The Managment of Maternal Collapse and drugs used.pptx

Management of maternal collapse algorithm and drugs used

1. The Management of Maternal Collapse Presented By: Unit A  

2. Scenario What would you do if… 31 yrs ; G2P1 +0   PoG: 32/40 BMI: 38.8 kg/m 2 Prev NSVD, nil complications Uneventful pregnancy thus far Nil co-morbidities  Came into BD for Chest Pain + SoB x 2/7 days Vitals: BP – 85/47 mmHg ; P – 109 bpm,  RR – 27 ; SpO2 - 91% on RA On arrival, patient suddenly collapses ...

3. Agenda Definition Causes Anatomical and Physiological considerations Resuscitation Regime Perimortem caesarean section (PMCS) Following resuscitation

4. Definition Maternal Collapse An acute event involving the cardiorespiratory systems and/or central nervous systems, resulting in a reduced or absent conscious level, at any stage in pregnancy and up to 6 weeks after birth. This has the potential to lead to cardiac arrest and death.

5. Causes of Maternal Collapse

6. Anatomical & Physiological Considerations

7. Resuscitation

8. Perimortem Caesarean Section (PMCS) If no response to CPR within 4 minutes of collapse or if resus attempt is continued beyond this, PMCS should be done to assist  It should not be delayed by moving the patient The incision used should facilitate rapid access Delivery of fetus and placenta: O 2  consumption       Venous return         Chest compressions               Cardiac output         Easier Ventilation

9. Following resuscitation

10. Useful Drugs

11. Useful Drugs in PPH

12. Useful Drugs in PPH

13. Useful Drugs

14. Useful Drugs

15. Thank you