Obstetrics and gynaecology

High acuity and critical care presentations in obstetrics and gynaecology are not uncommon, and when seen in the retrieval setting they present pathophysiology and risk avoidance challenges for the retrieval physician, coordinator, and system. The particular risks in obstetric retrieval which are associated with the consideration of infant risk, and the emotive implications of perinatal death, create additional pressure. The wellbeing of the mother is in all circumstances the priority, and it is important that this drives decision-making and planning. Careful consideration and consultation with specialist retrieval coordinators with obstetric experience and qualifications is important to optimize plans. These plans often revolve around the wisdom of intervention or delivery pre, post, or instead of high-risk transfer. Experience, perspective, and understanding of practitioner and system capability will inform best decisions and outcomes.