Pre-Obstetric Emergency Training

Pre-Obstetric Emergency Training: A Practical Approach, 2nd Edition Fully revised and now in full colour, the new edition of Pre-Obstetric Emergency Training (POET) will help practitioners identify and manage a range of time-critical obstetric emergencies, specifically in the pre-obstetric department setting. Providing structured examination and assessment techniques as an aid to determine what treatment should be provided before transport, this practical manual equips the practitioner with the knowledge necessary to save the mother and fetus in life-threatening circumstances before admission to the hospital. New to the second edition are chapters covering non-technical skills and communication, as well as complicated labour and delivery. Designed to accompany the associated Advanced Life Support Group training course, Pre-Obstetric Emergency Training serves as an authoritative guide for a range of pre-hospital practitioners dealing with specialist situations.

Working group vii Contributors viii Foreword to second edition ix Acknowledgements x Preface to second edition xi Preface to first edition xii Contact details and website information xiii How to use your textbook xiv 1 Obstetric services 1 2 Legal and ethical issues 7 3 When things go wrong 13 4 Getting it right – non‐technical skills and communications 23 5 Anatomical and physiological changes in pregnancy 33 6 Structured approach to the obstetric patient 41 7 Collapse, cardiac arrest and shock in pregnancy 55 8 Emergencies in early pregnancy (up to 20 weeks) 67 9 Emergencies in late pregnancy (from 20 weeks) 73 10 Trauma, surgical and medical emergencies 85 11 Normal labour and delivery 101 12 Complicated labour and delivery 111 13 Emergencies after delivery 133 14 Resuscitation of the baby at birth 145 15 Assessment and management of the post‐gynaecological surgery patient 161 Abbreviations 167 Glossary 169 References 173 Further reading 177 Index 179