Perimortem cesarean delivery and subsequent emergency hysterectomy: new strategy for maternal cardiac arrest

Cases Perimortem cesarean delivery (PMCD) is the only way to resuscitate pregnant women in cardiac arrest, and has been found to increase maternal resuscitation rate by increasing circulating plasma volume. However, many obstetricians have not experienced a case of PMCD, as situations requiring it a...

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Veröffentlicht in:Acute medicine & surgery 2017-10, Vol.4 (4), p.467-471
Hauptverfasser: Goto, Mayako, Watanabe, Hiroaki, Ogita, Kazuhide, Matsuoka, Tetsuya
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container_issue 4
container_start_page 467
container_title Acute medicine & surgery
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creator Goto, Mayako
Watanabe, Hiroaki
Ogita, Kazuhide
Matsuoka, Tetsuya
description Cases Perimortem cesarean delivery (PMCD) is the only way to resuscitate pregnant women in cardiac arrest, and has been found to increase maternal resuscitation rate by increasing circulating plasma volume. However, many obstetricians have not experienced a case of PMCD, as situations requiring it are rare. We report our strategy for cases of maternal cardiac arrest, on the basis of a review of published work, and present two case reports from our medical center. Outcomes In case 1, PMCD led to death by massive bleeding. In case 2, PMCD and hysterectomy were carried out after the introduction of venoarterial extracorporeal membrane oxygenation, and both mother and baby survived. Conclusion We find that rapid hysterectomy as a damage control surgery following PMCD can be life‐saving for both mother and baby. We find that rapid hysterectomy as a damage control surgery following PMCD can be life‐saving for both mother and baby.
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subjects Cardiac arrest
Case Report
Case Reports
Health risk assessment
Hysterectomy
Maternal cardiac arrest
perimortem cesarean delivery
pregnant woman
resuscitation
VA‐ECMO
title Perimortem cesarean delivery and subsequent emergency hysterectomy: new strategy for maternal cardiac arrest
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