Transport of the Critically Ill Obstetric Patient



The critically ill pregnant or postpartum woman should receive an equitable standard of care to address their pregnancy-related and critical care needs. Safe transport of critically ill patients requires accurate assessment and stabilisation of patients before transport. The transport itself must be justified. Whatever benefits of proposed interventions must outweigh the risks of moving the critically ill patient and those posed by the interventions themselves.

Safe transport requires the deployment of appropriately trained staff, essential equipment and effective liaison between referring, transporting and receiving staff. The plan should clearly identify the transfer of care from a named consultant (i.e. Dr A Obstetrics) to a named consultant (i.e. Dr B, Critical Care). There must be a named consultant obstetrician who will assume responsibility for the ongoing obstetric care of the patient at the receiving hospital and there must be communication between this obstetrician and the referring obstetrician.


Personal Protective Equipment Noninvasive Blood Pressure Support Equipment Bain Circuit Transport Team 
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  1. 1.
    Singh S, McGlennan AP. Validation of the CEMACH recommended modified early warning system (MEOWS). Int J Obstet Anesth. 2010;19:S11.
  2. 2.
    Recognition, high dependency care, and transfer of critically ill maternity patients policy (CG489) NHS. 2013.Google Scholar
  3. 3.
  4. 4.
    Hong Kong College of Anaesthesiologists HKCA-P9-v3 Guidelines for Transport of the Critically Ill. 2014.
  5. 5.
    Interhospital care of perinatal patient chap. 3 (aap&acog2008).
  6. 6.
  7. 7.
    Guidelines for the critically ill woman in obstetrics version 1.1 13th August 2014 obstetric & gynaecology, anaesthetic and critical programmes clinical strategy & programmes division health service executive
  8. 8.
    Guidelines for Transport of Critically Ill Patients ANZCA PS52 2013 /P03 by ACEM and IC-10 by CIC.
  9. 9.
  10. 10.
    Intensive Care Society. Guidelines for the transport of the critically ill adult. 3rd ed. 2011.
  11. 11.
    Bajwa SK, Bajwa SJ. Delivering obstetrical critical care in developing nations. Int J Crit Illn Inj Sci. 2012;2(1):32–9.
  12. 12.
    Morgan RJM, Williams F, et al. “An early warning system for detecting developing critical illness.” Clin Intensive Care. 1997;8(2):100.Google Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.OBGY SMS Medical CollegeJaipurIndia
  2. 2.OBGY SMS Medical CollegeJaipurIndia

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