Obstetric Emergencies

Triono Adisuroso, MD, SpOG, M.Med, M.Phil

Fetal Medicine, Reproductive Health & Human Genetics

Head of Department of Obstetrics and Gynaecology
Permata Cirebon Hospital
Faculty of Medicine at The University of Swadaya Gunung Jati Cirebon
 Introduction

Antepartum Intrapartum

Postpartum
 Basic emergency care

ABCs of resuscitation.
Quick patient assessment: medical history
and physical examination.
IV access: ?two large bore IV lines.
?need oxygen.
?Lab and x-ray.
 Mother

Fetus
 Obstetric Assessment

?Did anyone come with the patient.

?Conscious.
?Sign of trauma.
?Active bleeding.
?Pain.
?in labour.
?Gestational age and EDD.
?Fetal heart tone.
?Ultrasound.
 Fetal Assessment

?Viable or not viable.

?Low-risk or high-risk baby.
?paediatricians and high-risk nursery,
anesthesia available.
?Tocolysis, bethamethasone, GBS
prophylaxis.
 Antepartum

Preterm labour and delivery.

PROM
Severe preeclampsia.
Eclampsia.
Abortion with hemorrhagic shock.
Antepartum hemorrhage.
Trauma during pregnancy.
Acute abdominal pain.
 Intrapartum

Ectopic pregnancy with shock.

Abdominal pregnancy.
Eclampsia.
Shoulder dystocia.
DIC.
Left ectopic pregnancy
 Postpartum

Postpartum hemorrhage.
Retained placenta.
Uterine inversion.
DIC.
 Special conditions

Cardiopulmonary resuscitation.
Postmortem c-section.
C-section with local anesthesia.
C-section without anesthesia.
Transport of the obstetric patients.
Thanks