Lightning Learning: Problems in Pregnancy

Lightning Learning: Problems in Pregnancy

Pregnant women are at increased risk of infections & sepsis. Signs & symptoms can be subtle.
— advice is based on local guidelines & procedures

What?

Maternal Sepsis

Pregnant women are at increased risk of infections & sepsis. Signs & symptoms can be subtle.
 

Ectopic Pregnancy

Classic symptoms:

  • PV bleeding

  • Missed period

  • Abdominal pain

BUT atypical presentation is common.

Other symptoms include:

  • Gastrointestinal symptoms

  • Urinary symptoms

  • Rectal pressure or pain on defecation

  • Dizziness, fainting or syncope

  • Shoulder tip pain

 
DON'T FORGET! The paediatric patients consider pregnancy as a possibility in peri-pubertal girls.

Why?

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.

How?

‘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.

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