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02 December 2016, Volume 32 Issue 12 Previous Issue    Next Issue

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Amniotic fluid embolism：diagnosis and emergency treatment. LIAN Yan，WANG Xie-tong. 2016, 32(12): 174-4.  DOI: 10.7504/fk2016110109 Abstract ( )   Abstract：Amniotic fluid embolism is a serious complication in obstetrics，which can not be predicted and prevented.Diagnosis of amniotic fluid embolism is a clinical problem，which is based on the rapid assessment and judgment of the bedside，emphasizing the comprehensive and detailed exclusive diagnosis.After the occurrence of amniotic fluid embolism，rescue should focus mainly on support and symptomatic treatment.Prompt diagnosis and proper supportive treatment can improve the prognosis of patients with amniotic fluid embolism.

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Indications and timing for emergency peripartum hysterectomy. HE Lei，LIU Xing-hui. 2016, 32(12): 1155-4.  DOI: 10.7504/fk2016110104 Abstract ( )   Abstract：The main cause of emergency peripartum hysterectomy is intractable postpartum hemorrhage.This article assesses indications and timing for emergency peripartum hysterectomy in order to improve the perinatal outcomes.

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Diagnosis and treatment of refractory postpartum hemorrhage. BAI Yu-xiang，LUO Xin，QI Hong-bo. 2016, 32(12): 1159-3.  DOI: 10.7504/fk2016110105 Abstract ( )   Abstract：Refractory postpartum hemorrhage is a very serious hemorrhage and can be life-threatening.Improvement of antenatal care and appropriate management of labor can significantly prevent postpartum hemorrhage.Mastering effective treatments，identifying the etiology quickly and making a rapid response to refractory postpartum hemorrhage contributes to the reduction of maternal mortality.

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Termination timing due to eclampsia and mode selection and prevention of recurrent convulsions. WANG Jia-lve，YANG Zi. 2016, 32(12): 1162-4.  DOI: 10.7504/fk2016110106 Abstract ( )   Abstract：Eclampsia is serious threat to life of the mother and children and long-term prognosis. Each episode is a heavy attack on the brain and central nervous system and cardiovascular system of mothers. Avoiding occurrence and preventing recurrence are most important.For eclampsia long before term，expectant management may be considered in selected cases of stable condition on the basis of close monitoring. Termination of pregnancy can be considered in 2 hours after controlling convulsion. If there are serious complications in mothers and fetuses the pregnancy should be terminated as soon as possible without considering the time limitations.

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Diagnosis and treatment strategy of placental abruption. TIAN Ning，FAN Ling. 2016, 32(12): 1167-4.  DOI: 10.7504/fk2016110107 Abstract ( )   Abstract：Placental abruption is a severe complication which occurs in late-trimester，and it causes serious antepartum hemorrhage and （or） postpartum hemorrhage leading maternal or fetal death.Typical symptoms are sudden persistent abdominal pain，being with or without vaginal bleeding and severe shock，and DIC can occur.The use of ultrasound，laboratory tests and electronic fetal monitoring can provide real-time supervision of the development of the disease.According to the progress of the disease and the fetal condition the best timing and way to terminate pregnancy can be decided in order to have good maternal-fetal outcome.

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Diagnosis and rescue treatment of pregnant women with acute heart failure. LIN Jian-hua，FU Qin. 2016, 32(12): 1171-3.  DOI: 10.7504/fk2016110108 Abstract ( )   Abstract：Acute heart failure is a serious complication in the patients with heart disease during the pregnancy. Based on the close monitoring of hemodynamic changes，rescue treatment are recommended for patients：reducing cardiac workload，elevating cardiac contractility，removing predisposing factors，treating primary heart disease and prompting termination of pregnancy.

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Diagnosis and treatment of the rupture of uterine. CHEN Han-qing，WANG Zi-lian. 2016, 32(12): 1178-4.  DOI: 10.7504/fk2016110110 Abstract ( )   Abstract： Rupture of uterine is a serious obstetric complication.Uterine scar and uterine abnormalities are the common risk factors.Abnormalities of fetal heart rate monitoring may be the early clinical manifestation.The key to the treatment of rupture of uterine is to shorten the time between diagnosis and operation.

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Prevention and management of umbilical cord prolapse. WANG Zhi-jian，RUI Yuan. 2016, 32(12): 1182-3.  DOI: 10.7504/fk2016110111 Abstract ( )   Abstract：Umbilical cord prolapse （UCP） is an infrequent obstetric emergency that can lead to extremely poor fetal outcomes，such as premature delivery、neonatal asphyxia and newborn death .The key to prevention of UCP is the early identification and the effective treatment of risk factors associated with UCP.Once UCP has occured，the primary management of UCP is funic decompression and immediate delivery，which can reduce perinatal mortality and improve neonatal outcomes.

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Diagnosis and treatment of obstetric septic shock. HE Fang，CHEN Dun-Jin. 2016, 32(12): 1185-3.  DOI: 10.7504/fk2016110112 Abstract ( )   Abstract：Pregnancies complicated by septic shock remain an important cause of death in obstetric patients. Septic shock is associated with increased rates of preterm labor and fetal infection. Onset of sepsis in pregnancy can be insidious，and patients may rapidly develop to septic shock，multiple organ dysfunction syndrome，or death. Its diagnosis and treatment rely on prompt recognition，detection of the source of infection and early goal-targeted therapy including aggressive hydration，initiation of appropriate empiric intravenous antibiotics within 1 hour and hemodynamic monitoring. Multidisciplinary team involving infectious disease specialists，critical care specialists with thorough understanding of the physiologic changes in pregnancy and obstetric specialists is effective in the best possible outcome.