Printer Friendly

Crises in Childbirth--Why Mothers Survive: Lessons from the confidential enquiries into maternal deaths.

Crises in Childbirth--Why Mothers Survive: Lessons from the confidential enquiries into maternal deaths. Eds D. Dob, G. Cooper, A. Holdcroft; Radcliffe Publishing; Distributor: Elsevier Australia-www.elsevier.com.au, 30-52 Smidmore St, Marrickville, N.S.W 2204; $89.00; 170X245 mm; pp. 224; ISBN 13: 978-1-84619049-0.

The Confidential Enquiries into Maternal Deaths (CEMD) in the United Kingdom has reviewed the deaths of mothers in pregnancy and childbirth for over 50 years, collecting valuable information and data. This has enabled it to make recommendations in its triennial reports, which have contributed to significant reductions in maternal and neonatal mortalities.

The authors of this book have reviewed these reports to identify and classify the causes of maternal mortality. The initial chapter discusses the incidence of maternal mortality and the role and impact of the

CEMD in the U.K. Experts in their fields have written chapters discussing general anaesthesia and associated intubation and aspiration, regional anaesthesia, haemorrhage, hypertension, cardiac disease, thromboembolism, amniotic fluid embolism, sepsis and intensive care.

Each chapter describes contributing factors or reasons which may lead or predispose to maternal morbidity or mortality if not recognised and treated. Case reports taken from the last 20 years of the CEMD are briefly described to illustrate such a sequence of events. Tables summarise the important factors in each case report and "Lessons" are listed. The pathophysiology and recommended management of patients with specific conditions in pregnancy are described, such as massive haemorrhage, pulmonary hypertension and cardiomyopathy.

Although the management of obstetric patients is described in numerous other textbooks, often in more detail by presenting case reports and the lessons learned from them so succinctly, this book should be read by anaesthetists, obstetricians, midwives and their trainees working in labour wards. Despite some of the case reports not being directly applicable today, such as unrecognised oesophageal intubation without end-tidal C[O.sub.2] monitoring, the chapters are easy to read and well referenced.

By combining the lessons and recommendations from decades previously with more recent and relevant ones, hopefully this text will prevent mistakes of the past from being repeated. It is highly recommended.

S. CHESTER

Melbourne, Victoria
COPYRIGHT 2008 Australian Society of Anaesthetists
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2008 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Author:Chester, S.
Publication:Anaesthesia and Intensive Care
Article Type:Book review
Date:Jan 1, 2008
Words:354
Previous Article:Emerging Strategies for the Treatment of Neuropathic Pain.
Next Article:International Anesthesiology Clinics: High-risk Anesthesia.
Topics:


Related Articles
Women Writing Childbirth: Modern Discourses of Motherhood.
'Beyond the numbers'.
Skilled care during childbirth: information kit.
Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer.
The World Health report 2005; make every mother and child count.
The introduction of confidential enquiries into maternal deaths and near-miss case reviews in the WHO European Region.
Modern management of perinatal psychiatric disorders.

Terms of use | Privacy policy | Copyright © 2018 Farlex, Inc. | Feedback | For webmasters