Track: Obstetric Emergencies and Critical Care

Gynecology 2025

The field of Obstetric Emergencies and Critical Care has seen significant advancements in recent years, especially with the development of more effective protocols, technologies, and multi-disciplinary approaches to manage life-threatening conditions during pregnancy and childbirth. Key innovations include the use of simulation training for healthcare professionals, improved early warning systems for identifying high-risk pregnancies, and advances in maternal resuscitation and intensive care. These improvements have led to better outcomes in conditions like severe preeclampsia, hemorrhage, eclampsia, and obstetric sepsis. Additionally, enhanced care strategies for critical care management, including organ support and individualized treatment plans, have been pivotal in reducing maternal morbidity and mortality, ensuring safer experiences for both mothers and infants.

Management of Obstetric Hemorrhage:
This sub-track focuses on the critical management of obstetric hemorrhage, one of the leading causes of maternal mortality. It will cover the early recognition of bleeding complications such as placenta previa, placenta abruption, and uterine rupture, and provide guidance on immediate interventions, including blood transfusions, surgical management, and multidisciplinary team approaches to stabilizing the patient.

Pre-eclampsia and Eclampsia: Diagnosis and Management:
Pre-eclampsia and eclampsia are major obstetric emergencies that require prompt identification and intervention. This sub-track will address the pathophysiology, early signs, and diagnostic criteria for these conditions. It will also provide practical approaches to managing severe pre-eclampsia and preventing eclamptic seizures, emphasizing antihypertensive therapy, magnesium sulfate use, and timely delivery.

Management of Obstetric Trauma:
This session will focus on the acute care of obstetric trauma, including trauma related to vaginal deliveries, cesarean sections, and maternal accidents. Topics will include the management of perineal and genital lacerations, uterine rupture, and trauma resulting from violent incidents. The sub-track will also cover the psychological aspects of trauma care and post-traumatic support.

Cardiopulmonary Resuscitation in Pregnancy (CPR):
In emergencies where maternal cardiac or respiratory failure occurs, immediate action is crucial. This sub-track will delve into the protocols for performing CPR in pregnant women, addressing modifications due to anatomical and physiological changes in pregnancy. It will include hands-on demonstrations and discussions on managing maternal and fetal resuscitation during critical events.

Sepsis in Obstetrics: Prevention and Management:
This sub-track will focus on obstetric sepsis, a potentially life-threatening condition that requires early detection and aggressive treatment. It will cover risk factors for sepsis in pregnancy, such as infections following cesarean sections or preterm births, and outline evidence-based protocols for managing sepsis, including antibiotic therapy, fluid resuscitation, and organ support.

Managing Preterm Labor and Premature Rupture of Membranes (PROM):
This session will address the management of preterm labor and premature rupture of membranes, both of which are common causes of preterm births. It will include strategies for delaying labor, managing infections, and administering corticosteroids for fetal lung maturity. Emphasis will be placed on providing compassionate care and counseling to women facing preterm delivery.