Perimortem Cesarean Section of Twin Pregnancy: Case Report and Review of the Literature

Part 12: Cardiac Arrest in Special Situations

“…Uterine obstruction of venous return can produce hypotension and may precipitate arrest in the critically ill patient. 95,96 • Give 100% oxygen.…”

Part 10: Special Circumstances of Resuscitation

“…[21][22][23][24][25] In the latter half of pregnancy, PMCD may be considered part of maternal resuscitation, regardless of fetal viability. 26 In a case series, 12 of 20 women for whom maternal outcome was recorded who underwent PMCD during resuscitation had return of spontaneous circulation (ROSC) immediately after delivery, A systematic review of the literature evaluated all case reports of cardiac arrest in pregnancy, but the wide range of case heterogeneity and reporting bias does not allow for any conclusions regarding the timing of PMCD.…”

Part 10.8: Cardiac Arrest Associated With Pregnancy

“…Uterine obstruction of venous return can produce prearrest hypotension or shock and in the critically ill patient may precipitate arrest. 1,2 In cardiac arrest the compromise in venous return and cardiac output by the gravid uterus limits the effectiveness of chest compressions. The gravid uterus may be shifted away from the inferior vena cava and the aorta by placing the patient 15°t o 30°back from the left lateral position (Class IIa) or by pulling the gravid uterus to the side.…”