This book provides an evidence-based, practical approach to the wide spectrum of obstetric complications an emergency clinician must be prepared to manage throughout all trimesters of pregnancy and postpartum. Obstetrical emergencies can be among the most stressful events an emergency clinician will face in their career. Late pregnancy bleeding or precipitous emergency delivery can be potentially catastrophic events for both the patient and their baby. For pregnant patients, even seemingly minor incidents such as a trip and fall can result in dreaded complications such as placental abruption and fetal loss.
Obstetrical support services vary widely between different facilities, and clinicians must be prepared to stabilize and manage any pregnant patient that comes through the door. This book provides vital information for conditions encountered in daily practice, such as early pregnancy bleeding, as well as rarely encountered but potentially catastrophic events such as a pregnant patient in cardiac arrest. Important additions in this updated volume include expanded discussion of the American College of Radiology guidelines and recommendations regarding screening for pregnancy, obtaining informed consent, and appropriately counselling patients on the risks and benefits of imaging studies. Management of common postpartum complications, such as mastitis, are discussed. Another important addition is a chapter dedicated to post-abortion complications. With the rapidly changing political landscape, many patients are likely to face increased barriers to accessing contraception, abortion, miscarriage management, and sexual health information. Following the June 2022 Supreme Court ruling in Dobbs v. Jackson Women’s Health, it is expected that this number will only increase, as will the number of patients seeking care in emergency departments following self-managed abortions.
The second edition of Emergency Department Management of Obstetric Complications is written for emergency clinicians in all practice settings.
1. Complications Before 20 Weeks of Pregnancy.-
2. Emergency Department
Ultrasound in Pregnancy.-
3. Approach to the Patient with Nausea and Vomiting
in Pregnancy.-
4. Complications After 20 Weeks of Pregnancy.-
5. Hypertensive
Disorders of Pregnancy.-
6. Prelabor rupture of membranes and preterm labor.-
7. Precipitous Labor and Emergency Department Delivery.-
8. Management of
Postpartum Hemorrhage.-
9. Postpartum Emergencies.-
10. Post-abortion
Complications.-
11. Complications of Assisted Reproductive Technology.-
12.
Cardiovascular Emergencies in Pregnancy.-
13. Cardiac Arrest and
Resuscitation in Pregnancy.-
14. Trauma in Pregnancy.-
15. Non-obstetric
Abdominal Pain in Pregnancy.-
16. Imaging Considerations in Pregnancy.
Joelle Borhart, MD MedStar Georgetown University Hospital Washington, DC Joelle Borhart is an Associate Professor of Emergency Medicine and works clinically in Washington, DC. She obtained her medical degree from the University of Iowa in 2007 and completed residency training in emergency medicine at Georgetown University in 2010. Dr. Borhart has received numerous teaching awards including the American College of Emergency Physicians (ACEP) National Faculty Teaching Award and the American Academy of Emergency Medicine (AAEM) Educator of the Year Award. Dr. Borhart is passionate about obstetrical emergencies and takes pride in creating educational material that is practical and accessible to clinicians of all levels.
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