Geburtshilfliche Notfalle II -Peripartale GefahrensituationenEmergencies in Obstetrics II - Perinatal Hazards

摘要

Perinatal emergencies affect both mother and child and are characterized by limited diagnostic and therapeutic options compared to emergency care in non-pregnant patients. These restrictions influence the preclinical and sometimes even clinical obstetrical management. One of the most frequent causes for maternal morbidity and mortality is vaginal/uterine bleeding during pregnancy and delivery. Placental abruption and placenta praevia are the most common causes for vaginal haemorrhage. Further in the emergency medical service encountered dangers of mother and/or fetus include trauma, uterine rupture, various umbilical cord complications or vena cava compression syndrome. The preclinical management of perinatal emergencies deriving from obstetrical or non-obstetrical reasons is primarily symptomatic and in many aspects does not differ from the emergency management in non-pregnant women.