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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4
th
International Conference on
Cardiopulmonary life support for pregnant patient
Kulkarni Sadhana Sudhir
M G M Medical college and Hospital, India
T
he prevalence of cardiac arrest in pregnant women varies
from 1/20,000 to 1/50,000 pregnancies. Hemorrhage,
cardiac disorders, amniotic fluid and thromboembolism,
sepsis are common causes of arrest. Treatment is challenging
and special as it involves two patients, the mother and
the fetus. Increased susceptibility in mother is due to
physiological changes during pregnancy. Mother poorly
tolerates hypoxia as there are changes in airway and increase
in oxygen requirement. Basic and advanced cardiac life
support algorithms should be implemented; however, the
physiologic and anatomic changes of pregnancy require
some modifications to these protocols. Early endotracheal
intubation by an expert, left lateral tilt, perimortem
caesarian section within 5 minutes after detection of
arrest are necessary. Intra myometrial administration of
10 units oxytocin is an effective alternative to intravenous
infusion. Which can produce significant cardiovascular
collapse. An emergency cesarean delivery kit should be a
part of emergency cart in labor room and obstetric ICU.
Simultaneously, factors contributing to cardiac arrest should
be treated promptly. Consideration of cardiopulmonary
bypass can help for amniotic fluid embolism. By saving life
of mother, life of neonate can also be saved. Teamwork of
obstetrician, Anesthesiologist, neonatologist, cardiologist and
sometimes cardiothoracic surgeon is key to success. Cardiac
arrest is preventable in at least 50% patients, if the clinical
problem is treated in time.
e
:
kulkarnisadhana@yahoo.comRes Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-009