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Perimortem cesarean section.

T H Strong¹, R A Lowe

¹Department of Obstetrics and Gynecology, Valley Medical Center, Fresno, CA 93702.

The American Journal of Emergency Medicine

|September 1, 1989

Summary

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Perimortem cesarean section, a critical emergency procedure, can save viable infants in 15% of cases. It may also restore maternal pulse, highlighting its importance for emergency physicians.

Area of Science:

Emergency Medicine
Obstetrics
Perinatology

Background:

Perimortem cesarean section is an underemphasized emergency procedure.
The procedure carries emotional and medicolegal considerations.

Purpose of the Study:

To review the physiology and hemodynamics of the maternal-fetal unit during perimortem cesarean section.
To discuss prognostic factors for maternal and infant survival.
To provide recommendations for performing perimortem cesarean section and describe its technical aspects.

Main Methods:

Review of maternal-fetal physiology and hemodynamics.
Analysis of prognostic factors for survival.
Description of surgical technique.

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Main Results:

Perimortem cesarean section can result in viable infants in at least 15% of cases.
The procedure can occasionally restore maternal pulse in clinically dead women.

Conclusions:

Perimortem cesarean section is a potentially life-saving intervention for both mother and infant.
Understanding the physiological impacts and prognostic factors is crucial for successful outcomes.
Emergency physicians should be proficient in this critical procedure.