Morau E, Beaumont E, Verspyck E
Département d'anesthésie-réanimation, CHU de Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34090 Montpellier, France.
Service de gynécologie-obstétrique et de médecine légale, centre hospitalier de polynésie française, 98713 Tahiti Papeete, France.
Gynecol Obstet Fertil Senol. 2017 Dec;45(12S):S81-S83. doi: 10.1016/j.gofs.2017.10.020. Epub 2017 Nov 11.
Sudden death is defined as unexpected cardiac arrest occurring less than one hour after the onset of the first symptoms. Between 2010 and 2012, 23 maternal deaths were considered as unexplained sudden deaths and three of them were not evaluated due to a lack of clinical data. In addition, 13 maternal deaths with an identified cause occurred in a clinical context of sudden death (7 cases of pulmonary embolism, 2 cases of epilepsy, and 2 cases of cardiomyopathy). The first maneuvers of resuscitation in the presence of bystanders were attempted in 8 of 22 cases (36%). This emphasizes the importance of teaching the non-medical resuscitation modalities of cardiac arrest in pregnant women. Pregnant women must receive accurate resuscitation as the whole population. An autopsy was performed in 10 of 33 cases (30%) and was considered incomplete in 3 patients. This result emphasizes the necessity to perform a systematic and specialized autopsy in the context of sudden maternal death, which is mostly unexplained.
猝死定义为首发症状出现后不到一小时内发生的意外心脏骤停。2010年至2012年间，23例孕产妇死亡被视为不明原因的猝死，其中3例因缺乏临床数据未进行评估。此外，在猝死的临床背景下发生了13例已查明死因的孕产妇死亡（7例肺栓塞、2例癫痫和2例心肌病）。22例中有8例（36%）在有旁观者在场的情况下尝试了最初的复苏操作。这凸显了对孕妇进行心脏骤停非医疗复苏方式培训的重要性。孕妇必须和全体人群一样接受准确的复苏。33例中有10例（30%）进行了尸检，3例患者的尸检被认为不完整。这一结果强调了在孕产妇猝死（大多原因不明）的情况下进行系统和专业尸检的必要性。
