Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814.
Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814.
Semin Perinatol. 2018 Feb;42(1):33-38. doi: 10.1053/j.semperi.2017.11.007. Epub 2017 Dec 13.
Cardiac arrest in pregnancy is a rare and frightening event. Although not every obstetrician will encounter cardiac arrest in pregnancy during their career, it is imperative to be prepared to manage this acute emergency. The management is particularly complex due to maternal physiologic changes from pregnancy and the simultaneous management of two patients, the mother and fetus. In 2010, the American Heart Association released their first scientific statement on guidelines for management of cardiac arrest in pregnancy that has since been updated in 2015. All providers who care for pregnant patients should be aware of these guidelines and ready to manage cardiac arrest in pregnancy because correct and timely interventions can affect real world outcomes.
妊娠期间的心搏骤停是一种罕见且可怕的事件。尽管并非每位产科医生在其职业生涯中都会遇到妊娠期间的心搏骤停,但必须做好准备以应对这种急性急症。由于妊娠期间母体的生理变化以及对母亲和胎儿这两个患者的同时管理,因此管理工作特别复杂。2010 年,美国心脏协会发布了其关于妊娠期间心搏骤停管理指南的首份科学声明,此后该指南在 2015 年进行了更新。所有照顾孕妇的医护人员都应了解这些指南,并准备好应对妊娠期间的心搏骤停,因为正确和及时的干预措施可以影响现实世界的结果。