You are so welcome!

Glad it was helpful!

Yes we check the patellar reflex for accessing mgso4 toxicity. In the case of toxicity there is loss of patellar reflex. But they checked it before administration of mgso4 because they wanted to check for hyperreflexia. Deep tendon reflexes are increased in many women prior to seizures. That's why. Hope it clears your doubt😊😉

Hi Rosie yang...I'm a final year mbbs student. To the best of my knowledge, in this condition, although there is hypovolemia but tissues are overloaded. Also the urine output is severely decreased. So Excessive fluids or iv infusion will cause tissue overload and circulatory overload leading to pulmonary edema and adult Respiratory distress syndrome.

Hope this helps❤

Thanks Rosie, we're glad you're finding them useful. As Jasmine says the reason we restrict fluid in severe pre-eclampsia is the risk of of pulmonary oedema, which used to be a leading cause of death in these women. Pre-eclampsia can lead to leaky capillaries, and to renal impairment, both of which predispose to pulmonary oedema unless fluids are carefully managed.

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The bladder sits anteriorly to the uterus so a full bladder can cause displacement of the uterus and thus relieve pressure on the presenting part. The reverse of why you want an empty bladder for delivery.

The management of APH is described within the PROMPT course materials. Your maternity unit can access the PROMPT online course, or apply for PROMPT's 2021 Annual Update, by emailing us on

Hi Saima Many thanks for your interest. PROMPT covers the management of obstetric emergencies, and so caesarean section is not covered as part of our course. In terms of updates regarding impacted fetal head at CS, this is an emerging field in terms of clinical research, and we will produce guidance once the evidence regarding best practice becomes available.

Many thanks for sharing your story Lucy. That must have been scary at the time. But it's great to hear that, thanks to a well-trained team, he's done so well.

@@promptmaternityfoundation8950 Thankyou for letting me tell my story on this channel. Nothing was properly explained to me at the time. I cannot fault anyone though as they saved his life. Thankyou so much for your videos. They’ve helped me make sense of what happened to us. As I said, Harvey is 16 now and a healthy teenager. Thanks to my midwife Barbara who raised the alarm and the team at Yeovil women’s hospital x

Many thanks Salma. As you say, delivery of the baby will be the team's ultimate goal. However, it is vital to stabilise the mother first. The team's key clinical aims in severe pre-eclampsia will be: - senior review, and involve the multi-professional team - manage the blood pressure - prevent seizures (with MgSO4) - restrict fluids - make a plan for delivery All the while remembering good team-working in terms of: - communication within the team (e.g. using SBAR and 'closed-loop' communication), and with the mother - situational awareness (maintaining a clear overview, thinking ahead) - team roles and leadership

Stanley Chinaka 1. They all had masks and googles. 2. The outside of the door is not in contact with Covid 19 (it’s a normal birth unit ward, not a Covid ward) therefore opening the door is okay followed by hand hygiene 3. The team were likely putting in a 2nd IVC as part of PPH response though there’s an argument that a low risk woman with mild symptoms still doesn’t necessarily warrant an IVC 4. Didn’t notice that. Hopefully that person washes there hands after touching their face before moving onto the next step. 5.The person who got the pack was outside the Covid room. The packs are grabbed by a ‘runner’ and passed into the room OR taken from they are stored to just outside the room, individual dons, then brings the PPH pack in with them. Not affiliated with PROMPT just my interpretation to your observations :)