Book contents
- Best Practice in Labour and Delivery
- Reviews
- Best Practice in Labour and Delivery
- Copyright page
- Contents
- Contributors
- Preface to the Third Edition
- Acknowledgements
- Chapter 1 Pelvic and Fetal Cranial Anatomy and the Stages and Mechanism of Labour
- Chapter 2 The First Stage of Labour
- Chapter 3 Analgesia and Anaesthesia in Labour and Delivery
- Chapter 4 Intrapartum Fetal Monitoring
- Chapter 5 Uterine Contractions
- Chapter 6 Identification and Management of Presumed Intrapartum Fetal Distress
- Chapter 7 Prolonged Second Stage of Labour Including Difficult Decision-Making on Assisted Vaginal Birth and Caesarean Birth
- Chapter 8 Instrumental Vaginal Deliveries
- Chapter 9 Vaginal Breech Deliveries and External Cephalic Version
- Chapter 10 The Evidence-Based Caesarean Delivery Technique
- Chapter 11 Shoulder Dystocia
- Chapter 12 Umbilical Cord Prolapse
- Chapter 13 Twin Delivery
- Chapter 14 Antepartum Haemorrhage
- Chapter 15 Management of the Third Stage of Labour
- Chapter 16 Postpartum Haemorrhage
- Chapter 17 Management of Placenta Accreta Spectrum
- Chapter 18 Acute Illness and Maternal Collapse
- Chapter 19 Episiotomy and Obstetric Perineal Trauma
- Chapter 20 Induction of Labour
- Chapter 21 Preterm Pre-labour Rupture of Membranes
- Chapter 22 Preterm Birth
- Chapter 23 Labour in Women with Medical Disorders
- Chapter 24 Management of Women with Previous Caesarean Section
- Chapter 25 Hypertensive Disorders in Labour and Delivery
- Chapter 26 Rupture of the Uterus
- Chapter 27 Neonatal Resuscitation and the Management of Immediate Neonatal Problems
- Chapter 28 The Immediate Puerperium
- Chapter 29 Triage and Prioritisation on Labour Wards
- Chapter 30 Maternity Training in the Twenty-First Century
- Chapter 31 Risk Management in Intrapartum Care
- Chapter 32 Cerebral Palsy Arising from Events in Labour
- Chapter 33 Non-technical Skills to Improve Obstetric Practice
- Index
- References
Chapter 18 - Acute Illness and Maternal Collapse
Published online by Cambridge University Press: 16 October 2025
Edited by
Book contents
- Best Practice in Labour and Delivery
- Reviews
- Best Practice in Labour and Delivery
- Copyright page
- Contents
- Contributors
- Preface to the Third Edition
- Acknowledgements
- Chapter 1 Pelvic and Fetal Cranial Anatomy and the Stages and Mechanism of Labour
- Chapter 2 The First Stage of Labour
- Chapter 3 Analgesia and Anaesthesia in Labour and Delivery
- Chapter 4 Intrapartum Fetal Monitoring
- Chapter 5 Uterine Contractions
- Chapter 6 Identification and Management of Presumed Intrapartum Fetal Distress
- Chapter 7 Prolonged Second Stage of Labour Including Difficult Decision-Making on Assisted Vaginal Birth and Caesarean Birth
- Chapter 8 Instrumental Vaginal Deliveries
- Chapter 9 Vaginal Breech Deliveries and External Cephalic Version
- Chapter 10 The Evidence-Based Caesarean Delivery Technique
- Chapter 11 Shoulder Dystocia
- Chapter 12 Umbilical Cord Prolapse
- Chapter 13 Twin Delivery
- Chapter 14 Antepartum Haemorrhage
- Chapter 15 Management of the Third Stage of Labour
- Chapter 16 Postpartum Haemorrhage
- Chapter 17 Management of Placenta Accreta Spectrum
- Chapter 18 Acute Illness and Maternal Collapse
- Chapter 19 Episiotomy and Obstetric Perineal Trauma
- Chapter 20 Induction of Labour
- Chapter 21 Preterm Pre-labour Rupture of Membranes
- Chapter 22 Preterm Birth
- Chapter 23 Labour in Women with Medical Disorders
- Chapter 24 Management of Women with Previous Caesarean Section
- Chapter 25 Hypertensive Disorders in Labour and Delivery
- Chapter 26 Rupture of the Uterus
- Chapter 27 Neonatal Resuscitation and the Management of Immediate Neonatal Problems
- Chapter 28 The Immediate Puerperium
- Chapter 29 Triage and Prioritisation on Labour Wards
- Chapter 30 Maternity Training in the Twenty-First Century
- Chapter 31 Risk Management in Intrapartum Care
- Chapter 32 Cerebral Palsy Arising from Events in Labour
- Chapter 33 Non-technical Skills to Improve Obstetric Practice
- Index
- References
Summary
Acute Illness and Maternal Collapse is an important chapter for all healthcare professionals involved in maternity services. This chapter reviews physiological changes of pregnancy and applies these principles to recognition of maternal illness. Specific conditions that contribute to poor maternal outcomes are outlined together with a systematic approach to assessment and management of an unwell mother, including management of maternal/obstetric cardiac arrest. This chapter should enable clinicians to develop well-rounded and patient-centred skills in the recognition, assessment and management of an unwell mother.
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- Type
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- Best Practice in Labour and Delivery , pp. 215 - 229Publisher: Cambridge University PressPrint publication year: 2025
References
Knight, M, Bunch, K, Felker, A, et al., editors. On behalf of MBRRACE-UK. Saving lives, improving mothers’ care: lessons learned to inform maternity care from the UK and Ireland – confidential enquiries into maternal deaths and morbidity 2019–21 (Core report). 2023 Oct [cited 2024 14 Mar]. Available from: https://bit.ly/4iziYt9Google Scholar
Jardine, J, NMPA Project Team. National Maternity & Perinatal Audit: maternity admissions to intensive care in England, Wales and Scotland in 2015/16 (RCOG report). 2019 [cited 2024 14 Mar]. Available from: https://bit.ly/43Q8DEPGoogle Scholar
Sanghavi, M, Rutherford, JD. Cardiovascular physiology of pregnancy. Circulation. 2014;130:1003–8.10.1161/CIRCULATIONAHA.114.009029CrossRefGoogle ScholarPubMed
Bedson, R, Riccoboni, A. Physiology of pregnancy: clinical anaesthetic implications. Continuing Education in Anaesthesia Critical Care & Pain. 2014;14(2):69–72.Google Scholar
Fitzpatrick, KE, Tuffnell, D, Kurinczuk, JJ, Knight, M. Incidence, risk factors, management and outcomes of amniotic-fluid embolism: a population-based cohort and nested case-control study. BJOG. 2016;123(1):100–9.10.1111/1471-0528.13300CrossRefGoogle ScholarPubMed
Acosta, CD, Kurinczuk, JJ, Lucas, DN, et al. Severe maternal sepsis in the UK, 2011–2012: a national case-control study. PLoS Med. 2014;11(7):e1001672.10.1371/journal.pmed.1001672CrossRefGoogle ScholarPubMed
RCOG Guideline Committee. Bacterial sepsis in pregnancy (Green-top Guideline No. 64a). 2012 Apr [cited 2024 24 Apr]. Available from: www.rcog.org.uk/media/ea1p1r4h/gtg_64a.pdfGoogle Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–241.Google ScholarPubMed
The Regulation and Quality Improvement Authority. Guideline for the prevention, diagnosis and management of hyponatraemia in labour and the immediate postpartum period. 2017 Mar [cited 2024 24 Apr]. Available from: www.rqia.org.uk/RQIA/files/df/dfd57ddd-ceb3-4c0d-9719-8e33e179d0ff.pdfGoogle Scholar
Triplett, JD, Kutlubaev, MA, Kermode, AG, Hardy, T. Posterior reversible encephalopathy syndrome (PRES): diagnosis and management. Pract Neurol. 2022;22(3):183–9.10.1136/practneurol-2021-003194CrossRefGoogle ScholarPubMed
Macfarlane, AJR, Gitman, M, Bornstein, KJ, El-Boghdadly, K, Weinberg, G. Updates in our understanding of local anaesthetic systemic toxicity: a narrative review. Anaesthesia. 2021;76(Suppl 1):27–39.10.1111/anae.15282CrossRefGoogle ScholarPubMed
Collis, R, Harries, S, Theron, A. Obstetric anaesthesia (Oxford specialist handbooks in anaesthesia). 2nd ed. Oxford: Oxford University Press; 2020.10.1093/med/9780199688524.001.0001CrossRefGoogle Scholar
Working Group of Resuscitation Council UK. Emergency treatment of anaphylaxis. 2021 May [cited 2024 24 Apr]. Available from: https://rb.gy/iuhhvuGoogle Scholar
Resuscitation Council UK. Obstetric cardiac arrest. 2021 [cited 2024 24 Apr]. Available from: https://rb.gy/fs3wevGoogle Scholar
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