Resuscitation of pregnant woman - 2021

Although cardiac arrest in pregnancy is rare, it can be really unpleasant situation for every doctor. There are a lot of causes, e.g. cardiac failure, bleeding, coagulation disorder or trauma. In this algoritm you can go through basic and advanced life support of mother with emphasis on specifics in resuscitation in pregnancy according to the 2021 ERC quidelines.

cardiac arrest
emergency caesarian section
Published at: 18.9.2023


Martin Doleček, MD, PhD
Head of Emergency Department, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

The presented ALS algorithm captures the very rare situation of circulatory arrest in a parturient with its specificities. This situation is at a certain stage of the algorithm very complicated by the need for emergency equipment of the baby and thus very challenging logistics and synchronization of the entire multidisciplinary team. Here more than in other situations, there is no room for any improvisation. The presented algorithm is based on the 2021 ERC recommendations for CPR in pregnancy.


LOTT, Carsten, et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021, 161:152-219.

TRUHLÁŘ A, DEAKIN CD, SOAR J et al.. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in specialcircumstances. Resuscitation. 2015 Oct;95:148-201. doi: 10.1016/j.resuscitation.2015.07.017. Epub 2015 Oct 15.

EINAV, Sharon. Maternal Resuscitation [přednáška mp4], Berlín: Euroanaesthesia, 2015.

EINAV, Sharon. KAUFMANA, Nechama. SELA Hen Y. Maternal cardiac arrest and perimortem caesarean delivery: Evidence or expert-based? Resuscitation 2015;83: 1191–1200.

LAVECCHIA M, ABENHAIM H. Cardiopulmonary resuscitation of pregnant women in the emergency department. Resuscitation 2015;91:104–7.

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