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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.

Original publication

DOI

10.1111/aogs.12464

Type

Journal article

Journal

Acta Obstet Gynecol Scand

Publication Date

10/2014

Volume

93

Pages

965 - 972

Keywords

Perimortem cesarean, cardiac arrest, maternal mortality, perimortem delivery, postmortem cesarean, resuscitation, Cardiopulmonary Resuscitation, Cesarean Section, Clinical Protocols, Female, Heart Arrest, Humans, Outcome Assessment (Health Care), Pregnancy, Pregnancy Complications, Cardiovascular, Time Factors