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中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2020, Vol. 16 ›› Issue (01): 23 -31. doi: 10.3877/cma.j.issn.1673-5250.2020.01.004

Special Issue: ； ； ；

Standard · Proposal · Guideline

Interpretation of Maternal Collapse in Pregnancy and the Puerperium: Green-Top Guideline No. 56

Jiani Zhang1, Yi Mu2, Na Liu1, Juan Liang2, Xiaodong Wang1,†()   

  1. 1. Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
    2. National Center for Birth Defects Monitoring of China, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2020-01-03 Revised:2020-01-25 Published:2020-02-01
  • Corresponding author: Xiaodong Wang
  • About author:
    Corresponding author: Wang Xiaodong, Email:
  • Supported by:
    Key Project of R&D of Science and Technology Department of Sichuan Province(2018SZ0265)
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The Royal College of Obstetricians and Gynaecologists (RCOG) recommends the second edition of Maternal Collapse in Pregnancy and the Puerperium: Green-Top Guideline No. 56 on December 2019. This guideline summarizes the evidence-based medical evidence related to maternal collapse in pregnancy and puerperium (MCPP), discusses how to identify pregnant women with high risk of MCPP and the different causes of MCPP, and the physiological and anatomical changes during pregnancy that affect the recovery of collapse in detail, and describes how to carry out the best initial and continuous management of MCPP and perimortem cesarean section (PMCS). In addition, it also emphasizes composition and responsibilities of a multidisciplinary rescue team for MCPP. In this article, with the combination of clinical practice of obstetrics in China, we intend to interpret and discuss key issues related to obstetrics in this guideline, such as how to identify the risks and causes of MCPP, the physiological and anatomical changes during pregnancy that affect recovery of collapse, the best initial management measures, PMCS, continuous management, the impacts of MCPP on mothers and children, the rescue team and so on.

Key words: Pregnancy, high-risk, Maternal collapse in pregnancy and puerperium, Modified early warning score, Perimortem caesarean section, Postpartum hemorrhage, Cardiopulmonary resuscitation, Respiratory distress syndrome, adult, Respiratory distress syndrome, newborn, Embolism, amniotic fluid
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