AI Article Synopsis
- Maternal collapse is a serious, rare event that can happen during pregnancy or up to 6 weeks after giving birth, requiring immediate response from a specialized team.
- Effective treatment demands following modified adult resuscitation guidelines that consider the unique needs of both mother and fetus, focusing on airway management and mitigating circulatory issues.
- Regular multidisciplinary simulation training for maternity care professionals is crucial for enhancing teamwork, communication, and readiness in emergencies.
Article Abstract
Maternal collapse is a rare life-threatening event that can occur at any stage of pregnancy or up to 6 weeks postpartum. Prompt identification and timely intervention by a multidisciplinary team that includes an obstetrician, midwifery staff and an obstetric anaesthetist are essential to improve maternal and fetal outcomes. Standard adult resuscitation guidelines need to be followed with some modifications, taking into account the maternal-fetal physiology, which clinicians should be familiar with. During cardiac arrest, the emphasis is on advanced airway management, manual uterine displacement to relieve aortocaval compression and performing a resuscitative hysterotomy (peri-mortem caesarean delivery) swiftly in patients who are more than 20 weeks gestation to improve maternal survival. Annual multidisciplinary simulation training is recommended for all professionals involved in maternity care; this can improve teamwork, communication and emergency preparedness during maternal collapse.
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| http://dx.doi.org/10.12968/hmed.2022.0259 | DOI Listing |
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