Monitoring Emergency Obstetric Care


Book Description

This handbook describes indicators that can be used to assess, monitor and evaluate the availability, use and quality of Emergency Obstetric Care. These emergency obstetric care indicators can be used to measure progress in a programmatic continuum: from the availability of and access to emergency obstetric care to the use and quality of those services.




Managing Complications in Pregnancy and Childbirth


Book Description

The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.




Birth Settings in America


Book Description

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.




Obstetric and Intrapartum Emergencies


Book Description

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.




Obstetric Emergencies


Book Description

This book will serve as a pocket guide, offering rapid advice on appropriate emergency care for a wide range of obstetric situations, including acute fetal hypoxia, uterine rupture, shoulder dystocia, eclampsia, amniotic fluid embolism, pulmonary thromboembolism, retention of the aftercoming head, major postpartum hemorrhage, and uterine inversion. For each emergency, the definition, diagnosis, and recommended management strategy are reviewed from a pan-European perspective. Regular review and training in obstetric emergencies is the only effective way to develop and maintain clinical competence in these rare and life-threatening situations, thus improving their management and the resulting outcomes. Healthcare professionals will find this book offers a practical and reliable source of information for dealing with dangerous and acute complications of pregnancy and childbirth.




Maternal Critical Care


Book Description

Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.




Safety Training for Obstetric Emergencies


Book Description

Developed to improve patient safety during labor and delivery, the OB F.A.S.T. (Obstetrical Feasible Approach to Safety Training) simulation program is a proven, award-winning resource is designed for all members of the interdisciplinary obstetrics team to use together. Written by Dr. Giancarlo Mari, who developed the program and currently trains providers around the U.S. and the world, this volume helps teams strengthen their common knowledge of obstetric emergencies. This knowledge is then applied to rehearse emergencies together and prepare team members to provide a safe labor and delivery experience for every mother and child. Features easy-to-follow images and diagrams to reinforce team knowledge of common obstetric emergencies, from cardiac arrest and anesthesia considerations to intrapartum fetal monitoring and amniotic fluid embolism. Offers suggestions for how to run a simulation drill, as well as key points for debriefing and documentation. Includes essential background information to facilitate quick reference and skills checklists to evaluate team performance. Designed for every member of the obstetric team – from those who are new to the field to practitioners with years of experience.




Disease Control Priorities, Third Edition (Volume 2)


Book Description

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.




Obstetric Triage and Emergency Care Protocols


Book Description

Named a 2013 Doody's Core Title! 2012 Second Place AJN Book of the Year Award Winner in Maternal and Child Health! This up-to-date handbook of narrative practice guidelines for use in obstetric triage and emergency settings provides speedy access to critical information needed by healthcare providers in obstetrics, midwifery, emergency medicine, and family care medicine. It includes narrative practice protocols that offer point of service management guidelines, diagnostic parameters, ultrasound imaging and other diagnostic modalities, and easy to follow algorithms and tables in each chapter. This information will enable practitioners to easily recognize and understand symptomatology, lab results, diagnostic imaging and clinical workings. Chapters address over 30 clinical conditions and are consistently organized to include presenting symptomatology, history and data collection, physical exam findings, lab and imaging studies, differential diagnosis and clinical management and follow up. The book disseminates the contributions of expert midwives, nurse practitioners, obstetricians, gynecologists, and radiologists who evaluate more than 30,000 obstetric visits each year. Key Features: Pocket-sized and easy-to-use Includes current guidelines for more than 30 clinical situations requiring obstetric triage or emergency care Offers plentiful diagnostic and imaging guidelines with accompanying figures and images Presents algorithms, diagnostic images, and best evidence for each condition




Essential Elements of Obstetric Care at First Referral Level


Book Description

Members of WHO's Technical Working Group on Essential Obstetric Functions at First Referral Level have prepared a book geared towards district, provincial, regional, national, and international decision makers, particularly those in developing countries, whose areas of expertise include planning, financing, and organization and management of obstetric services. The guidelines should allow them to improve referral services' standards at the district level. They should also help them decide how far and by what means they may possibly expand some of these services to more peripheral levels, e.g., renovating facilities and improving staff. When developing these guidelines, WHO took in consideration that many countries confront serious economic obstacles. The book's introduction briefly discusses maternal morbidity and mortality in developing countries and maternity care in district health systems. The second chapter, which makes up the bulk of the book, addresses primary components of obstetric care related to causes of maternal death. This chapter's section on surgical obstetrics examines cesarean section and repair of high vaginal and cervical tears among others. Its other sections include anesthesia, medical treatment, blood replacement, manual procedures and monitoring labor, family planning support, management of women at high risk, and neonatal special care. The third section provides guidelines for implementation of these services, including cost and financial considerations. It emphasizes the need at the first referral level to have the least trained personnel perform as many health care procedures as possible, as long as they can do so safely and effectively. Other implementation issues are facilities, equipment, supplies, drugs, supervision, evaluation, and research. Annexes list the required surgical and delivery equipment, materials for side ward laboratory tests and blood transfusions, essential drugs, and maternity center facilities and equipment.