Obstetric Shock

Subject: Midwifery II (Theory)

Overview

Obstetric shock is a breakdown triggered by a breakdown of the cardiovascular system. It is most usually caused by hemorrhage, although it can be exacerbated by pain, dehydration, anemia, and, most likely, panic. Shock is divided into Hypovolemic shock, Cardiogenic shock, Neurogenic shock, Septic shock, and Anaphylactic shock. Tachycardia, hypotension, respiratory distress syndrome, and DIC are all possible signs and symptoms. Shock can be caused by amniotic fluid embolism, hypertension, pulmonary embolism, or an adverse reaction to blood transfusion.

Obstetric shock is a collapse induced by a circulatory system malfunction. It is most usually caused by hemorrhage, although it can also be exacerbated by pain, dehydration, anemia, and, most likely, fear. Shock is classified as follows:

  • Hypovolemic Shock
  • Cardiogenic Shock
  • Neurogenic Shock
  • Septic Shock
  • Anaphylactic Shock

Sign and Symptoms

  • Tachycardia that appears suddenly
  • The mother's mental condition may be affected.
  • Hypotension
  • It is possible to develop respiratory distress syndrome and DIC.

Causes

  • Amniotic fluid embolism
  • Hypertension
  • Pulmonary embolism
  • Adverse reaction to blood transfusion

Management

Basic management covers the following life-saving measures:

  • Maintain the patient's head down in a calm and peaceful setting.
  • Ask for Help
  • Warming a woman increases peripheral circulation while decreasing blood flow to important organs.
  • Maintain an airway by turning your head to one side.
  • Administration of oxygen
  • Cross-matching of blood groups
  • Hypovolemic shock treatment (hemorrhagic)

To prevent multisystem shock, the basic care of hemorrhagic shock is to halt bleeding and replenish lost fluid volume. Prompt diagnosis and quick resuscitation are also required.

  • Transfusion and infusion
  • Maintaining cardiac efficiency
  • Oxygen administration
  • Bleeding control monitoring includes CVP, vital signs, blood gas analysis, urine output, and circulating blood volume.
  • If septic shock is present, antibiotics, acidosis correction, blood pressure control, and other measures are required.

References
Things to remember
  • Obstetric shock is a collapse induced by a circulatory system malfunction.
  • It is most usually caused by hemorrhage, although it can also be exacerbated by pain, dehydration, anemia, and, most likely, fear.
  • Hypovolemic shock, Cardiogenic shock, Neurogenic shock, Septic shock, and Anaphylactic shock are several types of shock.
  • Tachycardia, hypotension, respiratory distress syndrome, and DIC may arise as signs and symptoms.
  • Amniotic fluid embolism, hypertension, pulmonary embolism, and an adverse reaction to blood transfusion are all causes of shock.
Questions and Answers

Obstetric shock is a collapse brought on by a circulatory system failure. The most common cause of it is hemorrhage, but it can also be made worse by pain, dehydration, anemia, and most likely fear.

Shock can be classified as:

  • Hypovolemic shock,
  • Cardiogenic shock,
  • Neurogenic shock,
  • Septic shock,
  • Anaphylactic shock.

Sign and Symptoms

  • Sudden onset of tachycardia,
  • Mother may exhibit a chance in her mental state,
  • Hypotension,
  • Respiratory distress syndrome and DIC may occur.

Causes

  • Amniotic fluid embolism,
  • Hypertension,
  • Pulmonary embolism,
  • Adverse reaction to blood transfusion.

Management

Basic management includes life-saving measures which are;

  • Keep patient in calm and quiet environment in head low position,
  • SHOUT FOR HELP,
  • Warm woman to increase peripheral circulation and reduced blood supply to vital centers,
  • Maintain airway , turn head on one side,
  • Oxygen administration,
  • Blood grouping, cross matching,
  • Treatment of hypovolemic shock ( hemorrhagic).

Basic management of hemorrhagic shock is to stop bleeding and replace lost fluid volume, prompt diagnosis and immediate resuscitation is essential to prevent multisystem shock

  • Infusion and transfusion,
  • Maintenance of cardiac efficiency,
  • Administration of oxygen,
  • Control of bleeding,
  • Monitor; CVP, vital signs , blood gas analysis, urine output, circulating blood volume,
  • If there is present of septic shock use antibiotics, correction of acidosis , blood pressure etc is needed.

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