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Perimortem cesarean

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https://www.readbyqxmd.com/read/27465462/cesarean-birth-a-journey-in-historical-trends
#1
Rebecca L Cypher
Thirty years ago seems like yesterday: a time of immense socioeconomic changes, explosion of an "Internet" computer concept, and identification of human immunodeficiency virus. Like all events of the past, transformations in obstetrics developed over time. Cesarean birth can be better understood in a broader context when one considers how the art of obstetric practice has evolved. Cesarean birth progressed from delivering a fetus perimortem or postmortem to a time of operative births that simultaneously juggle a woman's safety, satisfaction, and freedom of choice concerning birth options...
July 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27382806/perimortem-cesarean-delivery
#2
EDITORIAL
Anis Baraka
No abstract text is available yet for this article.
February 2016: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/27372376/care-of-the-critically-ill-pregnant-patient-and-perimortem-cesarean-delivery-in-the-emergency-department
#3
Megan E Healy, Dana E Kozubal, Amanda E Horn, Gary M Vilke, Theodore C Chan, Jacob W Ufberg
BACKGROUND: Maternal resuscitation in the emergency department requires planning and special consideration of the physiologic changes of pregnancy. Perimortem cesarean delivery (PMCD) is a rare but potentially life-saving procedure for both mother and fetus. Emergency physicians should be aware of the procedure's indications and steps because it needs to be performed rapidly for the best possible outcomes. OBJECTIVE: We sought to review the approach to the critically ill pregnant patient in light of new expert guidelines, including indications for PMCD and procedural techniques...
August 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27211568/maternal-collapse-challenging-the-four-minute-rule
#4
M D Benson, A Padovano, G Bourjeily, Y Zhou
INTRODUCTION: The current approach to, cardiopulmonary resuscitation of pregnant women in the third trimester has been to adhere to the "four-minute rule": If pulses have not returned within 4min of the start of resuscitation, perform a cesarean birth so that birth occurs in the next minute. This investigation sought to re-examine the evidence for the four-minute rule. METHODS: A literature review focused on perimortem cesarean birth was performed using the same key words that were used in formulating the "four-minute rule...
April 2016: EBioMedicine
https://www.readbyqxmd.com/read/26334607/guidelines-for-the-management-of-a-pregnant-trauma-patient
#5
Venu Jain, Radha Chari, Sharon Maslovitz, Dan Farine, Emmanuel Bujold, Robert Gagnon, Melanie Basso, Hayley Bos, Richard Brown, Stephanie Cooper, Katy Gouin, N Lynne McLeod, Savas Menticoglou, William Mundle, Christy Pylypjuk, Anne Roggensack, Frank Sanderson
OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26212180/challenging-the-4-to-5-minute-rule-from-perimortem-cesarean-to-resuscitative-hysterotomy
#6
REVIEW
Carl H Rose, Arij Faksh, Kyle D Traynor, Daniel Cabrera, Katherine W Arendt, Brian C Brost
Although perimortem delivery has been recorded in the medical literature for millennia, the procedural intent has evolved to the current fetocentric approach, predicating timing of delivery following maternal cardiopulmonary arrest to optimize neonatal outcome. We suggest a call to action to reinforce the concept that if the uterus is palpable at or above the umbilicus, preparations for delivery should be made simultaneous with initiation of maternal resuscitative efforts; if maternal condition is not rapidly reversible, hysterotomy with delivery should be performed regardless of fetal viability or elapsed time since arrest...
November 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25689359/perimortem-cesarean-delivery-in-a-pregnant-patient-with-goiter-preeclampsia-and-morbid-obesity
#7
Judith Aronsohn, Brett Danzer, Frank Overdyk, Adam Roseman
Cardiopulmonary arrest during pregnancy is a devastating event necessitating rapid intervention from experienced practitioners to reduce the incidence and severity of adverse maternal and fetal outcomes. Perimortem cesarean delivery is rarely performed within the recommended time frame to meet these goals. We describe a case of a successful perimortem cesarean delivery after the "4-minute rule" in a morbidly obese parturient with goiter and preeclampsia.
February 15, 2015: A & A Case Reports
https://www.readbyqxmd.com/read/25530891/out-of-hospital-perimortem-cesarean-section-as-resuscitative-hysterotomy-in-maternal-posttraumatic-cardiac-arrest
#8
Francesca Gatti, Marco Spagnoli, Simone Maria Zerbi, Dario Colombo, Mario Landriscina, Fulvio Kette
The optimal treatment of a severe hemodynamic instability from shock to cardiac arrest in late term pregnant women is subject to ongoing studies. However, there is an increasing evidence that early "separation" between the mother and the foetus may increase the restoration of the hemodynamic status and, in the cardiac arrest setting, it may raise the likelihood of a return of spontaneous circulation (ROSC) in the mother. This treatment, called Perimortem Cesarean Section (PMCS), is now termed as Resuscitative Hysterotomy (RH) to better address the issue of an early Cesarean section (C-section)...
2014: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/25472736/impact-of-fire-drill-training-and-dedicated-obstetric-resuscitation-code-in-improving-fetomaternal-outcome-following-cardiac-arrest-in-a-tertiary-referral-hospital-setting-in-singapore
#9
Radha Pandian, Manisha Mathur, Deepak Mathur
Cardiac arrest in pregnancy is a rare but catastrophic obstetric emergency, with a quoted incidence of 1:20,000 pregnancies. Speedy multidisciplinary interventions are crucial for good maternal and foetal outcomes. A perimortem caesarean section (PMCS) initiated within 4 min of onset of cardiac arrest to minimise the effect of aortocaval compression on cardiopulmonary resuscitation (CPR) has been recommended as a key intervention, which is likely to improve survival of both mother and foetus. Sudden collapse is uncommon in pregnant women and their management is more challenging than in a non-pregnant patient...
April 2015: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25403036/trauma-in-pregnancy-assessment-management-and-prevention
#10
Neil J Murphy, Jeffrey D Quinlan
Trauma complicates one in 12 pregnancies, and is the leading nonobstetric cause of death among pregnant women. The most common traumatic injuries are motor vehicle crashes, assaults, falls, and intimate partner violence. Nine out of 10 traumatic injuries during pregnancy are classified as minor, yet 60% to 70% of fetal losses after trauma are a result of minor injuries. In minor trauma, four to 24 hours of tocodynamometric monitoring is recommended. Ultrasonography has low sensitivity, but high specificity, for placental abruption...
November 15, 2014: American Family Physician
https://www.readbyqxmd.com/read/25060654/perimortem-cesarean-section-for-maternal-and-fetal-salvage-concise-review-and-protocol
#11
REVIEW
Lior Drukker, Yael Hants, Einav Sharon, Hen Y Sela, Sorina Grisaru-Granovsky
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...
October 2014: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/24866347/motor-vehicle-injury-in-pregnancy-and-subsequent-feto-maternal-outcomes-of-grave-concern
#12
Rachana Chibber, Jehad Al-Harmi, Mohamed Fouda, Eyad El-Saleh
OBJECTIVES: (1) To evaluate maternal and fetal outcome after motor-vehicle injury during pregnancy. (2) To determine if there was prenatal care provider counseling for seat belt use. METHODS: Retrospective chart analysis of materno-fetal outcome following motor vehicle injury in 728 pregnant women between 2009 and 2012. Women attending antenatal clinics over these years were asked if they were counseled regarding correct seat belt use by prenatal health care providers during their antenatal visits...
March 2015: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/24797653/management-of-cardiac-arrest-in-pregnancy
#13
REVIEW
Farida Jeejeebhoy, Rory Windrim
Cardiac arrest in pregnancy is a rare event in routine obstetric practice, but is increasing in frequency. Resuscitation of cardiac arrest is more complex for pregnant women because of a number of factors unique to pregnancy: the altered physiologic state induced by pregnancy; the requirement to consider both maternal and fetal issues during resuscitation; and the consequent possibility of perimortem caesarean section during resuscitation. These extra considerations create a unique clinical emergency and decision pathway requiring the co-ordinated response of medical, obstetric, and neonatal teams...
May 2014: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/24037747/maternal-cardiac-arrest-in-a-tertiary-care-centre-during-1989-2011-a-case-series
#14
Leyla Baghirzada, Mrinalini Balki
PURPOSE: To review and report maternal and neonatal outcomes after cardiac arrest during pregnancy in a large tertiary care centre and to consider steps to improve the outcomes. CLINICAL FEATURES: We performed a retrospective chart review of maternal cardiac arrest in the Mount Sinai Hospital, University of Toronto health records database for the period 1989-2011. Five cases were identified for an incidence of 1:24,883 deliveries (0.004%). Four of the five women were obese and older than 35 yr...
November 2013: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/23847860/trauma-in-the-pregnant-patient-an-evidence-based-approach-to-management
#15
REVIEW
Kurt A Smith, Suzanne Bryce
The management of acute trauma in the pregnant patient relies on a thorough understanding of the underlying physiology of pregnancy. This issue reviews the evidence regarding important considerations in pregnant trauma patients, including the primary and secondary survey as well as the possibility for Rh exposure, placental abruption, uterine rupture, and the need for a prompt perimortem cesarean section in the moribund patient. Because ionizing radiation is always a concern in pregnancy, the circumstances where testing provides benefits that outweigh risks to the fetus are discussed...
April 2013: Emergency Medicine Practice
https://www.readbyqxmd.com/read/23628258/unfavorable-course-in-pregnancy-associated-thrombotic-thrombocytopenic-purpura-necessitating-a-perimortem-cesarean-section-a-case-report
#16
Ernesto González-Mesa, Isidoro Narbona, Marta Blasco, Isaac Cohen
INTRODUCTION: Thrombotic thrombocytopenic purpura is a type of occlusive thrombotic microangiopathy that is not specific to pregnancy but occurs with an increased frequency during it. Prognosis of thrombotic thrombocytopenic purpura greatly depends on early diagnosis and treatment. As delivery does not generally cause resolution of thrombotic thrombocytopenic purpura, pregnancy termination is not initially considered, especially under 34 weeks, although it may be required under some conditions such as preeclampsia...
2013: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/23610509/postmortem-and-perimortem-cesarean-section-historical-religious-and-ethical-considerations
#17
Hossam E Fadel
Guillimeau was the first to use the term cesarean section (CS) in 1598, but this name became universal only in the 20th century. The many theories of the origin of this name will be discussed. This surgery has been reported to be performed in all cultures dating to ancient times. In the past, it was mainly done to deliver a live baby from a dead mother, hence the name postmortem CS (PMCS). Many heroes are reported to have been delivered this way. Old Jewish sacred books have made references to abdominal delivery...
December 2011: Journal of IMA
https://www.readbyqxmd.com/read/23288030/an-inexpensive-and-novel-model-for-perimortem-cesarean-section
#18
Christopher S Sampson, Nicholas R Renz, Jason C Wagner
INTRODUCTION: Perimortem cesarean section is a rare, time-critical, and potentially life-saving procedure for both the fetus and mother. This makes perimortem cesarean section an ideal and recommended subject for simulation learning and practice. METHODS: Various attempts have been made to produce models to simulate emergency caesarian sections. We designed a cost-effective and easy to assemble model that can be used with any high fidelity simulator.The model was used as part of a simulation education module that is part of resident educational conferences...
February 2013: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/23223106/transport-decreases-the-quality-of-cardiopulmonary-resuscitation-during-simulated-maternal-cardiac-arrest
#19
RANDOMIZED CONTROLLED TRIAL
Steven S Lipman, Jocelyn Y Wong, Julie Arafeh, Sheila E Cohen, Brendan Carvalho
BACKGROUND: The purpose of this study was to compare cardiopulmonary resuscitation (CPR) for simulated maternal cardiac arrest rendered during transport to the operating room with that rendered while stationary in the labor room. We hypothesized that the quality of CPR would deteriorate during transport. METHODS: Twenty-six teams composed of 2 providers (obstetricians, nurses, or anesthesiologists) were randomized to perform CPR on the Laerdal Resusci Anne SkillReporter™ mannequin during transport or while stationary...
January 2013: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/23137405/cardiovascular-disasters-in-pregnancy
#20
Sarah K Sommerkamp, Alisa Gibson
Cardiovascular emergencies in pregnancy are rare but often catastrophic. This article reviews the diagnosis and management of venous thromboembolism, aortic dissection, acquired heart disease and cardiomyopathy, acute myocardial infarction, and cardiac dysrhythmias in the setting of pregnancy. It also reviews updated resuscitation guidelines for cardiac arrest and perimortem cesarean section.
November 2012: Emergency Medicine Clinics of North America
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