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The Resus Room

Maternal Emergencies; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 15 March 2021

⏱️ 103 minutes

🧾️ Download transcript

Summary

So this is the first of a pregnancy related double-header, with the focus being firmly set on the mother this month and next month we’ll focus in on NLS.

This month though we’re going to be discussing maternal emergencies. Now many conditions that could fall into this category but, as much as we love a good yarn, we really can’t be here all day, so we’ve decided to focus on are the conditions that we are more likely to come across in either prehospital or EM practice. Those conditions in which we can make a really big difference to either the mum or the baby.

We’re talking antepartum haemorrhage, postpartum haemorrhage, cord prolapse, breech presentation and shoulder dystocia, all after we've set the scene on assisting with an uncomplicated delivery.

So what would be really good is if we could find someone to bring in some prehospital maternal experience too. Ideally, someone qualified as a midwidfe and paramedic…and we're incredibly lucky to have just that in Aimee Yarrington, who has joined us for the podcast!

As a background; PPH is the third leading cause of maternal death in the UK and the most common cause of obstetric-related intensive care admissions. APH complicates 3–5% of pregnancies and is a leading cause of perinatal and maternal mortality worldwide. Cord prolapse ranges from 0.1% to 0.6%. Breech presentation occurs in 3–4% of term deliveries. Shoulder dystocia has a reported incidence of around 0.70%. And the incidence of primary PPH continues to rise progressively in the UK, reaching as high as 13.8% in 2012–2013. So there's a good reason for us to be experts on these topics.

Let us know any thought and comments you have on the podcast.

Enjoy!

Simon, James & Aimee

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.5

Five, four, three, two, one, fire.

0:12.0

So hi, and welcome back to the Recess Room podcast.

0:15.5

I'm Simon Lang.

0:16.8

I'm James Yates.

0:17.9

And that's a notable absence of Rob Fenwick.

0:20.7

But don't worry, it wasn't very difficult, but we've got a fantastic replacement for him.

0:25.2

And we'll very shortly be introducing her to the episode.

0:28.9

So this month, we're going to be covering maternal emergencies.

0:32.5

And what we really want to do here is just give you a good overview of what a normal childbirth is like,

0:38.6

the problems that you might encounter both in the pre-hospital and in-hospital setting,

0:43.7

and go through some different cases with some top tips on the way.

0:48.3

Now before we get into this, a big thanks to SJ Trem, the Scandinavian Journal of Trauma,

0:53.6

resuscitation and Emergency Medicine,

0:55.5

who partner with us on this podcast and make it all possible.

0:58.5

Make sure you go over and check their website with all their free open access articles,

1:02.4

which will hyperlink for you on the website.

1:05.5

And our first recess room live event is going to be held on the 16th of July,

1:09.6

and it's going to be a real deep dive

1:11.8

into the topic of sedation with talks from Rob, James and myself along with Q&A's from

1:17.7

all those that attend, an opportunity to share experiences, interact with others on the course

1:23.2

and ask those questions that can really help inform and improve our practice and most importantly,

...

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