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

Diseases

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