Midwifery Emergencies at a Glance

Midwifery Emergencies at a Glance is a succinct, illustrated guide covering the practical skills needed to manage obstetric and midwifery emergencies, as well as high-risk midwifery care. It provides clear guidance on the factors which predispose to complications so that preventative management can be employed whenever possible. Broad-ranging yet easy-to-read, Midwifery Emergencies at a Glance details the underlying physiology and pathophysiology related to the emergency and explores both the physical and psychological care of the woman, partner and newborn during and following the emergency. Key features: Evidence-based, with guidance from the NMC, RCOG, NICE, and The Resuscitation Council Presented in an innovative, visual style that makes the key concepts easy to understand Provides helpful websites that expand on various topics as well as providing information on support groups for the woman and her family Midwifery Emergencies at a Glance is an ideal guide for practising midwives, pre registration student midwives, general practitioners and junior doctors to support both revision and clinical practice.

Midwifery Emergencies at a Glance is a succinct, illustrated guide covering the practical skills needed to manage obstetric and midwifery emergencies, as well as high-risk midwifery care. It provides clear guidance on the factors which predispose to complications so that preventative management can be employed whenever possible. Broad-ranging yet easy-to-read, Midwifery Emergencies at a Glance details the underlying physiology and pathophysiology related to the emergency and explores both the physical and psychological care of the woman, partner and newborn during and following the emergency.Key features:* Evidence-based, with guidance from the NMC, RCOG, NICE, and The Resuscitation Council* Presented in an innovative, visual style that makes the key concepts easy to understand* Provides helpful websites that expand on various topics as well as providing information on support groups for the woman and her familyMidwifery Emergencies at a Glance is an ideal guide for practising midwives, pre-registration student midwives, general practitioners and junior doctors to support both revision and clinical practice.

Preface viiiAbbreviations ixAbout the companion website xPart 1 Professional issues 1Section 1 Professionalism1 Professional standards 22 Communications during an emergency 4Part 2 Emergency skills 7Section 2 Resuscitation3 Maternal resuscitation 84 Neonatal resuscitation 10Section 3 Haemorrhage5 Antepartum haemorrhage 146 Primary postpartum haemorrhage 167 Secondary postpartum haemorrhage 18Section 4 Malpresentations and multiple pregnancy8 Occipito posterior positions 209 Face and brow presentations 2210 Breech presentations 2411 Cord presentation and prolapse 2612 Twins 28Section 5 Dystocia13 Shoulder dystocia 3014 Uterine dystocia - failure to progress 32Section 6 Placental separation problems15 Manual removal of the placenta 3416 Adhered or partially adhered placenta 36Section 7 Uterine emergencies17 Uterine inversion 3818 Uterine rupture and scar dehiscence 40Part 3 Medical and psychological emergencies 43Section 8 Psychological disorders19 Post-traumatic stress disorder 4420 Postnatal depression (mood disorder) 4621 Puerperal (postpartum) psychosis 48Section 9 Hypertensive disorders of pregnancy22 Pre-eclampsia 5023 Eclampsia 52Section 10 Embolic and coagulation disorders24 Venous thromboembolism 5425 Amniotic fluid embolism 5626 Disseminated intravascular coagulation 58Section 11 Preterm labour27 Prelabour rupture of membranes 6028 Preterm labour and delivery 62Part 4 Associated skills 65Section 12 Instrumental and Operative deliveries29 Instrumental vaginal delivery 6630 Preparation and transfer to the operating theatre 6831 Role of the scrub midwife or nurse 7032 Receiving the baby in the operating theatre 7233 Immediate care following surgery 74Section 13 Fetal surveillance34 Electronic fetal monitoring - actions following a suspicious or pathological trace 7635 Fetal scalp electrode 7836 Fetal blood sampling 80Section 14 Maternal monitoring37 Recognising the deteriorating woman 8238 Examination per vaginam 8439 Speculum examination 8640 Urinary catheterisation 88Section 15 Venous skills41 Venepuncture 9042 Intravenous cannulation 9243 Blood transfusion therapy 94Section 16 Augmentation44 Artificial rupture of membranes 9645 Oxytocic augmentation 98Section 17 Perineal Trauma46 Third- and fourth-degree tears 10047 Perineal suturing 102Section 18 Infection awareness48 Maternal sepsis 10449 Source isolation nursing 10650 Group B streptococcus 10851 Infection control 110Part 5 Self-assessment 113Section 19 Revision and self-assessmentMultiple choice questions 114Multiple choice answers 121References 124Index 131