Open AccessPerimortem cesarean section for maternal and fetal salvage: concise review and protocol
Author(s) -
Drukker Lior,
Hants Yael,
Sharon Einav,
Sela Hen Y.,
GrisaruGranovsky Sorina
Publication year - 2014
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12464
Subject(s) - medicine , resuscitation , cardiopulmonary resuscitation , pregnancy , protocol (science) , section (typography) , obstetrics , medical emergency , intensive care medicine , surgery , alternative medicine , genetics , pathology , advertising , business , biology
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.