Maternal Collapse

Question 1

What is the initial management in maternal collapse?

Answer 1

1. cABCDE approach
2. CPR after 20/40 should be carrier out in left lateral position by putting a wedge under the woman to tilt her 30 degrees.
3. If no resumption of spontaneous circulation after 5 mins, perform C-section.

Question 2

What are the obstetric causes of maternal collapse?

Answer 2

1. Massive obstetric haemorrhage
2. Eclampsia
3. Intracranial haemorrhage
4. Amniotic fluid embolism
5. Uterine inversion causing neurogenic shock
6. Post-surgical haemorrhage
7. Severe sepsis

Question 3

What are the non-obstetric causes of maternal collapse?

Answer 3

1. Massive PE
2. MI, aortic dissection
3. Anaphylaxis
4. Stroke
5. Meningitis, malaria
6. Overdose
7. DKA, hypoglycaemia