22 results match your criteria: "Labor and Delivery Perimortem Cesarean Delivery"
Cesarean section via a transverse uterine fundal incision is performed in patients with placenta previa to reduce blood loss. We describe a case of uterine rupture in a pregnant woman who previously underwent a cesarean section and recovered from cardiac arrest by multidisciplinary management.
View Article and Find Full Text PDFCureus
September 2022
Anesthesiology, Memorial Healthcare System, Hollywood, USA.
We report the successful salvage of mother and baby after a perimortem cesarean delivery (PMCD) complicated by a 21-minute asystolic maternal cardiac arrest (MCA) that was precipitated by a pulmonary embolism during the early stages of induction of labor. With rapid PMCD, recovery of maternal quality of life is possible even after prolonged resuscitation.
View Article and Find Full Text PDFAm J Obstet Gynecol
April 2021
Society for Maternal-Fetal Medicine, 409 12 St. SW, Washington, DC 20024, USA.
Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Because of its rarity, many obstetrical providers have no experience in managing amniotic fluid embolism and may therefore benefit from a cognitive aid such as a checklist. We present a sample checklist for the initial management of amniotic fluid embolism based on standard management guidelines.
View Article and Find Full Text PDFMedEdPORTAL
October 2018
Perinatal Patient Safety Coordinator, NewYork-Presbyterian Hospital.
J Matern Fetal Neonatal Med
April 2019
a Department of Anesthesia, and Sackler Faculty of Medicine , Rabin Medical Center, Beilinson Hospital, Petach Tikvah Israel, Tel Aviv University, Tel Aviv , Israel.
Introduction: Amniotic fluid embolism (AFE) is a rare and potentially lethal obstetric complication, commonly occurring during labor, delivery, or immediately postpartum. There is a paucity of data regarding incidence, risk factors, and clinical management. Our primary objective in this study was to evaluate clinical presentation of AFE and delineate anesthesia management of these cases.
View Article and Find Full Text PDFCases: Perimortem cesarean delivery (PMCD) is the only way to resuscitate pregnant women in cardiac arrest, and has been found to increase maternal resuscitation rate by increasing circulating plasma volume. However, many obstetricians have not experienced a case of PMCD, as situations requiring it are rare. We report our strategy for cases of maternal cardiac arrest, on the basis of a review of published work, and present two case reports from our medical center.
View Article and Find Full Text PDFJ Obstet Gynaecol Can
June 2015
Saint John, NB.
Acta Obstet Gynecol Scand
October 2014
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.
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.
View Article and Find Full Text PDFCan J Anaesth
November 2013
Department of Anesthesia and Pain Management, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada,
Purpose: To review and report maternal and neonatal outcomes after cardiac arrest during pregnancy in a large tertiary care centre and to consider steps to improve the outcomes.
Clinical Features: We performed a retrospective chart review of maternal cardiac arrest in the Mount Sinai Hospital, University of Toronto health records database for the period 1989-2011. Five cases were identified for an incidence of 1:24,883 deliveries (0.
Anaesthesia
March 2013
The Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Anesth Analg
January 2013
Department of Anesthesia, Stanford University, 300 Pasteur Dr., MC5640, Stanford, CA 94305, USA.
Background: The purpose of this study was to compare cardiopulmonary resuscitation (CPR) for simulated maternal cardiac arrest rendered during transport to the operating room with that rendered while stationary in the labor room. We hypothesized that the quality of CPR would deteriorate during transport.
Methods: Twenty-six teams composed of 2 providers (obstetricians, nurses, or anesthesiologists) were randomized to perform CPR on the Laerdal Resusci Anne SkillReporterâ„¢ mannequin during transport or while stationary.
J Perinat Neonatal Nurs
September 2012
Specialty Obstetrical Referral Clinic and Labor & Delivery, The Medical Center of Plano, Plano, TX 75075, USA.
Zhonghua Fu Chan Ke Za Zhi
October 2011
Department of Obstetrics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, China.
J Intensive Care Med
August 2014
Department of Medicine, University of Alberta, Canada.
Cardiac arrest is a rare occurrence in pregnancy and may be related to obstetric or medical causes. Pregnancy is associated with profound physiologic changes that prepare the gravida for the challenges of labor and delivery, and resuscitation of the pregnant patient needs to take these changes into consideration. Cardiac output and plasma volume increase in pregnancy and distribute differently with the uterine circulation receiving approximately 17% of the total cardiac output.
View Article and Find Full Text PDFObstet Gynecol
November 2011
From the Departments of Anesthesia and Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, California.
Objective: To compare the labor room and operating room for perimortem cesarean delivery during simulated maternal arrests occurring outside the operating room. We hypothesized transport to the operating room for perimortem cesarean delivery would delay incision and other important resuscitation milestones.
Methods: We randomized 15 teams composed of obstetricians, nurses, anesthesiologists, and neonatal staff to perform perimortem cesarean delivery in the labor room or operating room.
Ned Tijdschr Geneeskd
July 2011
Maasstad Ziekenhuis, locaties Zuider en Clara, Afd. Gynaecologie en Obstetrie, Rotterdam, the Netherlands.
Can J Anaesth
October 2004
Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada.
Purpose: To review the effects of maternal anesthesia and analgesia on the fetus and newborn.
Methods: An on-line computerized search of Medline, Embase, and the Cochrane Collaboration via PubMed was conducted. English language articles were selected.
Emerg Med Clin North Am
August 2003
Department of Emergency Medicine, Health Science Center, Texas A&M University System, Temple, TX, USA.
The emergency department is a suboptimal location for delivery, and the greater prevalence of complicated presentations and emergency deliveries results in higher morbidity and mortality. Any woman greater than 20 weeks' gestation in labor is considered medically unstable and should be triaged quickly. Fetal viability occurs after 24 to 26 weeks' gestation.
View Article and Find Full Text PDFEmerg Med Clin North Am
February 1994
Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, Illinois.
The care of the pregnant patient presenting to the emergency department with labor or delivery complications requires an understanding of signs and symptoms of disease for the maternal and fetal patient. This article reviews management of common labor and delivery complications that may occur in the emergency department. The management of premature labor, premature rupture of the membranes, emergency delivery procedure, resolution of shoulder dystocia, prolapsed umbilical cord, and perimortem cesarean section are discussed.
View Article and Find Full Text PDFEmerg Med Clin North Am
August 1987
Harbor/UCLA Medical Center, Torrance.