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Related Experiment Video

Updated: Apr 17, 2026

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

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

Published on: June 6, 2020

Perimortem caesarean section.

Richard Parry¹, Tilo Asmussen², Jason E Smith³

¹Emergency Department, Derriford Hospital, Plymouth, UK.

Emergency Medicine Journal : EMJ

|February 26, 2015

Summary

This summary is machine-generated.

Perimortem caesarean section (PMCS) is a critical intervention for pregnant individuals in cardiac arrest. This review outlines a straightforward approach for emergency settings to improve maternal and fetal survival chances.

Keywords:

cardiac arrest clincial management emergency department obstetrics and gynaecology resuscitation

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Area of Science:

Emergency Medicine
Obstetrics
Perinatology

Background:

Maternal cardiac arrest is a rare but critical event requiring immediate intervention.
Perimortem caesarean section (PMCS) can be life-saving for both mother and fetus when performed promptly.
Standardized approaches are needed for effective PMCS in emergency and prehospital settings.

Purpose of the Study:

To describe a simple, actionable approach to perimortem caesarean section (PMCS).
To guide clinicians in resuscitation room or prehospital environments managing pregnant patients in cardiac arrest (>20 weeks gestation).
To review indications, contraindications, physiology, equipment, and technical aspects of PMCS.

Main Methods:

Review of existing literature on perimortem caesarean section.
Description of a simplified PMCS technique suitable for emergency settings.
Exploration of essential components including indications, contraindications, and required equipment.

Main Results:

Outlines a clear, step-by-step approach to performing PMCS.
Discusses the physiological rationale supporting the procedure.
Reviews current literature regarding maternal and fetal outcomes associated with PMCS.

Conclusions:

A standardized and rehearsed approach to PMCS is crucial for optimizing outcomes.
Preparation and training are essential for healthcare providers performing this uncommon but vital procedure.
Effective PMCS in emergency situations offers the best chance of survival for mother and neonate.