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Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

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Related Experiment Video

Updated: Jul 3, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Perimortem caesarean delivery (PMCD).

R Saha1

  • 1Department of Obstetrics and Gynaecology, Kathmandu Medical College, Sinamangal, Nepal.

Kathmandu University Medical Journal (KUMJ)
|July 8, 2008
PubMed
Summary
This summary is machine-generated.

In cases of maternal cardiac arrest where resuscitation fails, the decision for emergency Cesarean section is complex. This report examines two cases of perimortem Cesarean delivery (PMCD) to inform clinical practice.

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Area of Science:

  • Obstetrics and Gynecology
  • Emergency Medicine
  • Perinatal Medicine

Background:

  • Maternal cardiac arrest during late pregnancy presents a critical dilemma regarding perimortem Cesarean delivery (PMCD).
  • Obstetricians face uncertainty about the risks and benefits of PMCD, particularly concerning potential neurological outcomes for the neonate.
  • There is a need for clearer guidelines on the indications and timing for PMCD in emergency situations.

Observation:

  • This report details two distinct cases of perimortem Cesarean delivery (PMCD) performed following maternal cardiac arrest.
  • The cases highlight the challenging clinical scenarios and decision-making processes involved in these rare but critical events.
  • Specific details regarding the maternal condition, resuscitation efforts, and delivery timing are presented.

Findings:

  • The outcomes for both mother and neonate in the two reported cases of PMCD are analyzed.
  • Neurological assessments of the surviving infants are discussed in relation to the timing of delivery and maternal resuscitation.
  • The findings aim to contribute to the understanding of neurological handicaps following PMCD.

Implications:

  • This case series provides valuable insights for obstetricians and emergency teams managing maternal cardiac arrest in late pregnancy.
  • The report can inform the development of evidence-based protocols for perimortem Cesarean delivery (PMCD).
  • Understanding the neurological sequelae is crucial for counseling families and guiding clinical management in similar future cases.