Preface; Contents; List of Contributors; Chapter 1: Early Pregnancy Complications; Introduction; Ectopic Pregnancy; Heterotopic Pregnancies; First Trimester Miscarriages; Complications of Assisted Reproductive Technologies (ART); Summary; Key Points; References; Chapter 2: Emergency Department Ultrasound in Pregnancy; Introduction; Image Acquisition; Transabdominal Technique; Transvaginal Technique; Application of Point-of-Care Ultrasound to the Pregnant Emergency Department Patient; Intrauterine Pregnancy; Ectopic Pregnancy; Pregnancy of Unknown Location.

Emergency Department Evaluation Management; Complications; Preterm Labor; Risk Factors; Diagnosis; Management of Preterm Labor; Antibiotics and Preterm Labor; Disposition; Summary; Key Points; References; Chapter 7: Precipitous Labor and Emergency Department Delivery; Introduction; Approach to Precipitous ED Delivery with Normal Fetal Presentation; Preparation; Assessment; Delivery Technique; Precipitous/ED Delivery with Abnormal Fetal Presentations; Shoulder Dystocia; Complications; Technique; Management of Umbilical Cord Prolapse; Management of Breech Delivery; Summary.

Key PointsReferences; Chapter 8: Evaluation and Treatment of Postpartum Hemorrhage; Introduction; Risk Factors for Severe Postpartum Hemorrhage; Etiologies of Primary Postpartum Hemorrhage; Etiologies of Secondary Postpartum Hemorrhage; Hematologic Considerations in Postpartum Hemorrhage; Emergency Department Management of Postpartum Hemorrhage; First-Line Treatments; Pharmacologic Therapies; Second-Line Treatments: Mechanical and Surgical Interventions for PPH; Emergency Department Disposition; Summary; Key Points; References; Chapter 9: Cardiovascular Emergencies of Pregnancy.

Secondary Applications of Point-of-Care Ultrasound in Early Pregnancy Fetal Gestational Dating; Fetal Biometry; Summary; Key Points; References; Chapter 3: Approach to the Patient with Nausea and Vomiting in Pregnancy; Introduction; Emergency Department Management; Diagnosis; Treatment; Disposition; Complications; Summary; Key Points; References; Chapter 4: Hypertensive Disorders of Pregnancy; Introduction; Classification of Hypertensive Disorders of Pregnancy; Pathophysiology; Emergency Department Management; Evaluation; Treatment; Control of Blood Pressure.

Seizure Prophylaxis and Treatment Disposition; Special Considerations; Postpartum Preeclampsia; Preeclampsia Less Than 20 Weeks of Gestation; Chronic Hypertension with Superimposed Preeclampsia; Summary; Key Points; References; Chapter 5: Bleeding in Late Pregnancy; Introduction; Emergency Department Evaluation; Placenta Previa; Placental Abruption; Vasa Previa; Uterine Rupture; Other Causes of Antepartum Hemorrhage; Summary; Key Points; References; Chapter 6: Premature Rupture of Membranes and Preterm Labor; Introduction; Preterm Premature Rupture of Membranes.

Obstetrical emergencies can be among the most stressful events an emergency physician will face in their entire career. The purpose of this book is to provide an evidence-based, practical approach to the wide spectrum of obstetric complications an emergency physician must be prepared to manage throughout all trimesters pregnancy as well as postpartum, including complications of assisted reproductive technology, bleeding, precipitous delivery and preterm labor. Clinical pearls and pitfalls are highlighted throughout. The approach to the pregnant patient with trauma, non-pregnancy-related abdominal pain, or in cardiac arrest is discussed. Updates in the classification and management of the hypertensive disorders of pregnancy are presented. Recent controversies surrounding the use of anti-emetics for first trimester nausea and vomiting and the use of a beta-hCG discriminatory zone for the evaluation of pregnancy of unknown location are also addressed. Obstetrical support services vary widely between different facilities, and Emergency Department Management of Obstetric Complications is written for emergency clinicians in all practice settings. This book provides useful information for daily practice as well as preparation for rarely encountered and potentially life-threatening events.