CRITICAL CONDITIONS IN OBSTETRICS: HYPERTENSIVE DISORDERS, SEPSIS, AND SUDDEN MATERNAL COLLAPSE
Keywords:
preeclampsia; eclampsia; hypertensive crisis; obstetric sepsis; amniotic fluid embolism; anaphylaxis; cardiac arrest; perimortem cesarean delivery.Abstract
Critical obstetric conditions are characterized by rapid deterioration of vital functions and require simultaneous achievement of two priorities: maternal stabilization and minimization of fetal risk. The most common “entry points” include severe arterial hypertension with seizures, infectious–septic complications, acute respiratory/hemodynamic collapse (including amniotic fluid embolism), anaphylaxis, and cardiac arrest. Despite diverse etiologies, successful care relies on a unified framework: early recognition based on “red flags,” coordinated team response, the ABCDE approach, and protocol-driven escalation of therapy.
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