Maternal collapse in high-income countries is increasingly driven by cardiovascular disease, requiring proactive cardio-obstetric risk stratification and adherence to pregnancy-adapted resuscitation protocols including resuscitative hysterotomy.
Maternal collapse demands immediate recognition, pregnancy-specific clinical protocols, and decisive consideration of resuscitative hysterotomy if the initial response proves inadequate. Maternal and neonatal survival is contingent upon skilled clinicians and readily available equipment. Clinical responses and system preparedness are required to adapt to the local causes of maternal decompensation and collapse [1,2]. The aetiology of maternal collapse varies across the world. Haemorrhage remains the leading cause of maternal death worldwide, followed by indirect causes and hypertensive disorders. However, the relative proportions differ markedly by geographical region: haemorrhage predominates in sub-Saharan Africa and parts of Western Asia and Northern Africa, whilst hypertensive disorders represent the leading cause in Latin America and the Caribbean. Effective obstetric emergency capabilities are required across all healthcare settings [3].
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Tucker et al. (2025) studied this question.
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