Practice recommendations for obstetric emergencies

Abstract

Obstetric emergencies were the focus of the second multidisciplinary perinatal forum held by the West Midlands Perinatal Institute. Cord prolapse, placental abruption, uterine scar rupture and shoulder dystocia account for less than 4% of all deliveries. However, they are important to consider because many of the deaths associated with these emergencies are considered avoidable (CESDI, 1998; 1999). In dealing with these emergencies a coordinated, multidisciplinary approach is essential. Staff in delivery suites should have regular emergency drills and key personnel should have advanced life support obstetrics (ALSO) or managing obstetric emergencies and trauma (MOET) training. Good communication with parents is vital. This article covers the first three topics, the next issue considers shoulder dystocia.