Managing Medical and Obstetric Emergencies and Trauma. Группа авторов

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Preface to fourth edition

      We have the honour of participating in the miracle of birth and sharing the experiences of families worldwide, but with that honour comes the responsibility of keeping our women and babies safe.

      MOET was the brainchild of passionate Obstetricians and Anaesthetists who recognised that, whilst our specialty is very rewarding, it carries high risk for some of our women. By training and studying together, we can improve our practice and their outcomes. Since 1997, through MOET, we have trained over 8380 clinicians and we have around 720 instructors. We have shared our approach worldwide by taking the course overseas to Liberia, Switzerland, Australia, the Netherlands and Iran, to name but a few.

      Over the last 24 years, the course has naturally evolved, as has our specialty. In recognition of this, acknowledging the recent national changes in trauma management, as well as the increasing number of medical complexities that we are all seeing in our local units, MOET wanted to change too. By developing the trauma aspect and maternal medicine content, we hope to improve care delivered by Obstetricians and Anaesthetists working on the front line with our Midwifery colleagues.

      Teaching around pre‐eclampsia and haemorrhage has been prioritised over the last few decades and maternal death from these causes has fallen accordingly. Now we need to address the new medical complications and emergencies that we are all experiencing in our day‐to‐day working lives. Recent MBRRACE‐UK reports reveal that cardiac disease, thromboembolism and neurological disease are now the three leading causes of maternal deaths. Subsequently, MOET became mMOET to acknowledge that we are ‘Managing Medical and Obstetric Emergencies and Trauma’ and to address these challenges.

      We have worked with our colleagues in the emergency services and thoroughly rejuvenated the trauma content of the course. Being called to your ED in the middle of the night to a pregnant trauma victim can be daunting. We hope that this manual will help prepare you, to understand what your role is within the attending Trauma team and give you the confidence to acknowledge how you can contribute to the vital emergency care that the patient requires with your very specialised knowledge. If we can help give you the tools needed to address the next emergency you have to tackle, then we will have achieved what we set out to do.

      To all the current and future generations of Obstetricians and Anaesthetists, we hope this manual and the mMOET course will inspire you to keep learning, to do your very best in some of the most difficult situations and to give our women and their babies the highest quality of care.

       Kara Dent and Rosamunde BurnsMay 2022