Author(s): McDonnell NJ
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Abstract Cardiac arrest in pregnancy is a rare event in which the speed of the response and attention to a number of pregnancy-specific interventions is crucial to the outcome. The commencement of a perimortem Caesarean delivery within 4 min of the onset of the arrest has been recommended as a technique to potentially improve survival in both the mother and the fetus but presents significant logistical challenges to the health-care facility. In this report, we describe two cases of cardiac arrest in pregnancy in which a perimortem Caesarean was performed as part of the resuscitation process and was associated with excellent maternal and neonatal outcomes. We discuss some of the issues surrounding the performance of a perimortem Caesarean delivery that were relevant to this case, including experience from the training that is provided in our institution.
This article was published in Br J Anaesth
and referenced in Emergency Medicine: Open Access