PMID: 15227749Jul 1, 2004Paper

Perimortem cesarean delivery following severe maternal penetrating injury

Yonsei Medical Journal
Cuma YildirimNurullah Gunay

Abstract

The case of a severely traumatized pregnant patient, in whom a perimortem cesarean section, in the emergency department, led to the birth of a viable baby, with long-term survivor, is described. A postmortem cesarean section, resulting in fetal survival, performed after 45 minutes of maternal cardiopulmonary resuscitation is reported in a patient with multiple penetrating injuries. A 27-year-old primigravida suffered cardiopulmonary arrest at the 34th week of gestation following multiple knife injuries. Although extensive advanced cardiopulmonary resuscitation was performed for 45 minutes, her vital signs did not return to normal levels. A low segment cesarean delivery was performed, and a female baby was delivered. The time interval between cardiopulmonary arrest and delivery, prior maternal health status, and continued cardiopulmonary resuscitation are important determinants of fetal survival. A perimortem cesarean section is advised in case of multiple penetrating injuries, even after 45 minutes of cardiopulmonary resuscitation, since it may result in fetal salvage.

Citations

Oct 14, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Q Warraich, U Esen
Jul 8, 2008·Air Medical Journal·Karsten Knobloch
Jan 2, 2008·American Journal of Obstetrics and Gynecology·Giampiero CapobiancoSalvatore Dessole
Jan 20, 2012·Journal of Intensive Care Medicine·Gillian RamsayGhada Bourjeily
Oct 8, 2015·Circulation·Farida M JeejeebhoyUNKNOWN American Heart Association Emergency Cardiovascular Care Committee, Council on Cardiopulmonary, Critical Care, Perioperative
Sep 20, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sirin GuvenEftal Avci
Aug 8, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Pasquale GalloFrancesco Sala
Jul 5, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Miretta TommilaMatias Rantanen

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