Complications may occur from standard resuscitation. Maternal problems secondary to CPR include liver lacerations, uterine rupture, hemothorax, and hemopericardium. Fetal complications include cardiac dysrhythmias from maternal defibrillation and ACLS drugs, central nervous system toxicity from ACLS drugs, and altered uteroplacental blood flow from maternal hypoxia, acidosis, and vasoconstriction. Despite all of the aforementioned problems, standard ACLS protocols, with the addition of a pelvic tilt, are still the standard of care in resuscitating pregnant patients. The ultimate goal is to oxygenate the mother, and in turn the fetus, and achieve return of spontaneous circulation as soon as possible.
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