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Pregnancy, Precipitous Delivery

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Encyclopedia of Intensive Care Medicine

Synonyms

Emergency delivery

Definition

Labor is divided into four stages:

  • Stage 1 is characterized by frequency and intensity of uterine contractions associated with cervical effacement and dilation. This stage usually lasts 5–8 h with shorter time intervals usually seen in multiparous women. This phase is also commonly referred to as the prepartum phase of labor.

  • Stage 2 is from full cervical effacement and dilatation to delivery of the fetus. This phase is also commonly referred to as the intrapartum phase of labor.

  • Stage 3 includes the delivery of fetus to delivery of placenta.

  • Stage 4 is the hour post delivery of the placenta.

The initial stage of labor usually gives the pregnant woman sufficient time to arrive at an obstetric suite for delivery. The failure to recognize the initial stage of labor, a short initial stage of labor, and or, a significant distance to the nearest obstetric suite may lead to delivery in prehospital setting or emergency department. This situation occurs...

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References

  1. Martin JA et al (2010) Births: final data 2007. Natl Vital Stat Rep 58:1–125

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  2. Rodie VA et al (2002) Accidental out-of-hospital deliveries: an obstetric and neonatal case control study. Acta Obstet Gynecol Scand 81(1):50–54

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  3. Jonsson ER et al (2008) Modified Ritgen’s maneuver for anal sphincter injury at delivery: a randomized controlled trial. Obstet Gynecol 112(2 Pt 1):212–217

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  4. Nocon JJ et al (1993) Shoulder dystocia. An analysis of risk and obstetric maneuvers. Am J Obstet Gynecol 168(6 Pt 1):1732–1737

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  5. Brown L et al (1993) Mode of delivery and perinatal results in breech presentation. Am J Obstet Gynecol 171(1):28–34

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Author information

Authors and Affiliations

  1. Emergency Medicine, University of Pennsylvania Health System, 3400 Spruce Street, Ground Floor, Ravdin Building, Philadelphia, PA, 19104, USA

    Dr. Olan A. Soremekun M.D.

Authors
  1. Dr. Olan A. Soremekun M.D.
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Corresponding author

Correspondence to Olan A. Soremekun M.D. .

Editor information

Editors and Affiliations

  1. Head Dept of Intensive Care, Erasme Hospital (Free University of Brussels), Route de Lennik 808, 1070, Brussels, Belgium

    Jean-Louis Vincent

  2. University of Chicago Medical Center, 5841 S. Maryland Ave., MC 6076, Chicago, IL, 60637, USA

    Jesse B. Hall

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© 2012 Springer-Verlag Berlin Heidelberg

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Soremekun, O.A. (2012). Pregnancy, Precipitous Delivery. In: Vincent, JL., Hall, J.B. (eds) Encyclopedia of Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00418-6_847

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  • DOI: https://doi.org/10.1007/978-3-642-00418-6_847

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00417-9

  • Online ISBN: 978-3-642-00418-6

  • eBook Packages: MedicineReference Module Medicine

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