Anaesthesia for ruptured ectopic pregnancy at district level

South African Family Practice

Field Value
Title Anaesthesia for ruptured ectopic pregnancy at district level
Creator Bishop, David G. le Roux, Simon P.D.P.
Subject Family medicine; rural health; anaesthesia; perioperative care anaesthesia; resource-limited settings; emergency surgery; ectopic pregnancy
Description In South Africa, deaths as a result of ectopic pregnancies are increasing despite the overall improvements in maternal mortality. These deaths occur predominantly in district hospitals, with the final cause of death being hypovolaemic shock in almost all cases. In most cases, no anaesthesia was attempted despite the district hospitals having the clinical skills, equipment and infrastructure to provide a caesarean delivery service. It appears that there is a skills gap between the provision of anaesthesia for caesarean delivery and that of ruptured ectopic pregnancy. There is a growing recognition of the urgent need to prioritise the provision of emergency surgical care in rural settings. This should be viewed not as a luxury but as an absolute necessity. In this study, we aim to discuss the pathophysiology of a patient with a ruptured ectopic pregnancy briefly, outline district hospital requirements for safe surgery and then discuss a simple, safe method for the provision of anaesthesia in patients deemed too unstable to transfer to a referral facility.
Publisher AOSIS
Contributor n/a
Date 2021-05-27
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5304
Source South African Family Practice; Vol 63, No 1 (2021): Part 2; 5 pages 2078-6204 2078-6190
Language eng
Coverage Africa; South Africa N/A N/A
Rights Copyright (c) 2021 David G. Bishop, Simon P.D.P. le Roux