• Int J Obstet Anesth · Jan 2009

    Case Reports

    Maternal cardiac arrest in early pregnancy.

    • E C M Nelissen, C de Zwaan, M A E Marcus, and J G Nijhuis.
    • Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands. enel@sgyn.azm.nl, e.nelissen@mumc.nl
    • Int J Obstet Anesth. 2009 Jan 1;18(1):60-3.

    AbstractA primigravid woman suffered a prolonged cardiac arrest at 18 weeks of gestation. Dilated ischemic cardiomyopathy was diagnosed. After recovery, the patient received an implantable cardioverter-defibrillator. At 38 weeks of gestation she had an elective caesarean delivery. Both mother and child had a favourable outcome. The effect of pregnancy on underlying cardiac disease and the management of maternal cardiac arrest with a pre-viable fetus are discussed. The importance of a multidisciplinary approach is emphasized. Continued neurodevelopmental assessment of the newborn is necessary to detect the long-term effects of fetal hypoxia in early pregnancy.

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