This statement builds on the previous 2017 version and incorporates current evidence, clinical developments, and expert consensus from across pre-hospital, obstetric, and emergency care. The updated recommendations address key areas including physiological considerations in pregnancy, trauma management, resuscitation principles, airway care, aortocaval decompression, haemorrhage control, use of tranexamic acid, and appropriate patient positioning. Guidance is also provided for the rare but time-critical decision-making required in cases of maternal cardiac arrest, including considerations around resuscitative hysterotomy.
The statement aims to support clinicians working across the pre-hospital environment — including paramedics, doctors, retrieval teams, critical care providers, and multi-agency responders — by offering clear, practical principles to improve safety and outcomes for both mother and fetus.
FPHC remains committed to promoting high standards of care, strengthening clinical decision-making, and ensuring pre-hospital teams are equipped with up-to-date, evidence-informed guidance when managing high-risk maternal emergencies.
The full consensus statement is available on our website here.
Due to essential systems maintenance and upgrades there will be intermittent interruptions to some on-line services on Saturday 27th of February. There will be further interruption to some core services on Wednesday 2nd and Thursday 3rd of March.
We apologise for any inconvenience caused.
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