What is the time period for perimoem cesarean section in pregnant female with cardiac arrest?
If we are doing resuscitation of a pregnant female in cardiac arrest and no successful in return of spontaneous circulation within 4 min then we have to go for perimoem cesarean section. If attempts at maternal resuscitation fail, consider immediate cesarean section. Gestational age greater than 23 weeks is the recommended cut-off for immediate delivery. A fetus younger than 23 weeks has an extremely poor prognosis. Such instances of perimoem delivery are rare, and the chances of fetal survival are generally poor. The earlier the fetus is delivered following maternal arrest the better is the fetal survival. Delivery should be conducted in the mother's current location; transpoation to an operating room wastes valuable time. Cesarean section should be performed no later than 4 minutes after initial maternal arrest. A fetus delivered within 5 min from initiation of CPR has the best chance for survival. Deliveries occurring more than 5 min after cardiopulmonary arrest are unlikely to result in a normal ble infant. Resuscitative effos should continue during preparation for, and throughout, delivery of the fetus. Delivery of the fetus sometimes results in maternal recovery due to release of vena caval compression and improved cardiac return.
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Cardiopulmonary Cerebral Resuscitation