Resuscitation in pregnancy

00:00

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?

He should call pediatrist and surgeon immediately.

Wrong answer

What would surgeon do there?


Back

He should call resuscitation team, neonatologist and cardiologist in case of suspected cardiac arrest.

Wrong answer

Yes, but before resuscitation team comes, it is necessary to perform basic life support. Every doctor should manage it.


Back

He should perform CPR immediately, call resuscitation team, neonatologist and cardiologist in case of suspected cardiac arrest.

Correct answer

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.


Continue

He shouldn't perform CPR, but he must immediately call for resuscitation team.

Wrong answer

No, the obstetrician should urgently perform basic life support and think about newborn care, i.e. call neonatologist.


Back

?

Help

CPR = cardiopulmonary resuscitation;

Video is based on the publication: A simple epidural simulator: a blinded study assessing the 'feel' of loss of resistance in four fruits. Raj D, Williamson RM, Young D, Russell D. Eur J Anaesthesiol. 2013 Jul;30(7):405-8. doi: 10.1097/EJA.0b013e328361409c.×
 
RR

0 bpm

HR

0 bpm

SpO2

not available

BP

not available

ECG

not available

 

Gly

results

ABG

not available

CBC

results

biochemistry

not available