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Erschienen in: Wiener Medizinische Wochenschrift 3-4/2023

05.05.2021 | case report

Perimortem Caesarean section because of a live fetus: case report and literature review

verfasst von: Anis Cerovac, MD, phD candidate, Igor Hudić, Dženana Softić, Dubravko Habek

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 3-4/2023

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Summary

Background

Perimortem Caesarean section (PMCS) is a rare surgical procedure that is potentially lifesaving for mother and child.

Aim

To describes a live fetus 1 h after maternal cardiac arrest and a rare hospital surgical event, PMCS.

Case report

We report on a 22-year-old gravida 1 para 1 woman who had a convulsive loss of consciousness at 31 weeks’ gestation. A convulsive loss of consciousness was accompanied by profuse vomiting of gastric contents. Cardiopulmonary resuscitation was initiated. Fetal heartbeats were recorded and the patient was referred to the Clinic for Gynecology and Obstetrics. Perimortem Caesarean section was performed. Neonatal cardiopulmonary resuscitation was initiated, but the infant was pronounced dead after 60 min of attempted resuscitation. Maternal cardiopulmonary resuscitation was without success and it was abandoned following discussion with family members.

Conclusion

A cooperative team approach is the key factor to producing a good perinatal outcome.
Literatur
1.
Zurück zum Zitat Woods M. Prehospital perimortem caesarean section—a survivor. Prehosp Emerg Care. 2020;24:595–9.CrossRefPubMed Woods M. Prehospital perimortem caesarean section—a survivor. Prehosp Emerg Care. 2020;24:595–9.CrossRefPubMed
2.
Zurück zum Zitat De Silva PH, Maharaj D, Langdana F. Perimortem caesarean section: two cases performed in New Zealand hospitals. Aust N Z J Obstet Gynaecol. 2016;56:662–5.CrossRefPubMed De Silva PH, Maharaj D, Langdana F. Perimortem caesarean section: two cases performed in New Zealand hospitals. Aust N Z J Obstet Gynaecol. 2016;56:662–5.CrossRefPubMed
3.
Zurück zum Zitat Lee CY, Kung SW. Perimortem caesarean section: a case report of an out-of-hospital arrest pregnant woman. World J Emerg Med. 2018;9:70–2.CrossRefPubMedPubMedCentral Lee CY, Kung SW. Perimortem caesarean section: a case report of an out-of-hospital arrest pregnant woman. World J Emerg Med. 2018;9:70–2.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Lanoix R, Akkapeddi V, Goldfeder B. Perimortem cesarean section: case reports and recommendations. Acad Emerg Med. 1995;2:1063–7.CrossRefPubMed Lanoix R, Akkapeddi V, Goldfeder B. Perimortem cesarean section: case reports and recommendations. Acad Emerg Med. 1995;2:1063–7.CrossRefPubMed
5.
Zurück zum Zitat Wu SH, Li RS, Hwu YM. Live birth after perimortem cesarean delivery in a 36-year-old out-of-hospital cardiac arrest nulliparous woman. Taiwan J Obstet Gynecol. 2019;58:43–5.CrossRefPubMed Wu SH, Li RS, Hwu YM. Live birth after perimortem cesarean delivery in a 36-year-old out-of-hospital cardiac arrest nulliparous woman. Taiwan J Obstet Gynecol. 2019;58:43–5.CrossRefPubMed
6.
Zurück zum Zitat Gatti F, Spagnoli M, Zerbi SM, et al. Out-of-hospital perimortem cesarean section as resuscitative hysterotomy in maternal posttraumatic cardiac arrest. Case Rep Emerg Med. 2014;2014:121562.PubMedPubMedCentral Gatti F, Spagnoli M, Zerbi SM, et al. Out-of-hospital perimortem cesarean section as resuscitative hysterotomy in maternal posttraumatic cardiac arrest. Case Rep Emerg Med. 2014;2014:121562.PubMedPubMedCentral
7.
Zurück zum Zitat Engels PT, Caddy SC, Jiwa G, et al. Cardiac arrest in pregnancy and perimortem cesarean delivery: case report and discussion. CJEM. 2011;13:399–403.CrossRefPubMed Engels PT, Caddy SC, Jiwa G, et al. Cardiac arrest in pregnancy and perimortem cesarean delivery: case report and discussion. CJEM. 2011;13:399–403.CrossRefPubMed
8.
Zurück zum Zitat Battaloglu E, Porter K. Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section. Emerg Med J. 2017;34:326–30.CrossRefPubMed Battaloglu E, Porter K. Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section. Emerg Med J. 2017;34:326–30.CrossRefPubMed
9.
Zurück zum Zitat Tang G, Nada W, Gyaneshwar R, et al. Perimortem Caesarean section: two case reports and a management protocol. Aust N Z J Obstet Gynaecol. 2000;40:405–8.CrossRefPubMed Tang G, Nada W, Gyaneshwar R, et al. Perimortem Caesarean section: two case reports and a management protocol. Aust N Z J Obstet Gynaecol. 2000;40:405–8.CrossRefPubMed
10.
Zurück zum Zitat Yao FX, Ding HQ. The etiology of maternal cardiopulmonary arrest is highly associated with outcomes of perimortem cesarean section. Taiwan J Obstet Gynecol. 2020;59:170.CrossRefPubMed Yao FX, Ding HQ. The etiology of maternal cardiopulmonary arrest is highly associated with outcomes of perimortem cesarean section. Taiwan J Obstet Gynecol. 2020;59:170.CrossRefPubMed
11.
Zurück zum Zitat Saha R. Perimortem caesarean delivery. Kathmandu Univ Med J. 2007;5:534–7. Saha R. Perimortem caesarean delivery. Kathmandu Univ Med J. 2007;5:534–7.
12.
Zurück zum Zitat Aronsohn J, Danzer B, Overdyk F, et al. Perimortem cesarean delivery in a pregnant patient with goiter, preeclampsia, and morbid obesity. A A Case Rep. 2015;4:41–3.CrossRefPubMed Aronsohn J, Danzer B, Overdyk F, et al. Perimortem cesarean delivery in a pregnant patient with goiter, preeclampsia, and morbid obesity. A A Case Rep. 2015;4:41–3.CrossRefPubMed
13.
Zurück zum Zitat Pecher S, Williams E. Out-of-hospital cardiac arrest in pregnancy with good neurological outcome for mother and infant. Int J Obstet Anesth. 2017;29:81–4.CrossRefPubMed Pecher S, Williams E. Out-of-hospital cardiac arrest in pregnancy with good neurological outcome for mother and infant. Int J Obstet Anesth. 2017;29:81–4.CrossRefPubMed
14.
Zurück zum Zitat Vencken PMLH, Hooff MHA van, Weiden RMF van der. Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training? BJOG. 2010;117(13):1664–5.CrossRefPubMed Vencken PMLH, Hooff MHA van, Weiden RMF van der. Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training? BJOG. 2010;117(13):1664–5.CrossRefPubMed
15.
Zurück zum Zitat McDonnell NJ. Cardiopulmonary arrest in pregnancy: two case reports of successful outcomes in association with perimortem Caesarean delivery. Br J Anaesth. 2009;103:406–9.CrossRefPubMed McDonnell NJ. Cardiopulmonary arrest in pregnancy: two case reports of successful outcomes in association with perimortem Caesarean delivery. Br J Anaesth. 2009;103:406–9.CrossRefPubMed
16.
Zurück zum Zitat Parry R, Asmussen T, Smith JE. Perimortem caesarean section. Emerg Med J. 2016;33:224–9.CrossRefPubMed Parry R, Asmussen T, Smith JE. Perimortem caesarean section. Emerg Med J. 2016;33:224–9.CrossRefPubMed
Metadaten
Titel
Perimortem Caesarean section because of a live fetus: case report and literature review
verfasst von
Anis Cerovac, MD, phD candidate
Igor Hudić
Dženana Softić
Dubravko Habek
Publikationsdatum
05.05.2021
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 3-4/2023
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-021-00847-5

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