Category: Critical Care
Keywords: pregnancy, peripartum, antepartum, fetal (PubMed Search)
The arrival of a critically ill pregnant patient to the ED can be anxiety-provoking for emergency physicians as two lives and outcomes must be considered.
Some basic tenets of care, regardless of underlying issue, include:
Finally, once critical illness is identified the OB and NICU teams should be consulted immediately. Fetal distress in a viable pregnancy may be an indication for delivery, and initiation of the transfer process should occur if the supportive specialties are not in-house.
Gaffney A. Critical care in pregnancy: Is it different? Semin Perinatol 2014;38(6):329-40.
Pacheco LD, Saade GR, Hankins GDV. Mechanical ventilation during pregnancy: Sedation, analgesia, and paralysis. Clin Obstet Gynecol 2014;57(4):844-50.
Practice Guidelines of Obstetric Anesthesia: An updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology 2016;124(2):270-300.
Guntupalli KK, Hall N, Karnad D, et al. Critical illness in pregnancy. Chest 2015;148(4):1093-1104.