title: Out-of-Hospital Perimortem Cesarean Delivery Performed in a Woman at 32 Weeks of Gestation: A Case Report.
abstract: A 34-year-old pregnant woman experienced cardiac arrest at home. Out-of-hospital perimortem cesarean delivery was performed 27 minutes after the collapse. Both mother and child were resuscitated and had return of spontaneous circulation before they were transported to a university hospital. The mother underwent hysterectomy and developed disseminated intravascular coagulation. Despite intensive treatment, she died 8.5 hours after arrival. The infant was extubated the next day, and her subsequent hospital course was uneventful. She was later diagnosed with cerebral palsy and severe gastroesophageal reflux. At 2 years of age, she communicated by sounds, eye contact, and smiling.
authors.affiliation: From the *Division of Emergencies and Critical Care, Department of Anesthesiology, Oslo University Hospital - Ullevaal, Oslo, Norway; and †Division of Emergencies and Critical Care, Department of Air Ambulance, Oslo University Hospital, Oslo, Norway.
authors.forename: Harald
authors.initials: H
authors.lastname: Lenz
authors.forename: Liv Berit
authors.initials: LB
authors.lastname: Stenseth
authors.forename: Nina
authors.initials: N
authors.lastname: Meidell
authors.forename: Hans Julius
authors.initials: HJ
authors.lastname: Heimdal
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D058687:Out-of-Hospital Cardiac Arrest / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000628:therapy*