Handbook of Obstetric and Gynecologic Emergencies Fourth Edition PDF Download
Handbook of Obstetric and Gynecologic Emergencies Fourth Edition Physicians are faced, increasingly, with diagnosis and management decisions in obstetric and gynecologic emergency settings. Whether the setting is the emergency department of a busy inner-city hospital or the offi ce
of a gynecologist or other primary care provider, an understanding of the pathophysiology and management considerations is critical to good patient
Handbook of Obstetric and Gynecologic Emergencies Fourth Edition
During the last decade, it has become apparent that a large portion of
the young women and children at greatest risk for obstetric and gynecologic emergencies increasingly fall out of the health care system. In several
areas of the country, up to 25% of women receive no prenatal care. In other
areas, close to 50% of young women have no primary care providers to handle emergencies.
Venous thromboembolism is fi ve times more likely in the pregnant patient than
in the nonpregnant patient due to the increase in venous stasis, changes in coagulation factors, and tissue trauma . Symptomatic venous thromboembolism
has been shown to complicate 0.5 to 3 in 1,000 pregnancies, while PE complicates 1.3 per 10,000 pregnancies (3) and has been the leading cause of pregnancy-related deaths. During the period between 1991 and 1999, it was responsible for nearly 20% of all pregnancy-related maternal deaths in the United States.Recent data suggest that the frequency has decreased toapproximately 10% of all pregnancy-related deaths.
Deep venous thrombosis (DVT) occurs
with equal frequency in all three trimesters; however, PE is more common during the postpartum period . Th e likelihood of developing a pulmonary embolus is greatly aff ected by the adequate treatment of DVT.