James talks to Dr Nhi Nguyen on the management of Obstetric Emergencies on the wards.
Nhi Nguyen is a Staff Specialist in the Department of Intensive Care Medicine and Co-Director of Prevocational Training and Education at Nepean Hospital. Nhi provides advice on the antenatal and peripartum management of pregnant patients with medical problems and has an interest in the critically ill obstetric patient.
With Dr Nhi Nguyen, Intensive Care Specialist, Obstetric Physician, and Director of Prevocational Education and Training at Nepean Hospital, New South Wales, Australia
Obstetric emergencies can be confronting or frightening for doctors of all levels of experience. Our management goals are the same for pregnant patients as they are for non-pregnant patients, however the wellbeing of both mother and baby must be considered. In general terms, what is good for the mother is good for the baby. The physiological changes of pregnancy can affect the interpretation of physical signs. It is important to escalate quickly to involve consultants in the management of obstetric emergencies.
Case 1– A 29 year old woman who is G1P0 presents at full term in labour. She is admitted to the delivery ward, then a rapid response call is made for a seizure and decreasing level of consciousness.
Case 2 –A 35 year old lady, who is G4P3 and 27 weeks pregnant presents to the delivery ward complaining of shortness of breath.
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