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Updated: Jul 3, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Multidisciplinary training in obstetric critical care.

William Martin¹, Susan Hutchon

¹Birmingham Women's NHS Foundation Trust Hospital, Metchley Park Road, Edgbaston, Birmingham B15 2TG, UK. bill.martin@bwhct.nhs.uk

Best Practice & Research. Clinical Obstetrics & Gynaecology

|August 5, 2008

Summary

Critically ill pregnant patients often suffer harm due to delayed identification. Multidisciplinary training is crucial for improving care and ensuring better outcomes for these high-risk obstetric patients.

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Area of Science:

Obstetrics
Critical Care Medicine
Medical Education

Background:

Critically ill obstetric patients require specialized care, but recent trends indicate many are not promptly identified, leading to adverse outcomes.
Changes in medical and midwifery training, including reduced working hours and direct entry into midwifery programs, have limited healthcare professionals' experience with critically ill patients, particularly those with non-obstetric conditions.
Healthcare providers like anaesthetists and intensivists may lack awareness of the unique physiological changes in pregnancy, impacting management of critically ill pregnant individuals.

Purpose of the Study:

To highlight the risks associated with delayed identification of critically ill obstetric patients.
To emphasize the need for improved training for healthcare professionals managing pregnant patients in critical condition.
To advocate for multidisciplinary training as a solution to enhance patient safety and care coordination.

Main Methods:

Review of recent publications on obstetric critical care outcomes.
Analysis of current medical and midwifery training structures.
Examination of the impact of pregnancy physiology on critical care management.

Main Results:

Many critically ill obstetric patients are not identified in a timely manner, resulting in preventable harm.
Evolving training paradigms have reduced hands-on experience with critically ill patients among both medical and midwifery staff.
A knowledge gap exists regarding pregnancy-specific physiological adaptations among non-obstetric critical care specialists.

Conclusions:

Multidisciplinary training is essential for optimizing the care of critically ill obstetric patients.
Enhanced training programs, incorporating insights from 'Safer Childbirth' and 'Saving Mothers Lives', can improve team understanding and role clarity.
Implementing comprehensive, team-based training is a vital strategy to mitigate harm and improve outcomes in obstetric critical care.