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Am J Perinatol 2022; 39(09): 0930-0936
DOI: 10.1055/s-0040-1721393
Clinical Opinion

The Golden Hour: Early Interventions for Medical Emergencies during Pregnancy

Luis D. Pacheco
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
2   Division of Surgical Critical Care, Department of Anesthesiology, The University of Texas Medical Branch, Galveston, Texas
,
M. J. Lozada
3   Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee
,
George R. Saade
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
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Abstract

Maternal mortality has increased in the last decades in the United States as a result of increased prevalence of coexisting medical diseases such as hypertension, diabetes, and both acquired and congenital heart diseases. Obstetricians and maternal–fetal medicine physicians should have the basic medical knowledge to initiate appropriate diagnostic and early therapeutic interventions since they may be the only provider available at the time of presentation. The goal of this article is not to extensively discuss the management of complex medical diseases during pregnancy, rather we provide a concise review of key early medical interventions that will likely result in improved clinical outcomes.

Key Points

  • Obstetricians and maternal–fetal medicine physicians must be familiar with initial basic management of common medical emergencies.

  • Management of these complex cases is ideally multidisciplinary.

  • Residency/fellowship programs should include common disease management to improve maternal outcomes.

Keywords

pregnancy - medical diseases - medical emergencies


Publikationsverlauf

Eingereicht: 18. September 2020

Angenommen: 26. Oktober 2020

Artikel online veröffentlicht:
26. November 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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