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Obstetrical emergencies Obstetrical emergencies are life-threatening medical conditions that occur in pregnancy or during or after labor and delivery. In cases where an obstetrical complication is suspected, a fetal heart monitor is positioned externally on the mother's abdomen. The source of the hemorrhage is determined, and blood transfusion and IV fluids are given as necessary. www.healthatoz.com /healthatoz/Atoz/ency/obstetrical_emergencies.jsp   (1863 words)

Obstetrical hemorrhage - Wikipedia, the free encyclopedia Obstetrical hemorrhage refers to heavy bleeding during pregnancy, labor, or the puerperium. Obstetrical hemorrhage is a major cause of maternal mortality. The success of modern obstetrics is based to a good degree on the ability to recognize risk patients for obstetrical hemorrhage and their appropriate management. en.wikipedia.org /wiki/Obstetrical_hemorrhage   (351 words)

Obstetrical Malpractice The obstetrical case must be carefully evaluated by both plaintiff and defense counsel. There are many reasons for bad outcomes in obstetrics, not all of which are related to negligence by a health care provider. According to ACOG (American College of Obstetrics and Gynecology), obstetricians can expect an average of 2.53 medical malpractice lawsuits to be filed against them during their career. www.medleague.com /Articles/medical_topics/obstetrical_malpractic.htm   (2216 words)

Faith Gibson Obstetrical medicine, as usual, took full credit for social improvements that they had no part in as well as the scientific improvements in life expectancy. Many in obstetrics see themselves as court-appointed guardians for the fetus, often prompting doctors to speak of protecting the baby from the choices of its mother by coercing her into unwanted interventions. This is predicated on the obstetrical concept that after the period of viability has been achieved there is no good reason to prolong the pregnancy in the presence of any possible complication, no matter how remote. www.collegeofmidwives.org /legal_legislative01/faith_gibson_Dec01.htm   (9773 words)

Gynecologic hemorrhage - Wikipedia, the free encyclopedia Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive. Hemorrhage associated with a pregnant state or during delivery is an obstetrical hemorrhage. Anovulation is a common cause of gynecological hemorrhage. en.wikipedia.org /wiki/Gynecologic_hemorrhage   (530 words)

03.22.2006 - What looks like a wetsuit and saves lives? A garment that resembles the bottom half of a wetsuit may increase the survival chances for women with obstetrical hemorrhage, the cause of 60 percent of maternal deaths in developing countries. (Obstetrical hemorrhage subsumes not only postpartum hemorrhaging but other forms of pregnancy-related bleeding, such as from abortion and ectopic pregnancy.) Miller, a certified nurse midwife with a Ph.D. in family-healthcare nursing from UCSF, has done extensive global research on maternal health. Women at any stage of pregnancy were included in the study if they were in clinical shock from obstetrical hemorrhaging and had at least a heartbeat upon arriving at the hospital. www.berkeley.edu /news/berkeleyan/2006/03/22_wetsuit.shtml   (724 words)

10 False Claims About Risks of Abortion - bleeding, cervical tears, uterine perforation, infection, infertility Among women who deliver vaginally, 4% (1 in 25) experience obstetrical hemorrhage, defined as 10% loss of blood volume or need for transfusion. Obstetrical hemorrhage accounts for 3 in 10 maternal deaths. According to the leading obstetrical textbook, Williams Obstetrics, medical experts say of "Impact on Future Pregnancies: Vacuum aspiration for a first pregnancy results in no increased incidence of midtrimester spontaneous abortions, preterm deliveries, or low-birthweight infants in subsequent pregnancies when compared to primigravid controls" {women pregnant for the first time}. members.shaw.ca /pdg/10_false_claims.html   (1009 words)

Emergency Obstetrics   (Site not responding. Last check: 2007-10-09) Why a needs assessment is important: To provide responsive emergency obstetrical care in the refugee community, you must understand the extent of needed care and the degree to which current services provide what is needed. hemorrhage, infection, eclampsia, obstructed labor, complications of unsafe abortion) are the major cause of maternal mortality and occur unpredictably. When attitudes or traditional practices are found to compromise the health of women by causing harm or restricting their access to care or information, health education campaigns need to target both women and the influential people in their lives. www.un.org /popin/popis/refugees/refguide/repro5.html   (1051 words)

Obstetrical Emergencies Information on Healthline If the pregnancy is not terminated at an early stage, the fallopian tube will rupture, causing internal hemorrhaging and potentially resulting in permanent infertility. Obstetrical emergencies can be caused by a number of factors, including stress, trauma, genetics, and other variables. During pregnancy, brown or white to pink vaginal discharge is normal, bright red blood or blood containing large clots is not. www.healthline.com /galecontent/obstetrical-emergencies   (775 words)

[No title]   (Site not responding. Last check: 2007-10-09) Massive postpartum hemorrhage (MPPH) that might be fatal, is seen with uterine rupture, placental abruption, uterine atony, placenta accreta, placenta praevia, retained placenta, coagulation defects and trauma to the genital tract. In a study of 763 pregnant women, who died due to hemorrhage, 141(19%) had placental abruption, 125 (16%) uterine rupture, 115 (15%) uterine atony, 108(14%) coagulopathies, 50 (7%) placenta praevia, 44(6%) placenta accreta, 44(6%) uterine bleeding and 32(4%) retained placenta (2). NovoSeven® was used and is indicated with massive postpartum hemorrhage: 1) in a fatal situation when no other treatment is available, 2) in a young bleeding parturient before the decision of hysterectomy and 3) for a temporary decrease of bleeding to achieve better surgical hemostasis. www.kenes.com /controversies/cogi5/abstracts/Segal.doc   (1168 words)

[No title]   (Site not responding. Last check: 2007-10-09) Obstetrical hemorrhage is known as the most preventable cause of maternal mortality. Hemorrhage accounted for 15.2% of all reported maternal mortalities in New York State between 2003 and 2005 (SMI ACOG Report 2005). Simulated maternal hemorrhage drills and chart review of all real maternal hemorrhage with continued focus on improving systems and interdisciplinary communication will decrease the risk of maternal hemorrhage leading to adverse patient outcome. www.npsf.org /congress/posters/Solutions/Combs,Adriann-Abstract.doc   (610 words)

Current Pharmaceutical Design, Volume 11, No. 6, 2005 Massive obstetric hemorrhage poses chiefly a threat for the mother and preterm birth exposes the neonate to a diversity of problems associated with prematurity. Uterine atony is still is the leading cause of this obstetric emergency but with increasing cesarean section rates a steady rise in the incidence of placenta previa and placenta accreta/percreta is noted as cause of obstetrical hemorrhage. Postpartum hemorrhage is most commonly due to uterine atony and often responds to medical treatments such as administration of uterotonic drugs, alone or in combination with uterine massage or bimanual compression. www.bentham.org /cpd/contabs/cpd11-6.htm   (2956 words)

Vacuum–Assisted Delivery Lawyer - Birth Injury - Dugan, Babij & Tolley, LLC Subgaleal hemorrhage occurs when veins are damaged as a result of the forces applied to the baby’s head by the vacuum extractor. Signs of subgaleal hemorrhage include swelling of the head or scalp which may extend from the nape of the neck to the orbits of the eyes. Depending on the extent of the hemorrhage, the baby may suffer hypovolemic shock, as evidenced by a decrease in the baby’s blood pressure, increased respiratory rate and elevated heart rate, known as tachycardia. www.medicalneg.com /practice_birth_vad.cfm   (779 words)

Three Cases of Massive Fetomaternal Hemorrhage Presenting Without Clinical Suspicion Archives of Pathology & ...   (Site not responding. Last check: 2007-10-09) Fetomaternal hemorrhage (FMH) is a common obstetrical occurrence most often associated with small volumes of blood transferred across the placenta. Fetomaternal hemorrhage may result from antepartum procedures (eg, amniocentesis, percutaneous umbilical blood sampling, intrauterine manipulation, caesarian section) or clinical complications (eg, threatened abortion, abruptio placentae, and placenta previa).2,6 A significant proportion of massive FMH cases is idiopathic.7 Fetomaternal hemorrhage was quantified at 307 and 316 mL on antepartum and postpartum maternal specimens, respectively (Figure 2). www.findarticles.com /p/articles/mi_qa3725/is_200404/ai_n9396667   (757 words)

IOPO - Indiana Organ Donation Organization A neoprene suit, similar to the bottom half of a diving wetsuit, can help save the lives of women suffering obstetrical bleeding during childbirth, a leading cause of death among women giving birth in developing nations. Hemorrhaging accounts for about 30 percent of the more than 500,000 childbirth-related women's deaths in the world each year. This study included 158 obstetrical hemorrhage patients who had standard treatment and 206 patients who had standard treatment plus the NASG. www.iopo.org /news_detail.asp?ID=1791   (238 words)

ScienceDaily: Gynecologic hemorrhage Potential Treatment For Intracerebral Hemorrhage Under Study (January 20, 2006) -- The first potential treatment for strokes that result from bleeding in the brain is under study at the Medical College of Georgia. Gynecologic hemorrhage -- Gynecologic hemorrhage represents exessive bleeding of the female reproductive... Uterine fibroids -- Uterine fibroids (leiomyomata, singular leiomyoma) are the most common neoplasm in females, and may affect about of 25 % of white and 50% of fl women during the reproductive... www.sciencedaily.com /encyclopedia/Gynecologic_hemorrhage   (1370 words)

Massachusetts Emergency Medical Services - Medical Emergencies / Obstetrical Emergencies All obstetrical emergencies resulting in bleeding disorders should be managed as though the patient is at risk for hypovolemic shock and should be considered an acute emergency requiring efficient management and transport per the Shock Protocol (excluding PASG/MAST therapy). The Obstetrical Emergencies protocol relates to complications of birth and their pre-hospital management. Third-trimester bleeding is often the result of an abruptio placentae or placenta previa but, it also may be the result of trauma. www.moondragon.org /ems/obstetrical.html   (3027 words)

eMedicine - Postpartum Hemorrhage : Article by John R Smith, MD, FRSCS, FACOG Management of massive obstetric hemorrhage outlines such a protocol for a pregnant woman in either the antepartum or postpartum period (Bonnar, 2000). The patient's risk factors and the events leading to the diagnosis of PPH may suggest an underlying etiology, but knowledge that most cases are caused by uterine atony and the need to be systematic argues for a planned, stepwise approach to assessment and management. The advent of more effective uterotonic agents, the fact that most cases of intractable hemorrhage are now related to abnormalities of placentation that are diagnosed or suggested before delivery, and the option of embolization have lessened the use of hypogastric artery ligation. www.emedicine.com /med/topic3568.htm   (13163 words)

Non-pneumatic anti-shock garment holds promise in preventing deaths due to obstetrical hemorrhage Study findings show the use of a neoprene suit can save the lives of women suffering from obstetrical hemorrhaging due to childbirth. In the pilot study, 158 obstetrical hemorrhage patients underwent standard hemorrhage treatment and 206 patients with obstetrical hemorrhaging underwent standard treatment plus the NASG. In the United States, the suit had been used most recently by emergency medical technicians during transport of patients with lower body trauma to help prevent severe obstetrical hemorrhage by reversing shock and decreasing bleeding. www.rxpgnews.com /research/obstetrics/article_3543.shtml   (782 words)

OBGYN.net Hypovolemic Shock: An Institutional Experience Obstetrical hemorrhage contributes to 75% of the complications that are presented in the first 24 hours of puerperium and it is the main cause of hypovolemic shock. 90% of the causes of hemorrhage in obstetrics have their origin in placental abnormalities or alterations in the uterine tonus. The remaining 10% is associated with tears or lacerations of the birth canal. www.obgyn.net /pb/pb.asp?page=/pb/articles/hypovolemic_shock   (1332 words)

Subspecialty Divisions The purpose of this diagnostic center is to identify potential obstetrical, medical or fetal problems at an early enough point in the pregnancy to maximize the likelihood of a healthy child. Dr. Monteagudo is internationally recognized for her work in obstetrical and gynecological ultrasound and is one of the world's foremost experts on ultrasonography of the fetal brain and multifetal pregnancy. Professor of Clinical Obstetrics and Gynecology, NYU School of Medicine, and Associate Director of the NYU Gynecological Ultrasound Unit is a Fellow of the American Institute of Ultrasound in Medicine and serves on the Board of Directors of the American Registry of Diagnostic Medical Sonographers. www.med.nyu.edu /obgyn/divisions/DivMed2.html   (797 words)

[No title]   (Site not responding. Last check: 2007-10-09) Accreta is a potentially fatal complication for the mother due to hemorrhage as blood loss typically ranges from 3000 mls to 5000 mls. Many women are not even going to be that "lucky." During a time when a woman should be happily nursing her newborn baby, the baby is instead crying in his grieving father's arms as his mother lies cold on a slab in the morgue. Then please consider this: 10% of women with placenta accreta die of its complications, most usually from hemorrhage or the complications of blood transfusions, infection or multiple organ failure. www.pregnancy.org /article.php?sid=400   (692 words)

Home | aHealthyme.com The mother is at risk of severe and uncontrollable bleeding (hemorrhage), with dangerous blood loss. While many conditions during pregnancy require a pelvic examination, in which the health care provider's fingers are inserted into the patient's vagina, such an examination should never be performed if there is any suspicion of placenta previa. Lavery, J. "Placenta Previa." Clinical Obstetrics and Gynecology 33 (Sept. 1990): 414+. www.ahealthyme.com /article/gale/100083865   (1074 words)

New neoprene suit helps save the lives of women suffering from obstetrical hemorrhaging due to childbirth A simple, low-tech garment has the potential to prevent a major cause of death among women who give birth in many Third World countries, according to a new study by maternal health researchers. Hemorrhaging accounts for about 30 percent of the more than 500,000 maternal deaths worldwide each year due to childbirth, nearly all in poor countries, according to the researchers. The compression from the NASG shunts blood from the lower extremities and abdominal area to the essential core organs: heart, lungs and brain. www.news-medical.net /?id=16276   (688 words)

Obstetrical Care| Factline The four-fold increase in risk of maternal death among fl women compared with white women in the U.S. is one of the largest racial disparities among the public health indicators. A fl woman's risk of dying due to childbirth is higher for every specific cause of death reported including all the most frequent causes: hemorrhage, embolism, and pregnancy-induced hypertension. Rising malpractice insurance rates, relatively impoverished populations, lack of facilities, and too few physicians for back-up arrangements may make obstetrical practice in rural places unattractive.(3) Lack of local care means that many women must seek prenatal care and delivery outside of their county of residence. www.meharry.org /Fl/Women's_Health/Obstetrical_Care.html   (712 words)

Placental Abruption | AHealthyMe.com Placental abruption occurs when the placenta separates from the wall of the uterus prior to the birth of the baby. This condition is dangerous for the fetus because of oxygen deprivation, too, since the mother's blood is the fetus' only source of oxygen. Because the abrupting placenta is attached to the umbilical cord, and the umbilical cord is an extension of the fetus' circulatory system, the fetus is also at risk of hemorrhaging. www.ahealthyme.com /topic/topic100587303   (1177 words)

03.28.2006 - Old drug's new use will save Nigerian women's lives This odd garment may increase survival chances for women with obstetrical hemorrhage, says a study from Berkeley's School of Public Health. The drug has been found to be safe and effective in treating post-partum hemorrhage, the life-threatening bleeding that can occur immediately after childbirth. Although its value for post-partum hemorrhage, or PPH, has been recognized since the early 1990s, the drug has not been distributed in most of the developing countries where maternal mortality rates are highest. www.berkeley.edu /news/media/releases/2006/03/28_misoprostol.shtml   (973 words)

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