Open AccessPerimortem caesarean section: Rethinking the resuscitation codes?
Author(s) -
Deepak Mathur,
Sng Ban Leong
Publication year - 2013
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.114289
Subject(s) - medicine , resuscitation , caesarean section , multidisciplinary approach , cesarean delivery , gestation , cardiopulmonary resuscitation , multidisciplinary team , section (typography) , medical emergency , pregnancy , intensive care medicine , obstetrics , emergency medicine , nursing , social science , genetics , sociology , biology , advertising , business
Perimortem cesarean section is being recommended in pregnant women beyond 20-week gestation who are in extremis or cardiac arrest and in whom resuscitation appears to be failing. Aortocaval compression is removed by the delivery that promotes cardiac output in response to chest compressions. Feto-maternal outcome is thought to improve if the delivery is accomplished within 5 min of arrest. We describe the use of a public call announcement to minimize the time to delivery by bringing together a multidisciplinary team with the required equipment to the patients location and are able to perform a timely perimortem cesarean delivery if required, potentially improving the survival