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Obstetrics and Gynecology Considerations

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In-Flight Medical Emergencies

Abstract

In-flight obstetric and gynecologic emergencies are an infrequent cause of medical emergencies but are frequent causes of flight diversion. Physiologic changes make flight more dangerous for pregnant women. This chapter discusses specific in-flight obstetric and gynecologic emergencies: vaginal bleeding, labor and delivery, eclampsia, pulmonary embolism, and cardiac arrest. The chapter reviews options and treatment in this unique resource-limited environment.

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References

  1. ACOG Committee on Obstetric Practice. ACOG Committee Opinion No. 443: air travel during pregnancy. Obstet Gynecol. 2009;114(4):954–5.

    Article  Google Scholar 

  2. Peterson DC, Martin-Gill C, Guyette FX, Tobias AZ, McCarthy CE, Harrington ST, et al. Outcomes of medical emergencies on commercial airline flights. N Engl J Med. 2013;368(22):2075–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Kinsella SM, Lohmann G. Supine hypotensive syndrome. Obstet Gynecol. 1994;83(5 Pt 1):774–88.

    CAS  PubMed  Google Scholar 

  4. James A, Committee on Practice Bulletins—Obstetrics. Practice Bulletin No. 123: thromboembolism in pregnancy. Obstet Gynecol. 2011;118(3):718–29.

    Article  PubMed  Google Scholar 

  5. Chandra A, Conry S. Be prepared for in-flight medical emergencies. ACEP News. August 2010. https://www.acep.org/clinical---practice-management/be-prepared-for-in-flight-medical-emergencies. Accessed 10 July 2016.

  6. Henry E, Andres RL, Christensen RD. Neonatal outcomes following a tight nuchal cord. J Perinatol. 2013;33(3):231–4.

    Article  CAS  PubMed  Google Scholar 

  7. Bateman B, Berman M, Riley L, et al. The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries. Anesth Analg. 2010;110(5):1368–73.

    Article  PubMed  Google Scholar 

  8. Jeejeebhoy FM, Zelop CM, Lipman S, et al. Cardiac arrest in pregnancy a scientific statement from the American Heart Association. Circulation. 2015;132(18):1747–73.

    Article  PubMed  Google Scholar 

  9. Nable JV, Tupe CL, Gehle BD, Brady WJ. In-flight medical emergencies during commercial travel. N Engl J Med. 2015;373(10):939–45.

    Article  CAS  PubMed  Google Scholar 

  10. Susman EJ, Houts RM, Steinberg L, Belsky J, Cauffman E, Dehart G, et al. Longitudinal development of secondary sexual characteristics in girls and boys between ages 91/2 and 151/2 years. Arch Pediatr Adolesc Med. 2010;164(2):166–73.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Randolph JF, Zheng H, Sowers MR, Crandall C, Crawford S, Gold EB, et al. Change in follicle-stimulating hormone and estradiol across the menopausal transition: effect of age at the final menstrual period. J Clin Endocrinol Metab. 2011;96(3):746–54.

    Article  CAS  PubMed  Google Scholar 

  12. Morabia A, Costanza MC. International variability in ages at menarche, first livebirth, and menopause. World Health Organization Collaborative Study of Neoplasia and Steroid Contraceptives. Am J Epidemiol. 1998;148(12):1195–205.

    Article  CAS  PubMed  Google Scholar 

  13. Chimbira TH, Anderson AB, A c T. Relation between measured menstrual blood loss and patient’s subjective assessment of loss, duration of bleeding, number of sanitary towels used, uterine weight and endometrial surface area. Br J Obstet Gynaecol. 1980;87(7):603–9.

    Article  CAS  PubMed  Google Scholar 

  14. Warner PE, Critchley HOD, Lumsden MA, Campbell-Brown M, Douglas A, Murray GD. Menorrhagia I: measured blood loss, clinical features, and outcome in women with heavy periods: a survey with follow-up data. Am J Obstet Gynecol. 2004;190(5):1216–23.

    Article  PubMed  Google Scholar 

  15. Barnhart KT, Casanova B, Sammel MD, Timbers K, Chung K, Kulp JL. Prediction of location of a symptomatic early gestation based solely on clinical presentation. Obstet Gynecol. 2008;112(6):1319–26.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Sarsam SE, Elliott JP, Lam GK. Management of wound complications from cesarean delivery. Obstet Gynecol Surv. 2005;60(7):462–73.

    Article  PubMed  Google Scholar 

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Correspondence to Sarah K. Sommerkamp M.D., R.D.M.S. .

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Sommerkamp, S.K., Franasiak, J.M., Dubbs, S.B., Kuppusamy, P. (2018). Obstetrics and Gynecology Considerations. In: Nable, J., Brady, W. (eds) In-Flight Medical Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-74234-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-74234-2_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74233-5

  • Online ISBN: 978-3-319-74234-2

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