![](/images/graphics-bg.png)
Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest
Joint Authors
Landriscina, Mario
Gatti, Francesca
Spagnoli, Marco
Zerbi, Simone Maria
Colombo, Dario
Kette, Fulvio
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The optimal treatment of a severe hemodynamic instability from shock to cardiac arrest in late term pregnant women is subject to ongoing studies.
However, there is an increasing evidence that early “separation” between the mother and the foetus may increase the restoration of the hemodynamic status and, in the cardiac arrest setting, it may raise the likelihood of a return of spontaneous circulation (ROSC) in the mother.
This treatment, called Perimortem Cesarean Section (PMCS), is now termed as Resuscitative Hysterotomy (RH) to better address the issue of an early Cesarean section (C-section).
This strategy is in contrast with the traditional treatment of cardiac arrest characterized by the maintenance of cardiopulmonary resuscitation (CPR) maneuvers without any emergent surgical intervention.
We report the case of a prehospital perimortem delivery by Caesarean (C) section of a foetus at 36 weeks of gestation after the mother’s traumatic cardiac arrest.
Despite the negative outcome of the mother, the choice of performing a RH seems to represent up to date the most appropriate intervention to improve the outcome in both mother and foetus.
American Psychological Association (APA)
Gatti, Francesca& Spagnoli, Marco& Zerbi, Simone Maria& Colombo, Dario& Landriscina, Mario& Kette, Fulvio. 2014. Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034716
Modern Language Association (MLA)
Gatti, Francesca…[et al.]. Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034716
American Medical Association (AMA)
Gatti, Francesca& Spagnoli, Marco& Zerbi, Simone Maria& Colombo, Dario& Landriscina, Mario& Kette, Fulvio. Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034716
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034716