• Maternal Collapse in Pregnancy and the Puerperium
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Maternal Collapse in Pregnancy and the Puerperium

J. Chu, T.A. Johnston, J. Geoghegan
Royal College of Obstetricians and Gynaecologists (RCOG)

Green-top Guideline No. 56
First published: 17 December 2019. https://doi.org/10.1111/14710528.15995.

REFERENCES

1. Tuncalp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: a systematic review. BJOG 2012; 119: 653– 61.

2. Beckett VA, Knight M, Sharpe P. The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study. BJOG 2017; 124: 1374– 81.

3. Knight M, Nair M, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, et al. editors. Saving Lives, Improving Mothers' Care – Surveillance of Maternal Deaths in the UK 2012–14 and Lessons Learned to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–14. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2016.

4. Knight M, Kurinczuk JJ, Tufnell D, Brocklehurst P. The UK Obstetric Surveillance System for rare disorders of pregnancy. BJOG 2005; 112: 263–5.

5. Healthcare Improvement Scotland. Scottish Confidential Audit of Severe Maternal Morbidity: reducing avoidable harm. 10th Annual Report Edinburgh: HIS 2014.

6. Manning E, O'Farrell IB, Corcoran P, de Foubert P, Drummond L, McKernan J, et al. Severe Maternal Morbidity in Ireland Annual Report 2015. Cork: National Perinatal Epidemiology Centre; 2017.

7. Kayem G, Kurinczuk J, Lewis G, Golightly S, Brocklehurst P, Knight M. Risk factors for progression from severe maternal morbidity to death: a national cohort study. PLoS ONE 2011; 6: e29077.

8. Royal College of Obstetricians and Gynaecologists. Epilepsy in Pregnancy. Green-top Guideline No.68. London: RCOG; 2016.

9. Confidential Enquiry into Maternal and Child Health. Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer — 2003–2005. The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. London: CEMACH; 2007.

10. Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE-acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med 1981; 9: 591–7.

11. Lee A, Bishop G, Hillman KM, Daffurn K. The medical emergency team. Anaesth Intensive Care 1995; 23: 183–6.

12. Morgan RJM, Williams F, Wright MM. An early warning scoring system for detecting developing critical illness. Clin Int Care 1997; 8: 100–1.

13. Kause J, Smith G, Prytherch D, Parr M, Flabouris A, Hillmak K; Intensive Care Society (UK); Australian and New Zealand Intensive Care Society Clinical Trials Group. A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom_the ACADEMIA study. Resuscitation 2004; 62: 275–82.

14. Watkinson PJ, Barber VS, Price JD, Hann A, Taressenko L, Young JD. A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. Anaesthesia 2006; 61: 1031–9.

15. Jacques T, Harrison GA, McLaws ML, Kilborn G. Signs of critical conditions and emergency responses (SOCCER): a model for predicting adverse events in the inpatient setting. Resuscitation 2006; 69: 175–83.

16. Stenhouse C, Coates S, Tivey M, Allsop P, Parker T. Prospective evaluation of a modified early warning score to aid earlier detection of patients developing critical illness on a general surgical ward. Br J Anaesth 2000; 84: 663.

17. Goldhill DR, McNarry AF, Mandersloot G, McGinley A. A physiologically-based early warning score for ward patients: the association between score and outcome. Anaesthesia 2005; 60: 547–53.

18. Subbe CP, Slater A, Menon D, Gemmell L. ASSIST: a screening tool for critically ill patients on general medical wards. Intensive Care Med 2002; 28: S21.

19. Gao H, McDonnell A, Harrison DA, Moore T, Adam S, Daly K, et al. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Intensive Care Med 2007; 33: 667-79.

20. Hillman K, Chen J, Cretikos M, Bellomo R, Brown D, Doig G, et al. MERIT study investigators. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005; 365: 2091–7.

21. National Institute of Health and Care Excellence. Acutely Ill Patients in Hospital: Recognition of and Response to Acute Illness in Adults in Hospital. Clinical Guideline No. 50. London: NICE; 2007.

22. opalan PD, Muckhart DJ. The critically ill obstetric patient: what's the score? Int J Obstet Anesth 2004; 13: 144–5.

23. Royal College of Physicians. National Early Warning Score (NEWS) 2. Standardising the Assessment of Acute-illness Severity in the NHS. Updated report of a working party. London: RCP; 2017.

24. Resuscitation Council (UK). Adult advanced life support. [https://www.resus.org.uk/resuscitation_guidelines/adult_advanced_life_support/#reversible]. Accessed 13 January 2019.

25. Selo_Ojeme DO, Welch CC. Review: spontaneous rupture of splenic artery aneurysm in pregnancy. Eur J Obs Gyne Reprod Biol 2003; 109: 124–7.

26. Glover P. Blood losses at delivery: how accurate is your estimation? Aust J Midwifery 2003; 16: 21–4.

27. Toledo P, McCarthy RJ, Hewlett BJ, Fitzgerald PC, Wong CA. The accuracy of blood loss estimation after simulated vaginal delivery. Anaesth Analg 2007; 105: 1736–40.

28. Knight M, UKOSS. Antenatal pulmonary embolism: risk factors, management and outcomes. BJOG 2008; 115: 453-61.

29. 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: 100–9.

30. Morgan M. Amniotic fluid embolism. Anaesthesia 1979; 4: 20–32.

31. Tufnell DJ. United Kingdom amniotic fluid embolism register. BJOG 2005; 112: 1625–9.

32. Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 1995; 172: 1158–67.

33. Conde-Agudelo A, Romero R. Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol 2009; 201: 445.e1.-e13

34. Gei AF, Vadhera RB, Hankins GD. Embolism during pregnancy: thrombus, air and amniotic fluid. Anaesthiol Clin North Am 2003; 21: 165–82.

35. Kobayashi H. Amniotic fluid embolism: anaphylactic reactions with idiosyncratic adverse response. Obstet Gynecol Surv 2015; 70: 511–7.

36. Houze dlA, Petit S, Devisme L, Deruelle P. Can the presence of amniotic emboli in the myometrial vasculature be interpreted as a sign of amniotic fluid embolism? Am J Obstet Gynecol 2012: 206: S54.

37. Legrand M, Rossignol M, Dreux S, Luton D, Ventre C, Barranger E, et al. Diagnostic accuracy of insulin-like growth factor binding protein-1 for amniotic fluid embolism. Crit Care Med 2012; 40: 2059–63.

38. Malhotra S, Yentis SM. Reports on Confidential Enquiries into Maternal Deaths: management strategies based on trends in maternal cardiac deaths over 30 years. Int J Obstet Anesth 2006; 15: 223–6.

39. Vause S, Clarke B, Tower CL, Hay C, Knight M. Pregnancy outcomes in women with mechanical prosthetic heart valves: a prospective descriptive population based study using the United Kingdom Obstetric Surveillance System (UKOSS) data collection system. BJOG 2017; 124: 1411–9.

40. Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, et al. 2001 SCCM/ESICM/ACCP/ATS/SIS internationalsepsis definitions conference. Intensive Care Med 2003; 29: 530–8.

41. Royal College of Obstetricians and Gynaecologists. Bacterial Sepsis in Pregnancy. Green-top Guideline No.64a. London: RCOG; 2012.

42. Foxall G, McCahon R, Lamb J, Hardman JG, Bedforth NM. Levobupivacaine-induced seizures and cardiovascular collapse treated with Intralipid®. Anaesthesia 2007; 62: 516–8.

43. Johansson SGO, Bieber T, Dahl R, Friedmjann PS, Lanier BQ, Lockey RF, et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organisation. J Allerg Clin Immunol 2004; 113: 832–6.

44. Royal College of Anaesthetists. Anaesthesia, surgery and life-threatening allergic reactions. 6th National Audit Project: Perioperative Anaphylaxis. May 2018. [www.nationalauditprojects.org.uk/NAP6home]

45. The Regulation and Quality Improvement Authority. Guideline for the prevention, diagnosis and management of hyponatraemia in labour and the immediate postpartum period. Guidelines and audit implementation network. 2017.

46. Liberatore H, Pistelli R, Patalano F, Moneta E, Incalzi RA, Ciappi G. Respiratory function during pregnancy. Respiration 1984; 46: 145–50.

47. Whitty JE. Maternal cardiac arrest in pregnancy. Clin Obstet Gynecol 2002; 45: 377–92.

48. Chesnutt AN. Physiology of normal pregnancy. Crit Care Clin 2004; 20: 609–15.

49. Sanders AB, Meislin HW, Ewy GA. The physiology of cardiopulmonary resuscitation. JAMA 1984; 252: 3283–6.

50. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 3: adult basic life support. Circulation 2000; 102 (Suppl 1); 22–59.

51. Donegan JH. Cardiopulmonary Resuscitation. Springfield, IL: Charles C Thomas Ltd.; 1982.

52. Kerr MG. The mechanical effects of the gravid uterus in late pregnancy. J Obstet Gynaecol Br Commonw 1965; 2: 513–29.

53. Prowse CM, Gaensler EA. Respiratory and acid_base changes during pregnancy. Anesthesiology 1965; 26: 381–92.

54. Skatrud JB, Dempsey JA, Kaiser DG. Ventilatory response to medroxyprogesterone acetate in normal subjects: time course and mechanism. J Appl Physiol 1978; 44: 393–4.

55. Mushambi MC, Kinsella SM, Popat M, Swales H, Ramaswamy KK, Winton AL, et al. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia 2015; 70: 1286–306.

56. Kinsella SM, Winton AL, Mushambi MC, Ramaswamy K, Swales H, Quinn AC, et al. Failed tracheal intubation during obstetric general anaesthesia: a literature review. Int J Obstet Anesth 2015; 24: 356–74.

57. Mendelsson CL. The aspiration of stomach contents into the lungs during obstetric anaesthesia. Am J Obstet Gynecol 1946; 52: 191–205.

58. Kavle JA, Stoltzfus RJ, Witter F, Tielsch JM, Khalfan SS, Caulfield LE. Association between anaemia during pregnancy and blood loss at and after delivery among women with vaginal births in Pemba Island, Zanzibar, Tanzania. J Health Popul Nutr 2008; 26: 232–40.

59. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 2015; 95: 1–80.

60. Joint Royal Colleges Ambulance Liaison Committee. Clinical Practice Guidelines 2017 Pocket Book. London, UK: Association of Ambulance Chief Executives and Joint Royal Colleges Ambulance Liaison Committee. 2017.

61. Joint Royal Colleges Ambulance Liaison Committee. Emergency Birth in the Community. Association of Ambulance Chief Executives and Joint. London, UK: Association of Ambulance Chief Executives and Joint Royal Colleges Ambulance Liaison Committee; 2018.

62. Jeejeebhoy FM, Morrison LJ. Maternal cardiac arrest: a practical and comprehensive review. Emerg Med Int 2013; 2013: 274814.

63. Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, et al. Cardiac arrest in special situations: 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency 3 Cardiovascular Care. Circulation 2015; 132 (18 Suppl 2): S315–67.

64. Kundra P, Khanna S, Habeebullah S, Ravishankar M. Manual displacement of the uterus during Caesarean section. Anaesthesia 2007; 62: 460–5.

65. Jeejeebhoy FM, Zelop CM, Windrim R, Carvalho JCA, Dorian P, Morrison LJ. Management of cardiac arrest in pregnancy: a systematic review. Resuscitation 2011; 82: 801–9.

66. Kinsella SM. Lateral tilt for pregnant women: why 15 degrees? Anaesthesia 2003; 58: 835–6.

67. Kim S, You JS, Lee HS, Lee JH, Park YS, Chung SP, et al. Quality of chest compressions performed by inexperienced rescuers in simulated cardiac arrest associated with pregnancy. Resuscitation 2013; 84: 98–102.

68. Rees GA, Willis BA. Resuscitation in late pregnancy. Anaesthesia 1988; 43: 347–9.

69. Mhyre JM, Healy D. The unanticipated difficult intubation in obstetrics. Aneth Analg 2011; 112: 648–52.

70. Obstetric Anaesthetists Association. OAA DAS Obstetric Airway Guidelines 2015: PDF of 2015 Guideline Algorithms. London: OAA; 2015.

71. Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation 2010; 81: 1219–76.

72. Paterson_Brown S, Howell C. The MOET Course Manual: Managing Obstetric Emergencies and Trauma, 2nd ed. Cambridge: Cambridge University Press; 2014.

73. Nightingale C, Cousins J, Fox W, Gabbott D, Griffiths R, Kennedy N, et al. Guidelines on Managing the Obese Surgical Patient. London, UK: Joint document from AAGBI and SOBA 2015.

74. Luck RP, Haines C, Mull CC. Intraosseous access. J Emerg Med 2010; 39: 468–75.

75. Brown MA, Sirlin CB, Farahmand N, Hoyt DB, Casola G. Screening sonography in pregnant patients with blunt abdominal trauma. J Ultrasound Med 2005; 24: 175–81; quiz 183–4.

76. Richards JR, Ormsby EL, Romo MV, Gillen MA, McGahan JP. Bluntabdominal injury in the pregnant patient: detection with US. Radiology 2004; 233: 463–70.

77. Goodwin H, Holmes JF, Wisner DH. Abdominal ultrasound examination in pregnant blunt trauma patients. J Trauma 2001; 50: 689–93.

78. Lazebnik N, Lazebnik RS. The role of ultrasound in pregnancy related emergencies. Radiol Clin North Am 2004; 42: 315–27.

79. Nanson J, Elcock D, Williams M, Deakin CD. Do physiological changes in pregnancy change defibrillation energy requirements? Br J Anaesth 2001; 87: 327–9.

80. Katz VL, Dotters DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol 1986; 68: 571–6.

81. Lipman SS, Cohen S, Mhyre J, Carvalho B, Einav S, Arafeh J, et al. Challenging the 4- to 5-minute rule: from perimortem cesarean to resuscitative hysterotomy. Am J Obstet Gynecol 2016 Jul; 215: 129–31.

82. Chu J, Hinshaw K, Paterson-Brown S, Johnston T, Matthews M, Webb J, et al. Perimortem caesarean section — why, when and how. Obstet Gynaecol 2018 Jul; 20(3): 151–8.

83. Awe RJ, Nicotra MNT, Viles R. Arterial oxygenation and alveolar_arterial gradients in term pregnancy. Obs Gynecol 1979; 53: 182–6.

84. Bozcar ME, Howard MA, Rivers EP, Martin GB, Horst HM, Lewandowski C, et al. A technique revisited: hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation. Crit Care Med 1995; 23: 498–505.

85. Katz V, Balderston K, DeFreest M. Perimortem cesarean delivery: Were our assumptions correct? Am J Obstet Gynecol 2005; 192: 1916–21.

86. Drukker L, Hants Y, Sharon E, Sela HY, Grisaru-Granovsky S. Perimortem cesarean section for maternal and fetal salvage: concise review and protocol. Acta Obstet Gynecol Scand 2014; 93: 965–72.

87. Einav S, Kaufman N, Sela HY. Maternal cardiac arrest and perimortem caesarean delivery: evidence or expert-based? Resuscitation 2012; 83: 1191–2000.

88. Royal College of Pathologists. Guidelines on Autopsy Practice. Scenario 5: Maternal Death. London: Royal College of Pathologists; 2010.

89. Royal College of Obstetricians and Gynaecologists. Antepartum Haemorrhage, Prevention and Management. Green-top Guideline No. 63. London: RCOG; 2011.

90. Jauniaux ERM, Alfirevic Z, Bhide AG, Belfort MA, Burton GJ, Collins SL, et al. Placenta praevia and placenta accreta: diagnosis and management. Green-top Guideline No. 27a. BJOG 2019; 126: e1-48.

91. Jauniaux ERM, Alfirevic Z, Bhide AG, Belfort MA, Burton GJ, Collins SL, et al. Placenta praevia and placenta accreta: diagnosis and management. Green-top Guideline No. 27a. BJOG 2019; 126: e49-61.

92. Royal College of Obstetricians and Gynaecologists. Postpartum Haemorrhage, Prevention and Management. Green-top Guideline No.52. London: RCOG; 2016.

93. WOMAN Trial Collaborators. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet 2017; 389: 2105–16.

94. Royal College of Obstetricians and Gynaecologists. Thrombosis and Embolism during Pregnancy and the Puerperium, the Acute Management of Green-top Guideline No. 37b. London: RCOG 2015.

95. Pacheco LD, Saade G, Hankins GD, Clark, SL. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol 2016; 215: B16–24.

96. Leighton BL, Wall MH, Lockhart EM, Phillips LE, Zatta AJ. Use of recombinant factor VIIa in patients with amniotic fluid embolism: a systematic review of case reports. Anesthesiology 2011; 115: 1201–8.

97. PJ Steer, MA Gatzoulis, P Baker editors. Heart Disease and Pregnancy. London: Royal College of Obstetricians and Gynaecologists Press; 2006.

98. Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 2017; 43: 304.

99. Levy MM, Dellinger RP, Townsend SR, Lind-Zwirble WT, Marshall JC, Bion J, et al. The Surviving Sepsis Campaign: results of an international guideline based performance improvement program targeting severe sepsis. Crit Care Med 2010; 38: 1–8.

100. Gao F, Melody T, Daniels R, Giles S, Fox S. The impact of compliance with 6-hour and 24-hour sepsis bundles on hospital mortality in patients with severe sepsis: a prospective observational study. Crit Care 2005; 9: 764–70.

101. Omu AE, Al_Harmi J, Vedi HL, Mlechkova L, Sayed AF, Al_Ragum NS. Magnesium sulphate therapy in women with pre-eclampsia and eclampsia in Kuwait. Med Princ Pract 2008; 17: 227–32.

102. Patient N. Safety Agency. Safer Practice with Epidural Injections and Infusions. Patient Safety Alert 21. London: National Patient Safety Agency 2007.

103. Association of Anaesthetists of Great Britain and Ireland. Management of Severe Local Anaesthetic Toxicity. Safety Guideline. London: AAGBI; 2010. [https://www.aagbi.org/sites/default/files/la_toxicity_2010_0.pdf]. Accessed 13 January 2019.

104. National Institute of Health and Care Excellence. Hypertension in Pregnancy: Diagnosis and Management. NICE Clinical Guideline 133. Manchester: NICE; 2019.

105. Feske SK, Singhal AB. Cerebrovascular disorders complicating pregnancy. Continuum (Minneap Minn) 2014; 20: 80–99.

106. Harper NJ, Dixon T, Dugue P, Edgar DM, Fay A, Gooi HC, et al. Working Party of the Association of Anaesthetists of Great Britain and Ireland. Suspected anaphylactic reactions associated with anaesthesia. Anaesthesia 2009; 64: 199–211.

107. Powner DJ, Bernstein IM. Extended somatic support for pregnant women after brain death. Crit Care Med 2003; 31: 1241–9.

108. Bernstein IM, Watson M, Simmons GM, Catalano PM, Davis G, Collins R. Maternal brain death and prolonged fetal survival. Obstet Gynecol 1989; 74: 434–7.

109. Mallampalli A, Guy E. Cardiac arrest in pregnancy and somatic support after brain death. Crit Care Med 2005; 33(Suppl): S325–31.

110. Penney G, Brace V. Near miss audit in obstetrics. Curr Opin Obstet Gynecol 2007; 19: 145–50.

111. Merien AE, van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol 2010 May; 115: 1021–31.

112. Shoushtarian M, Barnett M, McMahon F, Ferris J. Impact of introducing practical obstetric multi-professional training (PROMPT) into maternity units in Victoria, Australia. BJOG 2014; 121: 1710–8.

113. Dijkman A, Huisman CMA, Smit M, Schutte JM, Zwart JJ, van Roosmalen JJ, et al. Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training? BJOG 2010; 117: 282–7.

114. American Academy of Family. Advanced Life Support in Obstetrics (ALSO®). [http://www.aafp.org/cme/programs/also.html]. Accessed 13 January 2019.

115. PROMPT Maternity Foundation. Practical obstetric multiprofessional training. [www.promptmaternity.org]. Accessed 13 January 2019.

116. Reynolds A, Ayres-de-Campos D, Lobo M. Self-perceived impact of simulation-based training on the management of real-life obstetrical emergencies. Eur J Obstet Gynecol Reprod Biol 2011; 159: 72–6.

117. Calvert KL, McGurgan PM, Debenham EM, Gratwick FJ, Maouris P. Emergency obstetric simulation training: how do we know where we are going, if we don't know where we have been? Aust N Z J Obstet Gynaecol 2013; 53: 509–16.