TABLE 122 Algorithm for Cardiopulmonary Resuscitation in Pregnant Patients

Five factors have been suggested as important to improving the chance of fetal survival when the mother suffers cardiac arrest: gestational age greater than 28 weeks or fetal weight greater than 1 kg, short interval between maternal death and delivery, a cause of maternal death not related to chronic hypoxia, fetal status before maternal death, availability of neonatal intensive care facilities, and quality of maternal resuscitation. «I3

The role of open chest cardiopulmonary resuscitation (OCCPR) remains unclear. There is some evidence that early thoracotomy and open chest cardiac massage may improve both maternal and fetal outcome. If, after several minutes of external CPR (15 min has been suggested), a pregnant woman has failed to achieve return of spontaneous circulation, OCCPR should be considered.

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