![]() Which of the following are potential causes of collapse and/or cardiac arrest in the pregnant woman? (True or False) On talking to the midwife you discover that the patient initially complained of difficulty breathing and then appeared to lose consciousness and have a seizure.Ģ. This is soon followed by return of spontaneous respiratory effort and some purposeful movement in the upper limbs. Causes specific to pregnancy are likely to be responsibleĪpproximately 2 minutes later a palpable pulse is restored corresponding with a sinus tachycardia on the defibrillation monitor.Transfer to the nearest operating theatre for a peri-mortem caesarean delivery if there is no response to CPR after 4 minutes.Remove fetal monitoring devices prior to defibrillation.Secure the airway early because of a higher risk of aspiration.Apply lateral tilt or manual uterine displacement if over 20 weeks gestation.Which of the following are key differences in the resuscitation of pregnant women? (True or False) The defibrillation pads are just being applied.ġ. ![]() She is not making any respiratory effort and no pulse is detectable. ![]() On arrival you find the response team performing CPR on a 35 year old parturient (G 2P 0) of 41 weeks and 6 days gestation who presented in spontaneous labour earlier in the day. The answers can be found at the end of the article.Īs the anaesthetist covering the delivery suite you are called to attend urgently because a patient has just collapsed. This scenario is based on an actual case report of an amniotic fluid embolism. Before reading this tutorial, try to answer the questions found within the following scenario. ![]()
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