title: Perimortem cesarean section for maternal and fetal salvage: concise review and protocol.
abstract: Cardiopulmonary arrest is a rare event during pregnancy and labor. Perimortem cesarean section has been resorted to as a rare event since ancient times; however, greater awareness regarding this procedure within the medical community has only emerged in the past few decades. Current recommendations for maternal resuscitation include performance of the procedure after five minutes of unsuccessful cardiopulmonary resuscitation. If accomplished in a timely manner, perimortem cesarean section can result in fetal salvage and is also critical for maternal resuscitation. Nevertheless, deficits in knowledge about this procedure are common. We have reviewed publications on perimortem cesarean section and present the most recent evidence on this topic, as well as recommending our "easy-to-access protocol" adapted for resuscitation following maternal collapse.
authors: Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.
authors: Lior
authors: L
authors: Drukker
authors: Yael
authors: Y
authors: Hants
authors: Einav
authors: E
authors: Sharon
authors: Hen Y
authors: HY
authors: Sela
authors: Sorina
authors: S
authors: Grisaru-Granovsky
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002585:Cesarean Section / Q000379:methods*; D002985:Clinical Protocols; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D013997:Time Factors
keywords: Perimortem cesarean; cardiac arrest; maternal mortality; perimortem delivery; postmortem cesarean; resuscitation