Learning objectives
The management of emergencies in obstetrics is complex and involves many colleagues (gynecologists, obstetricians, nurses, anesthesiologists, neonatologists, laboratory medicine and transfusion center).
The quality and effectiveness of the treatment often depend on a good coordination of the team.
The aim of the course is to provide common knowledge elements and a unique language for the delivery room team to prevent and / or manage adverse events in the delivery room together.
Prerequisites
NA
Course unit content
Anesthesiologists are increasingly involved in the care of pregnant women, and in the obstetric field the anesthesiologist exercises his activity in the following fields:
- evaluation for childbirth-analgesia and caesarean section in emergency
- urgency evaluation of pregnant women at risk for comorbidity (obesity, heart disease, etc.)
- assessment of women at risk for diseases associated with pregnancy (severe management, HELLP
syndrome, etc.)
- emergency evaluation during labor and vaginal delivery (analgesia: peridural or combined analgesia)
- anesthesia for caesarean section and for revision of the uterine cavity (also emergency)
- emergency treatment (hemorrhagic shock, eclampsia, etc.). In particular, the need for clinical monitoring of vital parameters and management of bleeding peri-partum (minor and major), through the administration of fluids, blood derivatives and drugs.
- admission to intensive care
The primary responsibility of the anesthesiologist in the delivery room is the safety of the woman.
Full programme
• Emergency operating room
• Postpartum bleeding (also in polytrauma)
• Hypertensive crisis; gestosis / pre-eclampsia / eclampsia
• HELLP syndrome
• Acute respiratory failure
• cardio-circulatory arrest: etiology. pathophysiology, epidemiology and treatment
• BLSD
Bibliography
- Clinical Anesthesia Procedures of the Massachusetts General Hospital (English version). William E., Md. Hurford, Michael T., Md. Bailn J. Kenneth, Md. Davison, Kenneth, Md. Haspel, Carl, Md. Rosow. Lippincott Williams & Wilkins
- Obstetric and Gynecologic Anesthesia, Authors: Ferne Braveman
Teaching methods
Lectures will be held on-site in compliance with safety standards, provided that further instructions on the ongoing health emergency are not implemented. Supporting material will be available on the specific, student-reserved platform (Elly) and will include slide presentations, audio-video aids or video-recording of the lectures.
Assessment methods and criteria
Oral examination.
In case of the persistence of the health emergency, the exams will be conducted remotely, as follows:
remote oral questions, through the Teams platform (guide http://selma.unipr.it/).
Students with SLD / BSE must first contact Le Eli-che: support for students with disabilities, D.S.A., B.E.S. (https://sea.unipr.it/it/servizi/le-eli-che-supporto-studenti-con-disabilita-dsa-bes)
Other information
NA
