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Management of Medical Disorders On The Labour Ward

by Catherine Nelson-Piercy, MA,FRCP, FRCOG
  • Duration: 60 Mins
  • Credits: 1 CME
  • Handout: No
  • Origin: GOLD Obstetrics 2020

Women are delaying pregnancy until older ages and fertility treatments mean that age is no longer a barrier to reproduction. Therefore women are more likely to have co-morbidities such as diabetes, hypertension, obesity and other chronic medical problems. Medical problems represent a more common cause of death in pregnancy and the puerperium than direct obstetric conditions. The most common cause of death in pregnancy in the developed world is cardiac disease. This lecture will discuss the most serious and most common presentations of medical problems on the labour ward and highlight important aspects of management. Effective management requires team work particularly with physicians, midwives and obstetric anaesthetists.

Causes of breathlessness, chest pain, headache and seizures will be covered and the management of asthma, pneumonia, acute coronary syndrome, pulmonary oedema, aortic dissection, pulmonary embolism discussed.

Learning Objectives:

Objective 1: List the causes of chest pain in pregnancy;

Objective 2: List the causes of breathlessness in pregnancy;

Objective 3: Describe the diagnosis and management of pulmonary embolism in pregnancy;

Objective 4: Discuss the differential diagnosis of headache in pregnancy.

Presentations: 12  |  Hours / CE Credits:  |  Viewing Time: 8 Weeks