Browsing by Author "Ghiringhelli J.P."

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Maternal cardiac arrest and perimortem cesarean deliveryParo cardiorrespiratorio en la embarazada y cesárea perimortem
    (2021) Ghiringhelli J.P.; Lacassie H.J.
    © 2021 Sociedad Chilena de Obstetricia y Ginecología.Cardiopulmonary arrest is a rare event during pregnancy and labor. It involves many subspecialties and allied health providers. Besides it requires knowledge of maternal physiology as it relates to resuscitation, particularly aortocaval compression, difficult airway, full stomach and the fact that there are two lives involved. The most frequent causes of cardiac arrest during pregnancy include bleeding, followed by embolism, infection, anesthesia complications and heart failure. The main steps required are: obstetric code activation with appropriate response for performing timely emergent hysterotomy in the same place avoiding the transfer to operating room; good-quality chest compressions; manual uterine displacement to the left, advanced pharmacological and airway management; and optimal care after resuscitation to improve maternal and fetal outcomes. Although current recommendations for maternal resuscitation include the performance of perimortem cesarean section after four minutes of unsuccessful cardiopulmonary resuscitation, deficits in knowledge about this procedure are common. Therefore, training and available evidence-based guidelines should be put in place for all obstetric caregivers.