Maternal Collapse | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

489

Pages:

4
Author:

Mariam A. A.

Maternal Collapse Most Likely Diagnosis Maternal collapse most likely secondary to amniotic fluid embolism as there is a sudden history of collapse without preceding chest pain and because it happened at the time of the membrane rupture Other DDx Haemorrhage – most common Esp PPH RF and factors that have led to an increase in maternal collapse Increased maternal age Increased BMI Increased presence of medical comorbidities Increased rate of C-section delivery rate Management Call for help Place her in left lateral position Two cannulas FBC, EUC, Hb, iron studies, uric acid levels, protein to creatinine ration, LFTs, group and hold IV line Open airway/chin lilt Ensure patency via a jaw tilt or a jaw thrust -> if still not -> LMA or gudel airway Response -> voice, trap squeeze Breathing Look, listen and feel Check RR, pulse oximter and give oxygen via mask Circulation Measure HR and BP If no signs of life: If not present ->call maternal and neonatal resus team -> left tile and left uterine displacement -> 30 compressions at 100 – 120/minute at a depth of 5 to 6 cm -> CPR for 2 breaths per 30 compressions -> apply pads/monitor -> attemp defibrillation if appropriate Present -> left tile or recovery position -> assess ABCDE -> recognise and treat -> oxygen, monitoring, IV access -> call for help or maternal resus team if appropriate Defibrillate Shockable vs non-shockable Shockable -> VT of VF Non-shockable -> PEA or asystole Baby should be delivered ASAP to facilitate resus of the mother In this scenario forceps delivery

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