• Hidetake Kamei, Yu Wakimoto, Kayoko Harada, Atsushi Fukui, Hiroyuki Tanaka, and Hiroaki Shibahara.
• Department of Obstetrics and Gynecology, Hyogo College of Medicine, Nishinomiya, Japan.
• J. Obstet. Gynaecol. Res. 2019 Mar 1; 45 (3): 724-728.

AbstractResuscitative hysterotomy (RH) is a resuscitation technique, allowing the restoration of a pregnant patient's heartbeat. Here, we reported a case of RH performed in a patient with cardiac arrest as a complication of a peripartum cardiomyopathy. A 29-year-old woman with suspected hemolysis, elevated liver enzymes, low platelet syndrome was admitted to the hospital. Cardiopulmonary resuscitation and RH were initiated at 30 weeks of gestation. The infant was successfully delivered 2 min after the mother's cardiac arrest, weighting 1388 g. At the first minute, the Apgar score was 3 and the 5th minute was 6. After delivery, defibrillation was performed on the mother and restoration of spontaneous circulation was observed. However, she was hemodynamically unstable and approximately 2 months later she died. After cardiac arrest, it is possible that RH could improve the hemodynamic status. The opportunity of performing a RH is rare; however, it is necessary to be familiarized with the technique as a resuscitation method.© 2018 Japan Society of Obstetrics and Gynecology.

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