Maternal resuscitation, haemorrhage and shock—the obstetrician’s viewpoint
Although the great majority of pregnant patients will have an uneventful pregnancy and delivery, significant complications involving haemorrhage can occur at any time resulting in maternal shock necessitating urgent resuscitation. In such circumstances health care workers will be expected to respond rapidly undertaking clinical procedures and operating under extreme pressure. As inadvertent skin puncture with a needle or scalpel used in an infected patient is the principal mode by which HIV can be transmitted to a surgeon or nurse it is essential that all staff are familiar with hospital procedures designed to protect them from exposure to body fluids. In the absence of routine antenatal testing for HIV it is preferable that all obstetric units adopt routine policies for practitioners and familiarity with these will improve efficiency in use when an emergency arises.
KeywordsCentral Venous Pressure Ectopic Pregnancy Disseminate Intravascular Coagulation Pelvic Inflammatory Disease Amniotic Fluid Embolism
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