Key result
Cardiopulmonary resuscitation combined with left lateral tilt and completion of a perimortem caesarean section resulted in the successful survival of a morbidly obese mother and delivery of a healthy baby.
Why the study?
Severe hypotension after spinal anaesthesia, aortocaval compression, and morbid obesity during caesarean section can cause cardiac arrest, requiring high skill and readiness for perimortem caesarean section.
Case Report (n=1)
No
Highlights the importance of prompt CPR, left lateral tilt, and perimortem caesarean section in managing cardiac arrest in morbidly obese parturient women.
Highlights the critical need for multidisciplinary resuscitation readiness in morbidly obese parturients; leaves open the optimal.
During a caesarean section (CS), severe hypotension following spinal anaesthesia, aortocaval compression, and morbid obesity may cause a decrease in cardiac output resulting in cardiac arrest. Cardiopulmonary resuscitation during CS is stressful for all the attending team, which mandates the importance of a high level of skill and readiness to perform perimortem CS. Reported here is a case of 36-year-old, full-term, morbidly obese parturient female who developed cardiac arrest during an emergency CS under spinal anaesthesia before delivery of the baby. Cardiopulmonary resuscitation was performed and enhanced with resuming of left lateral tilt and completion of perimortem CS. A healthy baby was delivered, and the operation was completed with good homeostasis.
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Ejaimi et al. (2020) conducted a case report in Cardiac arrest during caesarean section (n=1). Cardiopulmonary resuscitation and perimortem caesarean section was evaluated on Maternal and fetal survival. Cardiopulmonary resuscitation combined with left lateral tilt and completion of a perimortem caesarean section resulted in the successful survival of a morbidly obese mother and delivery of a healthy baby.
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