CARDIOPULMONARY RESUSCITATION IN THE PREGNANT (review of the number of clinical cases from one clinical unit)

Resuscitation during pregnancy is a rare event (one case per 20,000 pregnancies) with a high mortality rate in mothers (about 45%). It is difficult to perform cardiopulmonary resuscitation effectively not only due to specific physiological features of the pregnant but due to difficulties in the development of clinical recommendations which is related to these situations being rare and lacking evidence. The above circumstances make the detail description of each case of cardiopulmonary resuscitation in the pregnant highly valuable.The objective of the study: to analyze the number of clinical cases of cardiac arrest with advanced cardiopulmonary resuscitation in the pregnant in one of special perinatal centers from the position of modern international and national recommendations.Subjects and methods. A retrospective descriptive study of cardiopulmonary resuscitation in the pregnant was performed in the Special Perinatal Center of Almazov National Medical Research Center.Results. From 2010 to 2017, there were 5 cases of cardiac arrest in the pregnant; the risk of development made 1:3,650. The median gestation time made 39 (37; 40) weeks. All patients had cesarean section during resuscitation in 4 minutes (1; 10) after cardiac arrest developed. The median duration of resuscitation made 12 (2; 19) minutes. Maternal and neonatal survival made 100%. All patients were discharged from the unit with no severe neurologic impairment.Conclusion. Compliance with modern international clinical recommendations significantly improves the prognosis for the pregnant who experienced cardiac arrest. Since the risk of such situations is much higher in the patients of special perinatal centers versus the general population, these centers should develop and adopt local protocols on cardiopulmonary resuscitation.