Related Experiment Video
Updated: May 31, 2026
09:03
The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
Maternal Critical Care: A Narrative Review.
Alex Warrilow-Wilson1, Karthik Somasundaram1, Bhaskar Narayan2
1Intensive Care Unit, Ashford and St Peter's Hospitals NHS Foundation Trust, KT16 0PZ Chertsey, UK.
Summary
Critically ill pregnant patients require specialized care due to unique physiological changes and complications. This guide helps intensivists manage maternal critical care effectively, ensuring better outcomes for both mother and fetus.
Area of Science:
- Obstetrics and Gynecology
- Critical Care Medicine
- Maternal Health
Background:
- Increasing prevalence of comorbidities and complications in pregnant and peripartum women necessitates advanced medical care.
- Maternal critical care units face challenges due to the low annual volume of complex cases.
- Physicians require specific guidance for managing unique physiological adaptations and disease states during pregnancy.
Purpose of the Study:
- To provide essential guidance for general intensivists caring for critically ill pregnant and peripartum patients.
- To address the unique challenges in managing maternal critical care, including physiological changes and fetal well-being.
- To enhance the quality of care for a vulnerable patient population.
Main Methods:
- This article synthesizes current evidence and clinical best practices.
- It offers a practical framework for intensivist management.
- Focuses on common critical illnesses encountered in pregnancy.
Main Results:
- Highlights the distinct physiological alterations in pregnant patients that impact critical care.
- Details management strategies for pregnancy-specific conditions and complications.
- Emphasizes multidisciplinary collaboration and fetal monitoring.
Conclusions:
- Effective maternal critical care requires specialized knowledge beyond general intensive care.
- Guidance is crucial for intensivists to navigate the complexities of pregnant patients.
- Optimizing care improves maternal and fetal outcomes in critical situations.
More Related Videos
Related Concept Videos
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
00:55Parental Care
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:28Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...