Lightning Learning: Problems in Pregnancy
Pregnant women are at increased risk of infections & sepsis. Signs & symptoms can be subtle.
BUT atypical presentation is common.
Other symptoms include:
Rectal pressure or pain on defecation
Dizziness, fainting or syncope
Shoulder tip pain
Of the 237 maternal deaths in the period 2010-2012, almost 25% had sepsis. In the UK there are more than 20,000 emergency admission per year due to ectopic pregnancy.
There are still 5 maternal deaths per year due to ectopic pregnancy in this country - most of these women present with atypical symptoms.
‘Think Sepsis’ in any unwell pregnant or recently pregnant patient.
Perform a pregnancy test in any female with possible symptoms of ectopic pregnancy
Participate in simulation and review the SIM Feedback Slides and review physiological changes in pregnancy on #EM3.
For more details on eclampsia:
The Skeptics Guide to Emergency Medicine (SGEM) - Podcast #11: All Seizures Stop…Eventually (Magnesium and Eclampsia) you can read the blog post or listen to the podcast.