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Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

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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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External Cephalic Version: Is it an Effective and Safe Procedure?
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Perimortem caesarean deliveries.

A J Eldridge1, R Ford1

  • 1Anaesthetic Department, Queen Alexandra Hospital, Portsmouth, Hampshire, UK.

International Journal of Obstetric Anesthesia
|April 23, 2016
PubMed
Summary

Rapid perimortem cesarean delivery in pregnant patients experiencing cardiac arrest may improve outcomes for both mother and fetus. Early intervention is crucial, especially from the second trimester onwards.

Area of Science:

  • Obstetrics and Gynecology
  • Emergency Medicine
  • Perinatology

Background:

  • Cardiac arrest during pregnancy is a rare but critical event impacting maternal and fetal outcomes.
  • Historically, perimortem cesarean delivery was performed late, leading to poor survival rates.
  • Current evidence suggests rapid intervention may improve survival for both mother and fetus.

Purpose of the Study:

  • To review the evidence and physiological rationale for perimortem cesarean delivery in pregnant patients.
  • To discuss factors influencing timely intervention, including training and hospital organization.
  • To emphasize the importance of perimortem cesarean delivery in managing maternal cardiac arrest.

Main Methods:

  • Review of historical case reports and recent literature on perimortem cesarean delivery.

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  • Analysis of physiological benefits of rapid perimortem cesarean delivery.
  • Discussion of error reduction and delay minimization strategies.

    • Main Results:

    • Case reports indicate improved maternal and fetal survival with rapid perimortem cesarean delivery.
    • Physiological advantages include relieving inferior vena cava obstruction, improving venous return, and enhancing chest compliance.
    • No evidence suggests worsened maternal or fetal survival with early perimortem cesarean delivery.

    Conclusions:

    • Early perimortem cesarean delivery is likely beneficial for both maternal and fetal survival in cases of cardiac arrest from mid-second trimester.
    • Effective management requires adequate training, optimized hospital protocols, and prompt decision-making.
    • Perimortem cesarean delivery remains a critical intervention for maternal arrest during pregnancy.