric deliveries at all times. Patients may present to any medical facility…
