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Obstetric Emergencies

Obstetric Emergencies. Anupama Tamrakar Lecturer Yenepoya Nursing College. Obstetric Emergencies. presentation & prolapse of cord vasa previa, amniotic fluid embolism, rupture of uterus, shoulder dystocia, obstetrical shock. Vasa Praevia.

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Obstetric Emergencies

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  1. Obstetric Emergencies Anupama Tamrakar Lecturer Yenepoya Nursing College

  2. Obstetric Emergencies • presentation & prolapse of cord • vasa previa, • amniotic fluid embolism, • rupture of uterus, • shoulder dystocia, • obstetrical shock

  3. Vasa Praevia • It is defined as "fetal vessels crossing or running in close proximity to the inner cervical os.” • These vessels course within the membranes and are at risk of rupture when the supporting membranes rupture. • Rare - 1 in 3000

  4. Risk Factors • Low lining placenta • bilobed or succenturiate placenta • Velamentous insertion of cord • Multple pregnancies • IVF pregnancies (Risk of multiple pregnancies)

  5. Diagnosis On membrane rupture, • painless vaginal bleeding and • fetal bradycardia. • USG and colour doppler

  6. Complication of Vasa Praevia • Spontaneous or artificial rupture of membranes - rupture these vessels - fetal exsanguination. • Hypoxia if the vessels are compressed between baby & birth canal. • Fetal mortality 33-100%, if not diagnosed prenatally.

  7. Management • Caesarean delivery

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