Uterine inversion is a rare obstetric emergency that may lead to severe haemorrhage, shock and eventually death. The incidence of uterine varies from one in 2,000-20,000 deliveries. Recurrent still with no exact reported so far. We report case near miss patient, 28 years old primiparous complete atonic postpartum haemorrhage shock, managed by manual repositioning tamponade insertion which got c...

This chapter summarizes the clinical presentation, pathophysiology, evaluation and management of six commonly encountered complications unique to pregnancy that require critical care management: obstetric haemorrhage; pre-eclampsia/HELLP (haemolysis-elevated liver enzymes-low platelets) syndrome; acute fatty liver of pregnancy; peripartum cardiomyopathy; amniotic fluid embolism; and trauma.

Introduction Trauma is now the leading cause of non-obstetric death in pregnancy. Emergency department (ED) management of trauma in pregnancy may be complicated by physiological compensation for concealed haemorrhage, reduced accuracy of diagnostic examination, a need to coordinate multiple teams, worries about imaging radiation and difficult decisions regarding emergent fetal delivery. Time co...

Background Fibrinogen replacement is critical in major obstetric haemorrhage (MOH).Purified, pasteurized fibrinogen concentrate appears to have benefitover cryoprecipitate in ease of administration and safety but is unlicensed in pregnancy. In July 2009 the Irish Blood Transfusion Service replaced cryoprecipitate with fibrinogen.

OBJECTIVE (1) To determine the incidence of near-miss, maternal death and mortality index; (2) to compare near-miss cases as per WHO criteria with that of maternal mortality; and (3) to study the causes of near-miss and maternal deaths. STUDY DESIGN Retrospective cohort study. SETTING Shri Vasantrao Naik Govt. Medical College, Yavatmal, India. STUDY POPULATION All cases of near-miss as pe...