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Perimortem caesarean section in COVID-19 era
Yudianto Budi Saroyo1, Noroyono Wibowo1, Damar Prasmusinto1
1Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Summary
Cardiac arrest during pregnancy is rare. The COVID-19 pandemic complicates emergency procedures like Perimortem Caesarean Section (PMCS), potentially delaying critical care and impacting survival rates.
Area of Science:
- Obstetrics and Gynecology
- Emergency Medicine
- Infectious Diseases
Background:
- Cardiac arrest in pregnancy is a rare but critical event.
- Perimortem Caesarean Section (PMCS) is a life-saving procedure for mother and fetus.
- The COVID-19 pandemic introduced new challenges to emergency obstetric care.
Purpose of the Study:
- To review the impact of the COVID-19 pandemic on Perimortem Caesarean Section (PMCS) decision-making and execution.
- To analyze challenges in providing basic and advanced life support for pregnant adults with COVID-19.
- To highlight issues affecting emergency care during the pandemic.
Main Methods:
- Literature review of studies on cardiac arrest in pregnancy.
- Analysis of challenges in performing PMCS during the COVID-19 pandemic.
- Review of guidelines and case reports concerning life support in pregnant COVID-19 patients.
Main Results:
- COVID-19 infection prevention protocols may cause hesitation in performing emergency PMCS.
- Decision-making for PMCS is complicated by pandemic-related risks and resource limitations.
- Existing life support protocols require adaptation for pregnant patients with COVID-19.
Conclusions:
- The COVID-19 pandemic significantly impacts the management of cardiac arrest in pregnancy.
- Careful consideration of infection control and patient safety is crucial during PMCS.
- Further research and updated guidelines are needed to optimize emergency care for pregnant patients with COVID-19.
