Disposition

The presence of experienced obstetricians, anesthesiologists, and pediatricians or neonatologists will facilitate the care of pregnant patients with cardiac arrest. However, none of the required care and procedures should be delayed if these specialists are not available. When trained staff are available to perform external fetal tococardiography without diverting care from the mother, it should be provided for pregnancies beyond 20 weeks' gestation. If this technology is not available or personnel are limited, the often-quoted maxim "Maternal resuscitation is the best fetal resuscitation" should be kept in mind. The closest center providing neonatal services should be contacted as soon as possible to facilitate rapid transport of the newly delivered infant.

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