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Delayed maternal death after perimortem cesarean section

H F Chen1, C N Lee, G D Huang

  • 1Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University and the Hospital, Taipei.

Acta Obstetricia Et Gynecologica Scandinavica
|November 1, 1994
PubMed
Summary
This summary is machine-generated.

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A perimortem cesarean section saved a baby from a mother with severe congestive heart failure. Despite the mother

Area of Science:

  • Cardiology
  • Obstetrics and Gynecology
  • Neonatology

Background:

  • A multigravida patient presented with severe congestive heart failure at 36 weeks gestation.
  • The patient had a history of recurrent acute myocarditis, complicating her current pregnancy.

Observation:

  • Maternal condition rapidly deteriorated with ventricular fibrillation and cardiac arrest, unresponsive to cardiopulmonary resuscitation (CPR).
  • Fetal distress escalated concurrently with maternal decline.
  • A perimortem cesarean section was urgently performed.

Findings:

  • A viable female infant weighing 2590 gm was delivered within one minute of incision.
  • The infant presented with low Apgar scores (1 at 1 min, 4 at 5 min, 6 at 10 min) but survived.
  • The mother experienced temporary improvement post-delivery but ultimately succumbed to her condition four hours after surgery.

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Implications:

  • Perimortem cesarean section can be a life-saving intervention for the fetus in critical maternal emergencies.
  • This case highlights the challenges of managing advanced maternal cardiac conditions during pregnancy.
  • Long-term follow-up confirmed normal neurodevelopmental outcomes for the surviving infant.