Midwifery Emergencies at a Glance

Preface viii Abbreviations ix About the companion website x Part 1 Professional issues 1 Section 1 Professionalism 1 Professional standards 2 2 Communications during an emergency 4 Part 2 Emergency skills 7 Section 2 Resuscitation 3 Maternal resuscitation 8 4 Neonatal resuscitation 10 Section 3 Haemorrhage 5 Antepartum haemorrhage 14 6 Primary postpartum haemorrhage 16 7 Secondary postpartum haemorrhage 18 Section 4 Malpresentations and multiple pregnancy 8 Occipito posterior positions 20 9 Face and brow presentations 22 10 Breech presentations 24 11 Cord presentation and prolapse 26 12 Twins 28 Section 5 Dystocia 13 Shoulder dystocia 30 14 Uterine dystocia – failure to progress 32 Section 6 Placental separation problems 15 Manual removal of the placenta 34 16 Adhered or partially adhered placenta 36 Section 7 Uterine emergencies 17 Uterine inversion 38 18 Uterine rupture and scar dehiscence 40 Part 3 Medical and psychological emergencies 43 Section 8 Psychological disorders 19 Post-traumatic stress disorder 44 20 Postnatal depression (mood disorder) 46 21 Puerperal (postpartum) psychosis 48 Section 9 Hypertensive disorders of pregnancy 22 Pre-eclampsia 50 23 Eclampsia 52 Section 10 Embolic and coagulation disorders 24 Venous thromboembolism 54 25 Amniotic fluid embolism 56 26 Disseminated intravascular coagulation 58 Section 11 Preterm labour 27 Prelabour rupture of membranes 60 28 Preterm labour and delivery 62 Part 4 Associated skills 65 Section 12 Instrumental and Operative deliveries 29 Instrumental vaginal delivery 66 30 Preparation and transfer to the operating theatre 68 31 Role of the scrub midwife or nurse 70 32 Receiving the baby in the operating theatre 72 33 Immediate care following surgery 74 Section 13 Fetal surveillance 34 Electronic fetal monitoring – actions following a suspicious or pathological trace 76 35 Fetal scalp electrode 78 36 Fetal blood sampling 80 Section 14 Maternal monitoring 37 Recognising the deteriorating woman 82 38 Examination per vaginam 84 39 Speculum examination 86 40 Urinary catheterisation 88 Section 15 Venous skills 41 Venepuncture 90 42 Intravenous cannulation 92 43 Blood transfusion therapy 94 Section 16 Augmentation 44 Artificial rupture of membranes 96 45 Oxytocic augmentation 98 Section 17 Perineal Trauma 46 Third- and fourth-degree tears 100 47 Perineal suturing 102 Section 18 Infection awareness 48 Maternal sepsis 104 49 Source isolation nursing 106 50 Group B streptococcus 108 51 Infection control 110 Part 5 Self-assessment 113 Section 19 Revision and self-assessment Multiple choice questions 114 Multiple choice answers 121 References 124 Index 131