Emergencies in Obstetrics and Gynaecology - download pdf or read online

By S. Arulkumaran

Supplying a pragmatic, available advisor to emergency events encountered in obstetrics and gynaecology, the second one version of this crucial guide is designed round the indicators and symptoms a sufferer offers with.

summary: supplying a pragmatic, available advisor to emergency events encountered in obstetrics and gynaecology, the second one variation of this crucial guide is designed round the indicators and symptoms a sufferer offers with

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Extra resources for Emergencies in Obstetrics and Gynaecology

Sample text

Cardiac output is 40% higher than non-​pregnant state. • The gravid uterus makes ventilation more difficult. • 10% of maternal cardiac output goes to uterus and fetus. • Ineffective resuscitation may result in a hypoxic fetus. 2). To decrease aortocaval compression without compromising effective cardiac massage, employ one of the following methods: • Manual displacement of the uterus anteriorly. • Use of a Cardiff wedge. • Place a folded pillow under the right buttock. • Place inverted chair under right buttock.

Constipation: this is a common condition, affecting up to a third of all pregnancies at some gestation. It is thought to be due to hormonal changes in pregnancy causing decreased bowel motility and increased absorption of water. Iron supplements can often worsen symptoms. The patient’s history is usually sufficient to make the diagnosis, and there is frequently a history of pre-​existing constipation. Conservative treatment and dietary advice usually improves the condition, but bulking agents and in some cases stool softeners or stimulant laxatives may become necessary.

Complications of uterine fibroids: pain due to red degeneration or torsion of fibroids is usually localized, but can be very severe and may mimic placental abruption. Conservative management with analgesia (often opiates are required) and bedrest will usually allow spontaneous resolution of the symptoms. Laparotomy for both diagnosis and treatment is rarely required. ) associated with labour. In most instances the pain occurs in the third trimester, and there is a history of previous CS. g.

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