Journal
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
Volume 93, Issue 10, Pages 965-972Publisher
WILEY
DOI: 10.1111/aogs.12464
Keywords
Perimortem cesarean; perimortem delivery; postmortem cesarean; maternal mortality; cardiac arrest; resuscitation
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Cardiopulmonary arrest is a rare event during pregnancy and labor. Perimortem cesarean section has been resorted to as a rare event since ancient times; however, greater awareness regarding this procedure within the medical community has only emerged in the past few decades. Current recommendations for maternal resuscitation include performance of the procedure after five minutes of unsuccessful cardiopulmonary resuscitation. If accomplished in a timely manner, perimortem cesarean section can result in fetal salvage and is also critical for maternal resuscitation. Nevertheless, deficits in knowledge about this procedure are common. We have reviewed publications on perimortem cesarean section and present the most recent evidence on this topic, as well as recommending our easy-to-access protocol adapted for resuscitation following maternal collapse.
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