Prehosp Emerg Care. 2020 Jul-Aug;24(4):595-599. doi: 10.1080/10903127.2019.1671563. Epub 2019 Oct 11.
Cardiac arrest in pregnancy is rare. It has a reported incidence of approximately 1 in 30000 pregnancies worldwide and occurs prehospitally with rates of around 3 in every 100000 live births within the developed world. The management of maternal cardiac arrest is complicated by the anatomical and physiological changes of pregnancy, its rarity and clinician unfamiliarity. The presentation and the prehospital environment can make for an incredibly challenging, stressful and highly emotive scene. One aspect of maternal cardiac arrest management is the perimortem cesarean section, a surgical procedure that is potentially lifesaving for both mother and child. Although rarely reported in the field it is possible to successfully perform the procedure. This report details the emergent prehospital treatment of a 41-year-old woman pregnant with her first child of 30 weeks gestation. It describes a case of maternal cardiac arrest, her resuscitation and the undertaking of a prehospital perimortem cesarean section resulting in a neurologically intact infant survivor.
妊娠期间的心搏骤停较为罕见。据报道，全球每 30000 例妊娠中约有 1 例，在发达国家，每 100000 例活产中约有 3 例发生在院前。妊娠的解剖和生理变化、其罕见性以及临床医生的不熟悉使得孕产妇心搏骤停的管理变得复杂。孕产妇心搏骤停的表现和院前环境可能会导致令人难以置信的具有挑战性、压力大且高度情绪化的场景。孕产妇心搏骤停管理的一个方面是围产期中止妊娠术，这是一种对母亲和孩子都有潜在救生作用的手术。尽管在该领域很少有报道，但该手术是可以成功实施的。本报告详细介绍了一位 41 岁的女性的紧急院前治疗，她怀的是第一个孩子，妊娠 30 周。描述了一例孕产妇心搏骤停、复苏以及在院前进行围产期中止妊娠术，最终成功分娩出了一名神经功能完好的婴儿幸存者。
