Amniotic Fluid Embolism Ashley Deutsch OVERVIEW Amniotic fluid embolism (AFE) is a rare but devastating complication of pregnancy characterized by sudden cardiorespiratory collapse and disseminated intravascular coagulation (DIC). Reported incidence…
Uterine Inversion and Uterine Rupture Amanda Sue Shorette OVERVIEW Uterine inversion and uterine rupture are rare but life-threatening obstetric complications. There is a paucity of available data regarding the epidemiology,…
Postpartum Hemorrhage Divya Dethier Julianna Schantz-Dunn OVERVIEW Postpartum hemorrhage (PPH) is a leading cause of maternal mortality affecting 1% to 5% of all deliveries, although the incidence varies widely. PPH…
Umbilical Cord Abnormalities Sara M. Seifert OVERVIEW Peripartum umbilical cord management can have profound maternal and fetal effects from preventing asphyxia, hemorrhage, and long-term morbidity to promoting neonatal and maternal…
Shoulder Dystocia Samreen Vora OVERVIEW Shoulder dystocia is an unpredictable complication of vaginal delivery and is defined as failure to deliver the fetal shoulders with gentle downward traction, thereby requiring…
Emergency Hysterotomy Megan E. Healy Efrat R. Kean OVERVIEW Resuscitative hysterotomy is the delivery of a potentially viable fetus by rapid cesarean section in the setting of maternal cardiopulmonary arrest….
Twin Deliveries Nuriya D. Robinson OVERVIEW Deliveries of multifetal gestations can prove challenging for even the most experienced obstetrics provider.1 Fetal lie, monitoring challenges with more than one fetus, and…
Breech Deliveries Cindy Chang Michael Ghermezi Nuriya D. Robinson INTRODUCTION Breech presentation is defined as the fetus in a longitudinal lie whose buttocks, knees, or feet are adjacent to the…
Normal Vaginal Deliveries Liza G. Smith OVERVIEW Most women in labor present directly or are triaged to an obstetric unit so births occurring in the prehospital or emergency department (ED)…
Placental Abnormalities James Wong III Megan C. Henn Michelle D. Lall OVERVIEW The placenta is the lifeline of the growing fetus. Maternal blood enters the placenta through approximately 120 spiral…
