Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5549_Библиотеки_им_академика_М_И_Перельмана.pdf
Emergency Department
Management
ofObstetric
Complications
SecondEdition
JoelleBorhart
Editor
Emergency Department Management
of Obstetric Complications
Joelle Borhart
Editor
Emergency Department
Management of Obstetric
Complications
Second Edition
Editor
Joelle Borhart
MedStar Georgetown University Hospital
Washington, DC, USA
ISBN 978-3-032-10260-7 ISBN 978-3-032-10261-4 (eBook)
https://doi.org/10.1007/978-3-032-10261-4
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland
AG 2017, 2025
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and trans-
mission or information storage and retrieval, electronic adaptation, computer software, or by similar or
dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica-
tion does not imply, even in the absence of a specic statement, that such names are exempt from the
relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.
v
Preface
Obstetrical emergencies can be among the most stressful events an emergency phy-
sician will face in their entire career. Late pregnancy bleeding or a precipitous emer-
gency department (ED) delivery can provoke anxiety in even the most seasoned
emergency physician. Trauma and cardiovascular emergencies in pregnant patients
can result in catastrophic outcomes for both mother and baby. When it comes to
pregnant patients even seemingly minor presentations, such as a trip and fall, can
become an area of treachery.
The goal of this book is to provide an evidence-based, practical approach to the
wide spectrum of obstetric complications an emergency clinician must be prepared
to manage throughout all trimesters of pregnancy, as well as postpartum. Since the
publication of the rst edition, the evolving political landscape has highlighted new
areas where emergency physicians must be prepared to act with condence and
skill. This second edition expands on the foundation of the rst by adding compre-
hensive new chapters on post-abortion complications, complications of assisted
reproductive technology, and postpartum emergencies such as mastitis and endome-
tritis. These topics reect both the expanding scope of emergency practice and the
reality that the rst clinician to evaluate and stabilize these patients may not be an
obstetric specialist but the emergency physician.
This book is written for emergency clinicians in all practice settings. Obstetrical
support services vary widely between facilities, and emergency physicians must be
prepared to initially manage and stabilize any pregnant patient who comes through
the door—whether in a tertiary care center with in-house obstetrics or in a rural ED
hours from specialty backup. Our contributing authors bring experience from a
range of practice environments, ensuring that the recommendations are practical,
adaptable, and grounded in the realities of emergency care.
It is my hope that this book serves not only as a resource for day-to-day patient
care but also as preparation for those rare, high-stakes situations that demand imme-
diate, decisive action. By combining up-to-date evidence with the lived expertise of
clinicians who have faced these emergencies rsthand, we aim to equip emergency
physicians with the knowledge, strategies, and condence to provide the best pos-
sible care for both mother and baby—no matter the setting or circumstance.
Washington, DC, USA JoelleBorhart
vii
This second edition would not have been possible without the expertise, encourage-
ment, and hard work of an extraordinary group of colleagues, family, and publishing
partners. My deepest thanks to our contributing authors, whose expertise, thorough-
ness, and commitment to excellence in writing and patient care shaped every chap-
ter. Your thoughtful revisions, late-night emails, and steady collaboration elevated
this second edition far beyond what I rst imagined.
I am profoundly grateful for the support of my family: My husband, Steve, my
son, Sean, and my daughter, Caroline. Finally, my sincere appreciation to Springer
Publishing for believing in this project and for the guidance of the editorial and
production teams, whose professionalism and attention to detail brought this book
to life.
Thank you all for making this work possible.
Acknowledgments
ix
1 Pregnancy Complications Before 20 Weeks . . . . . . . . . . . . . . . . . . . . . . 1
Kayla Dewey, Kathryn Voss, and Carolyn Phillips
2 Emergency Department Ultrasound in Pregnancy . . . . . . . . . . . . . . . . 17
Cory Wittrock and Erica Peethumnongsin
3 Approach to the Patient with Nausea and Vomiting in Pregnancy . . . 35
Lindsey DeGeorge and Lauren Abbott
4 Bleeding After 20 Weeks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Maria Van Winkle and David R. Lane
5 Hypertensive Disorders of Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Whitney Sherman, Edward Descallar, and Joelle Borhart
6 Prelabor Rupture of Membranes and Preterm Labor . . . . . . . . . . . . . 71
Lili S. Wei, Eric K. Wei, and Brian Sharp
7 Precipitous Labor and Emergency Department Delivery . . . . . . . . . . . 83
Brian Sharp and Kristen Sharp
8 Evaluation and Treatment of Postpartum Hemorrhage . . . . . . . . . . . . 99
Rohan Janwadkar, Elaine Bromberek, and Janet Smereck
9 Postpartum Complications: Endometritis, Mastitis, and Breast
Abscesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Saskia van Terheyden, Jessica Palmer, and Joelle Borhart
10 Management of Postabortion Complications . . . . . . . . . . . . . . . . . . . . . 125
Maria Lawrynowicz and Jeffrey Uribe
11 Assisted Reproductive Technology Complications . . . . . . . . . . . . . . . . . 133
Diana Ladkany and Hania Habeeb
Contents
x
12 Cardiovascular Emergencies of Pregnancy . . . . . . . . . . . . . . . . . . . . . . 143
Nick Tsipis and Katherine D. Mayes
13 Cardiac Arrest in the Pregnant Patient . . . . . . . . . . . . . . . . . . . . . . . . . 159
Jessica Palmer, Marianne Wallis, and Joelle Borhart
14 Trauma in Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Julie Gorchynski, Christina Bird, and Marcos Mavromaras
15 Nonobstetric Abdominal Pain in Pregnancy . . . . . . . . . . . . . . . . . . . . . 189
Mallory Shasteen and Elizabeth Pontius
16 Emergency Department Management of Obstetric Complication:
Imaging in Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Diana Ladkany and Kerri Layman
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Contents
xi
Contributors
Lauren Abbott Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
ChristinaBird Department of Emergency Medicine, Baylor University Medical
Center At Dallas, Dallas, TX, USA
Texas A&M School of Medicine, Bryan, TX, USA
Joelle Borhart Department of Emergency Medicine, MedStar Georgetown
University Hospital & MedStar Washington Hospital Center, Washington, DC, USA
Elaine Bromberek Department of Emergency Medicine, Emory University,
Atlanta, GA, USA
Lindsey DeGeorge Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
Edward Descallar Department of Emergency Medicine, HCA Florida Orange
Park Hospital, Orange Park, FL, USA
Kayla Dewey Department of Emergency Medicine, University of Rochester
Strong Memorial Hospital, Rochester, NY, USA
JulieGorchynski
Department of Emergency Medicine, UT Health Science Center,
San Antonio, TX, USA
HaniaHabeeb
Department of Emergency Medicine, MedStar Harbor Hospital,
Baltimore, MD, USA
Rohan Janwadkar Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
Diana Ladkany Department of Emergency Medicine, MedStar Washington
Hospital Center & MedStar Georgetown University, Washington, DC, USA
David R. Lane Department of Emergency Medicine, AdventHealth Orlando,
Orlando, FL, USA
MariaLawrynowicz Department of Emergency Medicine, Medstar Washington
Hospital Center, Washington, DC, USA
xii
Kerri Layman Department of Emergency Medicine, MedStar Georgetown
University Hospital, Washington, DC, USA
MarcosMavromaras Shannon Medical Center, San Angelo, TX, USA
KatherineD.Mayes Department of Emergency Medicine, Virginia Tech Carilion
School of Medicine, Carilion Clinic, Roanoke, VA, USA
Jessica Palmer Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
Department of Emergency Medicine, MedStar Southern Maryland Hospital,
Clinton, MD, USA
Erica Peethumnongsin
Department of Emergency Medicine, Duke University
Hospital, Durham, NC, USA
Carolyn Phillips Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
Elizabeth Pontius Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
Brian Sharp BerbeeWalsh Department of Emergency Medicine, University of
Wisconsin, Madison, WI, USA
KristenSharp Department of Obstetrics and Gynecology, University of Wisconsin,
Madison, WI, USA
MalloryShasteen Department of Emergency Medicine, Prisma Health – Upstate,
Greenville, SC, USA
Whitney Sherman Department of Emergency Medicine, Wellspan York
Hospital, PA, USA
Janet Smereck Department of Emergency Medicine, MedStar Georgetown
University Hospital, Washington, DC, USA
NickTsipis Department of Emergency Medicine, Virginia Tech Carilion School of
Medicine, Carilion Clinic, Roanoke, VA, USA
JeffreyUribe Department of Emergency Medicine, Medstar Washington Hospital
Center, Washington, DC, USA
Saskiavan Terheyden Department of Emergency Medicine, MedStar Washington
Hospital Center, Washington, DC, USA
MariaVan Winkle Department of Emergency Medicine, Inova Fairfax Hospital,
Falls Church, VA, USA
University of Virginia Medical School, Inova Campus, Falls Church, VA, USA
KathrynVoss Department of Emergency Medicine, MedStar Washington Hospital
Center, Washington, DC, USA
Contributors