Obstetric Emergencies A Practical Guide
This book provides a practical guide to the management of obstetric emergencies – acute complications during pregnancy and childbirth that pose a life-threatening risk to the mother and/or the fetus, and whose treatment requires an almost immediate respon
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Obstetric Emergencies
Diogo Ayres-de-Campos
Obstetric Emergencies A Practical Guide
Diogo Ayres-de-Campos Medical School University of Porto Porto Portugal
ISBN 978-3-319-41654-0 ISBN 978-3-319-41656-4 DOI 10.1007/978-3-319-41656-4
(eBook)
Library of Congress Control Number: 2016951938 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
Preface
When I started practicing Obstetrics and Gynecology in Porto, some 25 years ago, obstetric emergencies were looked upon by healthcare professionals as events of an almost “supernatural” nature. After such emergencies occurred, people almost invariably put on an expression of fear and fatality. “I pray that this never happens to me when I’m on call” was commonly heard. The occurrence was usually recounted in detail from individual to individual, with some consequent distortion of the facts, and normally very little was learnt from it. Some doctors appeared to be very sure of what should have been done, but opinions frequently differed among them. As a junior doctor at the time, I felt very unsure of what to do should an obstetric emergency happen to me. Memories remain of very stressful cases of acute fetal hypoxia, shoulder dystocia, and postpartum hemorrhage, with many people talking at the same time, contradictory orders and some adverse neonatal and maternal outcomes. The wide dissemination of evidence-based practice did not do a lot to improve this situation. Acute events are poor candidates for studies providing the highest levels of evidence. Obstetric emergencies were consequently given limited relevance at scientific meetings and medical journals, as there was not a lot of good evidence to discuss, and also because doctors who become well-know in these environments were frequently not involved in the clinical
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