Transfusion Management of the Obstetrical Patient

Novel coronavirus disease 2019 (COVID-19) is a respiratory tract infection that was first identified in China. Since its emergence in December 2019, the virus has rapidly spread, transcending geographic barriers. The World Health Organization and the Centers for Disease Control and Prevention have declared COVID-19 as a public health crisis. Data regarding COVID-19 in pregnancy is limited, consisting of case reports and small cohort studies. However, obstetric patients are not immune from the current COVID-19 pandemic, and obstetric care will inevitably be impacted by the current epidemic. As such, clinical protocols and practice on labor and delivery units must adapt to optimize the safety of patients and health care workers and to better conserve health care resources. In this commentary, we provide suggestions to meet these goals without impacting maternal or neonatal outcomes. Key Points • Novel coronavirus disease 2019 (COVID-19) is a pandemic.• COVID-19 impacts care of obstetric patients.• Health care should be adapted for the COVID-19 pandemic.

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A Study of an Obstetrical Patient

AJN American Journal of Nursing ◽

10.2307/3411592 ◽

1934 ◽

Vol 34 (11) ◽

pp. 1109

Author(s):

Catherine Betz

Keyword(s):

Obstetrical Patient

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Clinical Section: Management of the Obstetrical Patient with Hemorrhage due to an Acute or Subacute Defibrination Syndrome

Blood ◽

10.1182/blood.v14.12.1354.1354 ◽

1959 ◽

Vol 14 (12) ◽

pp. 1354-1367 ◽

Cited By ~ 5

Keyword(s):

Obstetrical Patient

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Pragmatic approach to neuraxial anesthesia in obstetric patients with disorders of the vertebral column, spinal cord and neuromuscular system

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2020-101792 ◽

2020 ◽

pp. rapm-2020-101792

Author(s):

Elisa Walsh ◽

Yi Zhang ◽

Hannah Madden ◽

James Lehrich ◽

Lisa Leffert

Keyword(s):

Spinal Cord ◽

Cesarean Delivery ◽

Vertebral Column ◽

Retrospective Studies ◽

Case Series ◽

Neuraxial Anesthesia ◽

Neuromuscular System ◽

Patient Harm ◽

Mechanical Interference ◽

Obstetrical Patient

Neuraxial anesthesia provides optimal labor analgesia and cesarean delivery anesthesia. Obstetric patients with disorders of the vertebral column, spinal cord and neuromuscular system present unique challenges to the anesthesiologist. Potential concerns include mechanical interference, patient injury and the need for imaging. Unfortunately, the existing literature regarding neuraxial anesthesia in these patients is largely limited to case series and rare retrospective studies. The lack of practice guidance may lead to unwarranted fear of patient harm and subsequent avoidance of neuraxial anesthesia for cesarean delivery or neuraxial analgesia for labor, with additional risks of exposure to general anesthesia. In this narrative review, we use available evidence to recommend a framework when considering neuraxial anesthesia for an obstetrical patient with neuraxial pathology.

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Computerization of obstetrical patient tracking in a family medicine residency program

Journal of Ambulatory Care Management ◽

10.1097/00004479-199210000-00003 ◽

1992 ◽

Vol 15 (4) ◽

pp. 1-8

Author(s):

Sidney C. Ontal

Keyword(s):

Family Medicine ◽

Residency Program ◽

Patient Tracking ◽

Family Medicine Residency ◽

Obstetrical Patient

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Trauma in the Obstetrical Patient

Women s Health ◽

10.2217/whe.09.6 ◽

2009 ◽

Vol 5 (3) ◽

pp. 269-283 ◽

Cited By ~ 3

Author(s):

Christina C Hill

Keyword(s):

Multidisciplinary Approach ◽

Healthcare Providers ◽

Organ System ◽

Fetal Mortality ◽

Trauma Patients ◽

Minor Trauma ◽

Fetal Exposure ◽

Trauma Victim ◽

Assessment And Treatment ◽

Obstetrical Patient

Trauma complicates approximately 6–7% of all pregnancies and is associated with significant maternal and fetal morbidity and mortality. While the majority of trauma is minor, it is minor trauma that contributes to the majority of fetal mortality. Since virtually every organ system is affected anatomically and physiologically by pregnancy, it is important for healthcare providers who care for trauma victims to be aware of these changes. While assessment and resuscitation considers the existence of two patients, stabilization of the mother takes priority. Diagnostic and radiologic procedures should be used as indicated, with fetal exposure to radiation limited as much as possible. Management of the pregnant trauma victim requires a multidisciplinary approach in order to optimize outcome for mother and fetus. This review discusses the epidemiology, assessment and treatment of pregnant trauma patients and reviews areas where prevention efforts may be focused.

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The Role of Ultrasound in the Diagnosis and Management of the Obstetrical Patient

JOGN Nursing ◽

10.1111/j.1552-6909.1983.tb01080.x ◽

1983 ◽

Vol 12 (5) ◽

pp. 307-312

Author(s):

D. Graham ◽

S. Jacques ◽

V. Degeorges

Keyword(s):

Diagnosis And Management ◽

Obstetrical Patient

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