Warraich Q, Esen U
Department of Obstetrics and Gynaecology, South Tyneside Hospital, South Shields, UK.
J Obstet Gynaecol. 2009 Nov;29(8):690-3. doi: 10.3109/01443610903165511.
Perimortem caesarean section (PCS) is a rare event often resulting in high mortality of mother and/or fetus. It represents a tragedy for the mother and the family and a crisis for the healthcare professionals managing such a case. This paper seeks to raise awareness of the pertinent issues surrounding PCS and challenges care providers to put in place procedures to deal with this catastrophic event. It also reviews the historical perspective of PCS, maternal physiology during cardiopulmonary resuscitation (CPR), prognostic factors for maternal and fetal wellbeing, techniques of PCS, survival for mother and baby and the medico legal aspects of PCS.
濒死剖宫产(PCS)是一种罕见事件,常常导致母亲和/或胎儿的高死亡率。它对母亲及其家庭而言是一场悲剧,对处理此类病例的医护人员来说则是一场危机。本文旨在提高对PCS相关问题的认识,并促使护理人员制定应对这一灾难性事件的程序。同时,本文还回顾了PCS的历史背景、心肺复苏(CPR)期间的母体生理状况、母婴健康的预后因素、PCS技术、母婴存活率以及PCS的法医学方面。