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Maternal Collapse in Pregnancy and the Puerperium (Green-top Guideline No. 56)

Summary

Maternal collapse is a rare but life-threatening event, with a wide ranging aetiology. The outcome primarily for the mother, but also the fetus, depends on prompt and effective resuscitation

The purpose of this guideline is to:

  • Discuss the identification of women at increased risk of maternal collapse
  • Discuss the different causes of maternal collapse
  • Delineate the initial and continuing management of maternal collapse
  • Review maternal and neonatal outcomes

The guideline covers both hospital and community settings, and includes all gestations and the postpartum period. The resuscitation team and equipment and training requirements are also covered.

Video: Real-time simulation scenario of a perimortem cesarean section

https://www.youtube.com/watch?v=2VyqGqDNlLc&t=3s

COVID disclaimer

This guideline developed as part of the regular programme of Green-top Guidelines, as outlined in our document Developing a Green-top Guideline: Guidance for developers, and prior to the emergence of COVID-19.

Version history

This is the second edition of this guideline.Guidelines Committee reviewed this edition in December 2024 and it was agreed to extend this guideline for two years. The next review process will commence in 2026, unless otherwise indicated.

Declarations of interest

Dr J Chu: None declared.

Dr T A Johnston: None declared.

Dr J Geoghegan: None declared.

This page was last reviewed 01 December 2024.

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