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Archivos de Medicina de Urgencia de México

2012, Number 3

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Arch Med Urg Mex 2012; 4 (3)

Perimortem cesarean and maternal-fetal resuscitation in the emergency department. Case report and literature review

Urrego JLA, Cárdenas CDP, Velázquez VJF, Archila LA, Perdomo AMA, Muñoz RDA, Campuzano HC, Castillo BS

Language: Spanish
References: 21
Page: 131-135
PDF size: 59.40 Kb.


ABSTRACT

Perimortem cesarean section is an emergency procedure of easy and short surgical technique that can be performed by non-obstetrician medical staff with basic training, whose purpose is to improve maternal perfusion, often being a saving measure for the maternal-fetal binomial or for one of the two, as is stated in the literature analyzed for this review. Case: A 16 years old female with 32 weeks gestation, admitted in cardiac arrest and who after two minutes of unsuccessful resuscitation (8 min stop), a perimortem cesarean is performed by an emergency medical specialist, with excellent neurological outcome for the baby and further evidence of perfusion in the mother. Review: There are reports with variable outcomes for the infant and mother after perimortem cesarean. In 18 years, 38 cases have been found with reports in which they had good results in 89% of surviving infants. In 28% of them, the intervention was conducted in the first five minutes and 98% had a good neurological status after four years of follow up, there are also acceptable results for up to 30 minutes postparo. Conclusion: The perimortem cesarean is an emergency procedure which is performed on a woman with more than 20 weeks of gestation in extremis or cardio respiratory arrest to improve venous return to make a more effective resuscitation and try to save the mother and in some cases, to save only the life of the fetus.



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