• Amanda Hill and Francesca Neuberger.
• Department of Medicine, Gloucester Royal Hospital. Electronic address: amanda.hill12@nhs.net.
• Clin Med (Lond). 2024 Dec 3: 100273100273.

AbstractIf a woman is acutely confused in pregnancy, she will most likely present to an unscheduled care setting outside of maternity services. It is therefore essential that all clinicians working within general medicine are comfortable assessing pregnant women in this context. Useful resources are available to support assessing pregnant women that present acutely, however confusion is beyond them. This article discusses important aspects to consider when assessing pregnant women and places emphasis on a systematic approach to ensure obstetric and non-obstetric causes of confusion have been considered. Certain life-threatening diagnosis' have been further discussed in more detail (Wernicke's encephalopathy, hyponatreamia, hypercalcamia, acute fatty liver of pregnancy and thrombotic thrombocytopenia purpura). These conditions have been chosen as there is a significant risk of maternal mortality and morbidity as well as poor fetal outcomes if not recognised and treated early.Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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