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Acta Obstet Gynecol Scand · Oct 2014
ReviewPerimortem cesarean section for maternal and fetal salvage: concise review and protocol.
- Lior Drukker, Yael Hants, Einav Sharon, Hen Y Sela, and Sorina Grisaru-Granovsky.
- Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.
- Acta Obstet Gynecol Scand. 2014 Oct 1;93(10):965-72.
AbstractCardiopulmonary arrest is a rare event during pregnancy and labor. Perimortem cesarean section has been resorted to as a rare event since ancient times; however, greater awareness regarding this procedure within the medical community has only emerged in the past few decades. Current recommendations for maternal resuscitation include performance of the procedure after five minutes of unsuccessful cardiopulmonary resuscitation. If accomplished in a timely manner, perimortem cesarean section can result in fetal salvage and is also critical for maternal resuscitation. Nevertheless, deficits in knowledge about this procedure are common. We have reviewed publications on perimortem cesarean section and present the most recent evidence on this topic, as well as recommending our "easy-to-access protocol" adapted for resuscitation following maternal collapse.© 2014 Nordic Federation of Societies of Obstetrics and Gynecology.
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