Perimortem cesarean delivery is an effective procedure for cardiopulmonary resuscitation during pregnancy. However, there are no reports documenting long-term outcomes in perimortem cesarean delivery survivors. This may be the first report of a successful live birth, occurring two years after perimortem cesarean delivery. A 29-year-old primipara was transferred to the emergency center on account of cardiopulmonary arrest, at 33 weeks of gestation. She was resuscitated 47 min after cardiopulmonary arrest by perimortem cesarean delivery amongst other treatment modalities, although the fetus died. Two months later, she was discharged with a preserved uterus, and no neurological damage. The couple suffered from posttraumatic stress disorder, which they overcame with the support of the multidisciplinary team, then gave birth to a healthy baby 2 years later. To overcome cardiopulmonary arrest during pregnancy, a seamless approach by a multidisciplinary team is essential for a good patient outcome.
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http://dx.doi.org/10.2739/kurumemedj.MS6912005 | DOI Listing |
Resuscitation
December 2024
University Hospitals Birmingham NHS Foundation Trust, Birmingham Heartlands Hospital, B9 5SS, UK; Warwick Clinical Trials Unit, University of Warwick, Coventry CV4 7AL, UK.
Objective: To examine maternal and neonatal outcomes following Resuscitative Hysterotomy for out of hospital cardiac arrest (OHCA) and to compare with timing from cardiac arrest to delivery.
Methods: The review was registered with PROSPERO (CRD42023445064). Studies included pregnant women with out of hospital cardiac arrest and resuscitative hysterotomy performed (in any setting) during cardiac arrest.
MedEdPORTAL
October 2024
Consultant, Department of Emergency Medicine, Tan Tock Seng Hospital.
Injury
January 2025
Department of Trauma and Acute Care Surgery, Hurley Medical Center, MI, USA; Michigan State University College of Human Medicine, East Lansing, MI, USA. Electronic address:
J Trauma Acute Care Surg
November 2024
From the Department of Surgery (N.J.L., A.M.M., D.J.D., B.B., F.B.R.), and Department of Obstetrics and Gynecology (L.H.), Regions Hospital, Saint Paul, Minnesota.
When pregnant patients are involved in traumatic incidents, the trauma clinician encounters two patients-both the mother and the unborn child. Advanced trauma life support dictates that the first priority is the life of the mother; however, there are rare situations where to provide the greatest chance of survival for both the mother and baby, an emergency cesarean section (perimortem cesarean delivery [PMCD]) must be performed. The decision to perform this procedure must occur quickly, and the reality is that a board-certified obstetrician is rarely present, particularly in rural areas.
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