Two cases of low birth weight infant survival by prehospital emergency hysterotomy

Show full item record



Permalink

http://hdl.handle.net/10138/203393

Citation

Tommila , M , Pystynen , M , Soukka , H , Aydin , F & Rantanen , M 2017 , ' Two cases of low birth weight infant survival by prehospital emergency hysterotomy ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 25 , 62 . https://doi.org/10.1186/s13049-017-0407-8

Title: Two cases of low birth weight infant survival by prehospital emergency hysterotomy
Author: Tommila, Miretta; Pystynen, Mikko; Soukka, Hanna; Aydin, Fatih; Rantanen, Matias
Contributor organization: Department of Diagnostics and Therapeutics
Clinicum
Date: 2017-07-03
Language: eng
Number of pages: 5
Belongs to series: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
ISSN: 1757-7241
DOI: https://doi.org/10.1186/s13049-017-0407-8
URI: http://hdl.handle.net/10138/203393
Abstract: Background: During maternal cardiac arrest, emergency hysterotomy (EH) is recommended after four minutes of resuscitation, if no signs of spontaneous circulation are detected. This extreme procedure is believed to be potentially beneficial for both the mother and the infant. Both maternal and neonatal survivals seem to be associated to the time delay between the cardiac arrest and the delivery and in-hospital resuscitation location. In addition to this, gestational age is an important determinant to neonatal outcome. Case presentation: We report two emergency hysterotomies executed in an out-of-hospital location. The infants delivered by EH were low birth weight infants and born 20-23 min after maternal cardiac arrest. Both infants survived and had normal physical and neurological growth at the age of two years. Unfortunately, mothers in these both cases died in the field. Conclusion: Contrary to earlier beliefs, it is possible to perform a successful EH also in out-of-hospital setting, even with incomplete surgical skills. However, training and preparation are extremely important for achieving the highest possible readiness to treat maternal cardiac arrest situations also prehospitally.
Subject: Perimortem caesarean delivery
Resuscitative hysterotomy
Prehospital emergency hysterotomy
Maternal cardiac arrest
PERIMORTEM CESAREAN DELIVERY
RESUSCITATION COUNCIL GUIDELINES
MATERNAL CARDIAC-ARREST
SPECIAL CIRCUMSTANCES
SECTION
PREGNANCY
MANAGEMENT
TRAUMA
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


Files in this item

Total number of downloads: Loading...

Files Size Format View
s13049_017_0407_8.pdf 368.2Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record