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OBSTETRICALINTENSIVE CARE ....................915
ACUTE PULMONARY EDEMA ......................917
ACUTE RESPIRATORY DISTRESS SYNDROME ........918
SEPSIS SYNDROME.............................. 921
TRAUMA....................................... 925
THERMAL INJURY............................... 930
CARDIOPULMONARY RESUSCITATION.............931
The pregnant women is exposed to the same possibiliy of injuy as at other times, the prognosis not being naturaly altered except that abortion tequenty occurs.
-J. Whitridge Williams (1903) hese observations made more than a century ago are less applicable toda) to critically ill pregnant women because of current intensive care capabilities. For example, severe medical, surgical, and obstetrical disorders complicating pregnancy are frequently managed by a multidisciplinary team for optimal care. It is axiomatic that obstetricians and other members of the health-care team must have a working knowledge of the unique considerations for pregnant women. Some of those discussed in Chapter 46 include pregnancy-induced physiological changes, alterations in normal laboratory values, and consideration for the second patient-the fetus. Because these critically ill women are usually young and in good health, their prognosis is generally better than that of many other patients admitted to intensive care units (ICUs) (Gafney, 2014).