Primigravida, 38th week of pregnancy, is admitted to the maternity ward of regional hospital with regular uterine contractions every 4 minutes. The membranes break spontaneously. Cervix is dilated at 3 cm. A gynaecological examination and ultrasound is normal. The patient is transferred to the delivery room. Anaesthesiologist provides epidural analgesia. Labour progresses more after the first bolus to epidural catether (0.125 % levobupivacaine 9 mL + sufentanil 5 μg). During the last examination a midwife measured dilation of cervix 7 cm.
Suddenly partner calls a midwife, because woman doesn't react to any insults. An obstetrician comes and diagnoses cardiac arrest. What should obstetrician do next?
What would surgeon do there?
Yes, but before resuscitation team comes, it is necessary to perform basic life support. Every doctor should manage it.
Correctly performed CPR during cardiac arrest is essential to return of spontaneous circulation. Resuscitation team is made up of doctors, nurses etc., who are qualified to save life of mother and fetus - MET call team/anaesthesiologist and nurse - according to the conventions of each hospital.
No, the obstetrician should urgently perform basic life support and think about newborn care, i.e. call neonatologist.