Perimortem Cesarean Section in a Patient with Intrapartum Cardiorespiratory Arrest Due to a Massive Amniotic Fluid Embolism

Abstract

We report and discuss the case of a 29-year-old tercigravida with intrapartum cardiorespiratory arrest due to a massive amniotic fluid embolism and disseminated intravascular coagulopathy. Perimortem caesarean section with B-Lynch compression uterine suture with simultaneous fetal and maternal resuscitation were performed with a favorable outcome for both the mother and the child.

Key words

perimortem caesarean section - cardiorespiratory arrest - amniotic fluid embolism

Publikationsverlauf

Eingereicht: 21. November 2021

Angenommen nach Revision: 29. Dezember 2021

Artikel online veröffentlicht:
16. Februar 2022

• References

• 1 Davies S. Amniotic fluid embolus: a review of the literature. Can J Anaesth 2001; 48: 88-98
• 2 Fletscher SJ, Parr MJ. Amniotic fluid embolism: a case report and review. Resuscitation 2000; 43: 141-146
• 3 Habek D, Končar M, Ivičević-Bakulić T. et al. Cardiopulmonary arrest during delivery. Gynaecol Perinatol 1998; 7: 37-38
• 4 Kretzschmar M, Zahm DM, Remmler K. et al. Pathophysiological and therapeutic aspects of amniotic fluid embolism (anaphylactoid syndrome of pregnancy): case report with lethal outcome and overview. Anaesthesist 2003; 52: 419-426
• 5 Yao FX, Ding HQ. The etiology of maternal cardiopulmonary arrest is highly associated with outcomes of perimortem cesarean section. Taiwan J Obstet Gynecol 2020; 59: 170
• 6 Schaap TP, Overtoom E, van den Akker T. et al. Zwart JJ. Maternal cardiac arrest in the Netherlands: A nationwide surveillance study. Eur J Obstet Gynecol Reprod Biol 2019; 237: 145-150
• 7 Ng WM, Lee WF, Cheah SO. et al. Peri-mortem caesarean section after traumatic arrest: Crisis resource management. Am J Emerg Med 2018; 36: 2338
• 8 Katz V, Balderston K, DeFreest M. Perimortem cesarean delivery: were our assumptions correct?. Am J Obstet Gynecol 2005; 192: 1916-1191
• 9 Stehr SN, Liebich I, Kamin G. et al. Closing the gap between decision and delivery – amniotic fluid embolism with severe cardiopulmonary and haemostatic complications with a good outcome. Resuscitation 2007; 74: 377-381
• 10 Lee A, Sheen JJ, Richards S. Intrapartum Maternal Cardiac Arrest: A Simulation Case for Multidisciplinary Providers. MedEdPORTAL 2018; 14: 10768
• 11 De Silva PH, Maharaj D, Langdana F. Perimortem caesarean section: two cases performed in New Zealand hospitals. Aust N Zeal J Obstetr Gynaecol 2016; 56: 662-665