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from Section 3.9 - Obstetrics and Maternal Peripartum Complications
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Critical illness in pregnancy is relatively uncommon; however, it carries a significant amount of morbidity and mortality when it does occur. The majority of patients will be admitted to the intensive care unit in the post-partum period.
2. Recent advances in the management of common direct obstetric causes of maternal critical illness have improved outcomes. Unfortunately, however, we have not seen similar advances in treating the indirect causes.
3. Managing this unique cohort of patients is challenging and requires an in-depth knowledge of both maternal physiological adaptations to pregnancy and how these may affect the course of the patient’s illness.
4. In obstetric emergencies, the main priority must be to resuscitate the mother, which, in turn, will help resuscitate the fetus.
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