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1. Accidental Dural Puncture

Author

Ramage, Stephen, Armstrong, Sarah, McDonnell, Nolan, Beattie, Elizabeth, Fernando, Roshan, editor, Sultan, Pervez, editor, and Phillips, Sioned, editor

Published
2022
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2. Post Dural Puncture Headache

Author

Ramage, Stephen, Armstrong, Sarah, McDonnell, Nolan, Beattie, Elizabeth, Fernando, Roshan, editor, Sultan, Pervez, editor, and Phillips, Sioned, editor

Published
2022
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3. Epidural Blood Patch

Author

Ramage, Stephen, Armstrong, Sarah, McDonnell, Nolan, Beattie, Elizabeth, Fernando, Roshan, editor, Sultan, Pervez, editor, and Phillips, Sioned, editor

Published
2022
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4. Clinical care of pregnant and postpartum women with COVID‐19: Living recommendations from the National COVID‐19 Clinical Evidence Taskforce

Author

Vogel, Joshua P., Tendal, Britta, Giles, Michelle, Whitehead, Clare, Burton, Wendy, Chakraborty, Samantha, Cheyne, Saskia, Downton, Teena, Fraile Navarro, David, Gleeson, Glenda, Gordon, Adrienne, Hunt, Jenny, Kitschke, Jackie, McDonald, Steven, McDonnell, Nolan, Middleton, Philippa, Millard, Tanya, Murano, Melissa, Oats, Jeremy, Tate, Rhiannon, White, Heath, Elliott, Julian, Roach, Vijay, Homer, Caroline S.E., McGowan, Sharon, Ballenden, Nicola, Barrett, Terri‐Lee, Beavis, Vanessa, Saunders, James Beckford, Buchanan, Tanya, Buchanan‐Grey, Marina, Casey, Dawn, Cowie, Marita, Doyle, Joseph, Frydenberg, Mark, Gnjidic, Danijela, Green, Sally, Greenland, Rohan, Griffin, Ken, Groombridge, Stephan, Hardy, Louise, Hodak, Alison, Holley, Anthony, Jovanovska, Vase, Knight, Sabina, Michaels, Kristin, Morley, Peter, Morphet, Julia, Nou, Suzi, Russo, Phillip, Sarson, Megan, Young, Alan, Norris, Sarah, Morris‐Donovan, Bronwyn, Gurry, Sharon, Hudson, Eloise, Hurley, Shauna, Primmer, Declan, Timms, Samantha, Whicker, Susan, Mukherjee, Sutapa, Agostino, Jason, Booth, Karen, Burr, Lucy, Byers, Lyn, Cameron, Peter, Cooper, Megan, Cheng, Allen, Fowler, Peter, Glanville, Alan, Leder, Karin, McGloughlin, Steve, McMullan, Brendan, McPhee, Ewen, Mitchell, Brett, Morgan, Mark, Myles, Paul, O’Donnell, Chris, Parr, Michael, Phillips, Jane, Randall, Rebecca, Varndell, Wayne, Whyte, Ian, William, Leeroy, Brightwell, Richard, Condon, Lynda, Deshpande, Amrita, Ehm, Adam, Ferrie, Monica, Muller, Joanne, Pullin, Lara, Robinson, Elizabeth, Witt, Adele, Larkins, Sarah, Taylor, Georgina, Burgess, Paul, Burns, Penny, Douglas, Kirsty, Ewald, Ben, Ewald, Dan, Fornasier, Dianna, Nelson, Carmel, Peachey, Louis, Peiris, David, Driel, Mieke, Walters, Lucie, Weaver, Ineke, Hendel, Simon, Shekar, Kiran, Avard, Bronwyn, Cairns, Kelly, Glanville, Allan, Gilroy, Nicky, O’Sullivan, Robert, Robinson, Owen, Sharland, Chantal, McCarthy, Sally, Wark, Peter, McGoughlin, Steve, Nair, Priya, Hodgson, Carol, Ankravs, Melissa, French, Craig, Hansen, Kim, Huckson, Sue, Iredell, Jon, Janerka, Carrie, Jaspers, Rose, Litton, Ed, Macdonald, Stephen, Peake, Sandra, Seppelt, Ian, Bowen, Asha, Tingay, David, Vasilunas, Nan, Anderson, Lorraine, Best, James, Craig, Simon, Erickson, Simon, Fancourt, Nick, Goff, Zoy, Kapuya, Vimbai, Keyte, Catherine, Malyon, Lorelle, Wurzel, Danielle, Agar, Meera, Lindley, Richard, Smallwood, Natasha, Callary, Mandy, Chapman, Michael, Good, Philip, Jenkin, Peter, Morgan, Deidre, Naganathan, Vasi, Srikanth, Velandai, Tuffin, Penny, Whiting, Elizabeth, Yates, Patsy, Barber, Bridget, Davies, Jane, Davis, Josh, Gwee, Amanda, Matthews, Gail, McMahon, James, Peel, Trisha, Raftery, Chris, Rees, Megan, Roberts, Jason, Snelling, Tom, Wibrow, Brad, Baker, Ross, Curnow, Jennifer, Cutts, Briony, Enjeti, Anoop, Forbes, Andrew, Ho, Prahlad, Holyoak, Adam, Liley, Helen, McFadyen, James, McQuilten, Zoe, Merriman, Eileen, Savoia, Helen, Tan, Chee Wee, Tran, Huyen, Ward, Chris, Williams, Katrina, Ballard, Neil, Bendall, Samantha, Bhanderi, Neel, Ellis, Dan, Fairley, Craig, Hoggard, Brett, Cong, Minh Le, Pearce, Andrew, Turner, Tari, Callesen, Henriette, Campbell, Sue, Ring, Jenny, Wilson, Agnes, Henry, David, Pearson, Sallie, Boyle, Douglas, Chidwick, Kendal, Chapman, Wendy, Pearce, Chris, Bero, Lisa, Grundy, Quinn, Lexchin, Joel, and Mintzes, Barbara

Subjects
medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), medicine.medical_treatment, Breastfeeding, Psychological intervention, Prenatal care, 03 medical and health sciences, 0302 clinical medicine, COVID‐19, Pregnancy, Obstetrics and Gynaecology, medicine, Extracorporeal membrane oxygenation, Humans, 030212 general & internal medicine, guidelines, Pregnancy Complications, Infectious, Intensive care medicine, 030219 obstetrics & reproductive medicine, business.industry, SARS-CoV-2, Postpartum Period, Australia, Obstetrics and Gynecology, COVID-19, Hydroxychloroquine, perinatal care, Prenatal Care, General Medicine, medicine.disease, Female, Position Paper, business, Position Papers, Postpartum period, medicine.drug
Abstract

To date, 18 living recommendations for the clinical care of pregnant and postpartum women with COVID-19 have been issued by the National COVID-19 Clinical Evidence Taskforce. This includes recommendations on mode of birth, delayed umbilical cord clamping, skin-to-skin contact, breastfeeding, rooming-in, antenatal corticosteroids, angiotensin-converting enzyme inhibitors, disease-modifying treatments (including dexamethasone, remdesivir and hydroxychloroquine), venous thromboembolism prophylaxis and advanced respiratory support interventions (prone positioning and extracorporeal membrane oxygenation). Through continuous evidence surveillance, these living recommendations are updated in near real-time to ensure clinicians in Australia have reliable, evidence-based guidelines for clinical decision-making. Please visit https://covid19evidence.net.au/ for the latest recommendation updates.

Published
2020

6. The National COVID‐19 Clinical Evidence Taskforce: pregnancy and perinatal guidelines.

Author

Homer, Caroline SE, Roach, Vijay, Cusack, Leila, Giles, Michelle L, Whitehead, Clare, Burton, Wendy, Downton, Teena, Gleeson, Glenda, Gordon, Adrienne, Hose, Karen, Hunt, Jenny, Kitschke, Jackie, McDonnell, Nolan, Middleton, Philippa, Oats, Jeremy JN, Shand, Antonia W, Wilton, Kellie, Vogel, Joshua, Elliott, Julian, and McGloughlin, Steven

Abstract

Introduction: Pregnant women are at higher risk of severe illness from coronavirus disease 2019 (COVID‐19) than non‐pregnant women of a similar age. Early in the COVID‐19 pandemic, it was clear that evidenced‐based guidance was needed, and that it would need to be updated rapidly. The National COVID‐19 Clinical Evidence Taskforce provided a resource to guide care for people with COVID‐19, including during pregnancy. Care for pregnant and breastfeeding women and their babies was included as a priority when the Taskforce was set up, with a Pregnancy and Perinatal Care Panel convened to guide clinical practice. Main recommendations: As of May 2022, the Taskforce has made seven specific recommendations on care for pregnant women and those who have recently given birth. This includes supporting usual practices for the mode of birth, umbilical cord clamping, skin‐to‐skin contact, breastfeeding, rooming‐in, and using antenatal corticosteroids and magnesium sulfate as clinically indicated. There are 11 recommendations for COVID‐19‐specific treatments, including conditional recommendations for using remdesivir, tocilizumab and sotrovimab. Finally, there are recommendations not to use several disease‐modifying treatments for the treatment of COVID‐19, including hydroxychloroquine and ivermectin. The recommendations are continually updated to reflect new evidence, and the most up‐to‐date guidance is available online (https://covid19evidence.net.au). Changes in management resulting from the guidelines: The National COVID‐19 Clinical Evidence Taskforce has been a critical component of the infrastructure to support Australian maternity care providers during the COVID‐19 pandemic. The Taskforce has shown that a rapid living guidelines approach is feasible and acceptable. [ABSTRACT FROM AUTHOR]

Published
2022
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18. Postoperative pain management on discharge after day case gynaecologic laparoscopy.

Author

Teoh, Stephanie Wai Khuan, Payne, Carla, McDonnell, Nolan, and Petrovski, Michael

Abstract

Previous review in the study hospital showed that the pain management following discharge from the Day Surgery Unit (DSU) was inadequate with 6% of patients discharged home with pain medicines. The aim of this audit was to assess the efficacy of the new DSU discharge medication system for patients following day laparoscopy procedures. Pain control following the procedure and patient satisfaction with pain management were also assessed. A total of 100 patients who underwent a day case laparoscopy procedure at the study hospital from 12 June 2018 to 23 April 2019 were included in the study. Patient medical records, anaesthetic and recovery charts were reviewed. Analgesic requirements and pain scores in theatre, recovery, DSU and on discharge were documented. Patients were followed‐up by phone interview on analgesic use in the 24 h post discharge, and on patient satisfaction with postoperative pain management. At discharge from the DSU, 88 (88%) patients were supplied analgesics and medicine information leaflets. In the 24 h postoperative phone follow‐up, 63 (78.7%) patients indicated they were not in severe pain. Of the 53 patients who reported moderate (n = 36) to severe (n = 17) pain, 47 (88.7%) used analgesics at home. The common analgesics used after discharge were paracetamol (68.8%), tramadol (51.3%), ibuprofen (40%) and celecoxib (25%), Patient satisfaction with pain management in the 24 h post discharge was (69) 86.3%. The new discharge process has improved the supply of analgesic medication and medication information for patients following a day laparoscopy procedure. Patients reported great satisfaction with pain management in the hospital. [ABSTRACT FROM AUTHOR]

Published
2021
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22. Contributors

Author

Aganga, Devon, Ahlgren, Bryan S., Al Ghofaily, Lourdes, Albin, Maurice S., Alexander, Laura J., Algarra, Nicolas N., Argalious, Maged, Aronson, Lori A., Ashburn, Michael A., Atkins, Joshua H., Avidan, Michael S., Awad, Hamdy, Ayubcha, Diana, Badiola, Ignacio, Bain, Mark, Balbi, Kate E., Banayan, Jennifer M., Baranov, Dimitry Y., Barden, Catherine B., Barr, Juliana, Bates, James N., Baysinger, Curtis L., Benca, Joan, Birch, Martin L., Borgeat, Alain, Boyd, Gwendolyn L., Bracken, John, Bready, Lois L., Bromilow, James, Bronshteyn, Yuriy S., Bruins, Benjamin B., Bryant, Casey D., Bullock, W. Michael, Burton, Kristen, Cai, Lu Fan, Camann, William R., Capdeville, Michelle, Cereda, Maurizio, Chaney, Mark A., Chen, Michael I., Chiravuri, S. Devi, Connolly, Lois A., Cook-Sather, Scott D., Cooper, John R., Jr., Coursin, Douglas B., Courtemanche, Chad D., Cravero, Joseph P., Cummings, Craig E., Curatolo, Christopher J., Dagal, Armagan, David, Joanna, Davidson, Andrew, de la Cruz, Anthony, De Ruyter, Martin L., Desai, Ronak, Desikan, Somi R., Dilos, Barbara M., Disque, Andrew, Dolinski, Sylvia Y., Drexler, Catherine, Eaton, Michael P., Eckenhoff, Roderic G., Ehrenwerth, Jan, Eisenkraft, James B., Elkassabany, Nabil M., Ellinas, Herodotos, Ellis, Jason A., El-Orbany, Mohammad, Fahy, Brenda G., Falk, Scott A., Fang, Zhuang T., Farag, Ehab, Feduska, Michael, Ferrari, Lynne R., Firth, Paul G., Fleisher, Lee A., Flick, Randall P., Franklin, Keith M., Freid, Eugene B., Gabrielli, Andrea, Gabrielli, Elizabeth Mahanna, Ganesh, Arjunan, Geiduschek, Jeremy M., Gerancher, J.C., Gerlach, Rebecca M., Glick, David B., Gold, Mark S., Gollapudy, Suneeta, Grant, Stuart A., Gravlee, Glenn P., Greilich, Philip E., Greilich, Nancy B., Grosh, Taras, Gulati, Harleena, Gurnaney, Harshad, Gutsche, Jacob T., Hall, Michael A., Hantler, Charles B., Haque, Mohammed E., Hardman, H. David, Harrison, Barry A., Healy, Elizabeth, Henshaw, Daryl S., Hickey, Rosemary, Holt, Natalie F., Horak, Jiri, Hsu, Nathaniel, Huang, Stephanie, Jacobs, William S., Jacobsohn, Eric, James, Arul Prakash Pandian, Joshi, Shailendra, Kain, Zeev N., Kang, Wendy B., Kapoor, Ravish, Kaur, Amanpreet, Kelly, Jeffrey S., Kelly, Kevin J., Kenth, Johnny J., Kentor, Michael L., Kettler, Robert E., Ketzler, Jonathan T., Kharasch, Evan D., Kitt, Arthur, Kla, Koffi M., Klafta, Jerome M., Koht, Antoun, Kopp, Sandra L., Kuchta, Kenneth, Kuntumalla, Kavitha, Kurdi, Madhuri S., Kurth, C. Dean, Lam, Arthur M., Lam, Jennifer E., Landrigan-Ossar, Mary, Lange, Elizabeth M.S., Lanks, Dale W., Laudanski, Krzysztof, Laxton, Melissa A., Le, Huong, Lee, Jeffrey W., Lee, Lorri A., Lemm, John T., Lemmon, Adam J., Levin, Philip R., Levy, Jerrold H., Lin, Charles J., Linganna, Regina E., Litman, Ronald S., Liu, Jaibin, Llamas, Luis L., Loeb, Robert G., Lombardi, Celeste M., Luba, Katarzyna, Lupei, Monica I., Lustik, Stewart J., Ma, Daqing, Macias, Alvaro Andres, MacPherson, Ross, Malhotra, Anuj, Malhotra, Gaurav, Malhotra, Vinod, Manecke, Gerard R., Mark, Jonathan B., Martin, Klaus, Martin, Lizabeth D., Mathis, Michael R., Mavi, Jagroop, Mburu, Elizabeth W., McCormack, Victoria L., McCutchen, Thomas, McDonagh, David L., McDonnell, Nolan, Mecoli, Marc, Minhaj, Mohammed M., Monitto, Constance L., Month, Richard C., Morey, Timothy E., Nadarajan, Senthil, Nadjat-Haiem, Carsten, Naguib, Mohamed, Naik, Bhiken I., Nakata, David A., Neligan, Patrick J., Nepps, Mary Ellen, Newland, Myrna C., Novak, Richard J., Ochroch, Andrew E., Ochroch, Jason A., O’Connor, Christopher J., O’Hara, Jerome F., Jr., Olds, Tyson, Olsen, David A., Pagel, Paul S., Pan, Eric, Pandit, Jaideep J., Patel, Komal, Patel, Vijal N., Pavlin, D. Janet, Perelman, Seth, Pichel, Adam, Pichurko, Adrian, Porter, L. Kareen, Previte, Joseph, Prielipp, Richard C., Prough, Donald S., Pulos, Bridget Perrin, Raiten, Jesse M., Ramachandran, Satya Krishna, Ramadan, Mohamed Ehab, Reddy, Mallikarjun G., Ridley, Clare H., Roberts, David, Robinson, Michael, Roscoe, Andrew, Rose, John B., Rowan, Cody, Rozner, Marc A., Salahuddin, Mashhood, Salajegheh, Reza, Samol, Nancy B., Sauer, William J., Schlichter, R. Alexander, Schoenherr, Jay, Schulman, Peter M., Schwartz, Jeffrey J., Sethuraman, Rajamani, Seubert, Christoph N., Shafiepour, Danielle, Shanewise, Jack S., Shaw, Andrew, Sherwin, Marc, Slinger, Peter D., Sloan, Tod B., Smith, Andrew F., Smith, David S., Smythe, Paul, Sopher, Michael J., Spofford, Christina M., Springman, Scott R., Stentz, Michael J., Stewart, Alexander Michael, Stewart, Jennifer L., Stoneham, Mark D., Stover, Laura, Subramaniam, Rajeshwari, Suen, Ka Chun, Svensén, Christer H., Sweitzer, BobbieJean, Szabova, Alexandra, Szocik, James F., Tamilselvan, Perumal, Tassani-Prell, Peter, Tawil, Justin, Toledo, Paloma, Torp, Klaus D., Torres, Arturo G., Van Norman, Gail A., Votta-Velis, Gina, Wagih, Mahmoud I., Wahl, Kerri M., Walls, Jason D., Watcha, Mehernoor F., Weintraub, Ari Y., Weldon, B. Craig, Weller, Robert S., Whittington, Robert A., Williams, Brian A., Wise-Faberowski, Lisa, Witek, Alex M., Wittkugel, Eric P., Wlody, David, Woodcock, Brian J., Yaport, Miguel A., Yi, Peter K., Zanaboni, Paul B., Zeidan, Ronnie H., Zentner, Katharine H., and Zundel, M. Tracy

Published
2018
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23. Amniotic fluid embolism as a cause of maternal mortality in China between 1996 and 2013: a population-based retrospective study.

Author

Yi Mu, McDonnell, Nolan, Zhuoyang Li, Juan Liang, Yanping Wang, Jun Zhu, and Sullivan, Elizabeth

Subjects
*AMNIOTIC fluid embolism, *RETROSPECTIVE studies, *POPULATION-based case control, *MATERNAL mortality, *PREGNANCY complications
Abstract

Background: To analyse the maternal mortality ratio, demographic and pregnancy related details in women who suffered a fatal amniotic fluid embolism (AFE) in China. Methods: A retrospective population based study using data collected as part of the National Maternal Mortality Surveillance System between 1996 and 2013. Data were collected onto a standardised form from women whose cause of death was listed as being secondary to AFE. Results: Records were available for 640 deaths. Over the 17 year period the maternal mortality ratio for AFE decreased from 4.4 per 100,000 births (95% confidence interval (CI):2.72-6.12) to 1.9 per 100,000 births (95% CI:1. 35-2.54). Over the same period the proportion of maternal deaths secondary to AFE increased from 6.8 to 12.5%. The mean age of women who died was 30.1 years and the onset of the AFE occurred prior to delivery in 39%. The most prominent presenting features included premonitory symptoms (29%), acute fetal compromise (28%), maternal haemorrhage (16%) and shortness of breath (15%). Conclusions: Maternal mortality secondary to AFE has decreased in China, however at a slower rate than mortality secondary to other conditions. Active surveillance is recommended to assess case fatality rates, risk factors and other lessons specific to this population. [ABSTRACT FROM AUTHOR]

Published
2016
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24. Amniotic fluid embolism: an Australian-New Zealand population-based study.

Author

McDonnell, Nolan, Knight, Marian, Peek, Michael J., Ellwood, David, Homer, Caroline S. E., McLintock, Claire, Vaughan, Geraldine, Pollock, Wendy, Zhuoyang Li, Javid, Nasrin, Sullivan, Elizabeth, Li, Zhuoyang, and the Australasian Maternity Outcomes Surveillance System (AMOSS)

Subjects
*AMNIOTIC fluid embolism, *HYPOTENSION, *HYPOXEMIA, *BLOOD coagulation disorders, *AUTOPSY, *CESAREAN section, *LABOR (Obstetrics), *MATERNAL mortality, *PUBLIC health surveillance, *RESEARCH funding, *DISEASE incidence, *DIAGNOSIS
Abstract

Background: Amniotic fluid embolism (AFE) is a major cause of direct maternal mortality in Australia and New Zealand. There has been no national population study of AFE in either country. The aim of this study was to estimate the incidence of amniotic fluid embolism in Australia and New Zealand and to describe risk factors, management, and perinatal outcomes.Methods: A population-based descriptive study using the Australasian Maternity Outcomes Surveillance System (AMOSS) carried out in 263 eligible sites (>50 births per year) covering an estimated 96% of women giving birth in Australia and all 24 New Zealand maternity units (100% of women giving birth in hospitals) between January 1 2010-December 31 2011. A case of AFE was defined either as a clinical diagnosis (acute hypotension or cardiac arrest, acute hypoxia and coagulopathy in the absence of any other potential explanation for the symptoms and signs observed) or as a post mortem diagnosis (presence of fetal squames/debris in the pulmonary circulation).Results: Thirty-three cases of AFE were reported from an estimated cohort of 613,731women giving birth, with an estimated incidence of 5.4 cases per 100,000 women giving birth (95% CI 3.5 to 7.2 per 100,000). Two (6%) events occurred at home whilst 46% (n = 15) occurred in the birth suite and 46% (n = 15) in the operating theatre (location not reported in one case). Fourteen women (42%) underwent either an induction or augmentation of labour and 22 (67%) underwent a caesarean section. Eight women (24%) conceived using assisted reproduction technology. Thirteen (42%) women required cardiopulmonary resuscitation, 18% (n = 6) had a hysterectomy and 85% (n = 28) received a transfusion of blood or blood products. Twenty (61%) were admitted to an Intensive Care Unit (ICU), eight (24%) were admitted to a High Dependency Unit (HDU) and seven (21%) were transferred to another hospital for further management. Five woman died (case fatality rate 15%) giving an estimated maternal mortality rate due to AFE of 0.8 per 100,000 women giving birth (95% CI 0.1% to 1.5%). There were two deaths among 36 infants.Conclusions: A coordinated emergency response requiring resource intense multi-disciplinary input is required in the management of women with AFE. Although the case fatality rate is lower than in previously published studies, high rates of hysterectomy, resuscitation, and admission to higher care settings reflect the significant morbidity associated with AFE. Active, ongoing surveillance to document the risk factors and short and long-term outcomes of women and their babies following AFE may be helpful to guide best practice, management, counselling and service planning. A potential link between AFE and assisted reproductive technology warrants further investigation. [ABSTRACT FROM AUTHOR]

Published
2015
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33. In reply

Author

McDonnell, Nolan, primary, Chan, Brian, additional, and Frengley, Robert, additional

Published
2008
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