• D Mauer, W Dick, K H Leyser, B J Gaida, and H Gervais.
• Klinik für Anaesthesiologie, Klinikum der Johannes Gutenberg-Universität Mainz.
• Anaesthesist. 1990 Aug 1;39(8):393-7.

AbstractCardiopulmonary resuscitation (CPR) during pregnancy is a rare event, but due to the increasing number of pregnant women with significant medical disorders it will gain more importance in the near future. Effective CPR with respect to survival of mother and infant can only be accomplished under optimal conditions. We discuss important pathophysiological alterations during pregnancy and, including recommendations in the available literature, we present a standardized protocol for life support for mother and infant. The protocol depends on the progress of the pregnancy. Compared to non-pregnant patients, pregnant women must be placed in a left lateral position immediately. If possible, the decision to perform open-chest CPR has to be made within 15 min of unsuccessful closed-chest CPR. In addition, during late pregnancy there should be no delay in performing an emergency cesarean section, even during CPR.

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