[Peculiarities of the emergency care in pregnant women].
Awareness of the physiological changes associated with pregnancy is essential for the management of patients during pregnancy. Cardiovascular status is characterised by hypervolemia and cardiac hyper-output with low resistance. Increased oxygen consumption and respiratory work result in an increased risk of hypoxia. Fetal well-being must also be taken into account. During cardiorespiratory arrest, aortocaval compression by the pregnant uterus may impair the efficacy of CPR and uterine displacement is a routine measure starting from 20 weeks after the LMP. The same factors are involved in hemorrhagic shock, justifying uterine displacement and the ensuring of optimal oxygen transport and utilisation.
Samson
D
D
Département d'Anesthésie-Réanimation, Hôpital de la Conception, Marseille.
Illouz
F
F
Badetti
C
C
Manelli
J C
JC
D000328:Adult; D004632:Emergency Medical Services; D005260:Female; D005767:Gastrointestinal Diseases / Q000628:therapy; D006331:Heart Diseases / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy; D012120:Respiration Disorders / Q000628:therapy; D012121:Respiration, Artificial; D012151:Resuscitation; D012771:Shock, Hemorrhagic / Q000628:therapy
Particularités de la prise en charge des urgences chez la femme enceinte.