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Federación Mexicana de Ginecología y Obstetricia, A.C.

2020, Number 10

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Ginecol Obstet Mex 2020; 88 (10)

Blue Code, resuscitative hysterotomy on a term pregnancy: a case report

Cuesta-Galindo MG, Ruvalcaba-Carrillo R, Colín-Cortes HM, Yáñez-Torres JJO, Camarillo-Contreras OO, Bravo-Aguirre DE

Language: Spanish
References: 15
Page: 700-706
PDF size: 198.98 Kb.


ABSTRACT

Background: Cardiorespiratory arrest during pregnancy is a rare event that occurs in 1 in 12,500 to 30,000 pregnancies, with a survival rate of 17-59%.
Clinical case: We report the case of a 23-year-old female patient, late-term pregnancy and labor. During labor conduction and after spinal analgesia, she presented cardiorespiratory arrest. After the start of basic resuscitation maneuvers, monitoring, and confirmed asystole, advanced maneuvers were started, culminating at 4 minutes with resuscitation hysterotomy and a subsequent spontaneous return of circulation. The patient required immediate post-arrest cares with follow-up and management in the intensive obstetric care unit for one month, after which the patient was discharged with minimal compromise of her superior mental functions; after 3 months of out clinic follow-up, the patient was healthy and her superior functions deemed to have been fully restored.
Conclusions: Due to the ethical implications and characteristics of the pathology, there are no experimental models to establish measures during cardiopulmonary resuscitation in pregnancy, they are developed based on the review of clinical cases and the study of cardiovascular physiology during pregnancy. In this case report, we conclude that adhering to the established recommendations were associated with a good outcome and prognosis for both mother and child.


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