Year :
2020
| Month :
November
| Volume :
14
| Issue :
11
| Page :
QD06 - QD07
Full Version
Safe Motherhood after Cardiopulmonary
Resuscitation in a Term Pregnancy with
Eclampsia: A Maternal Near Miss
Published: November 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/45297.14210
Ruby Bhatia, Rohan Bhatia, Vartika Pathak, Sunita Mor, Surbhi Gupta
1. Head, Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Haryana, India.
2. Assistant Professor, Department of Anaesthesia, HIHT, Dehradun, Uttarakhand, India.
3. Postgraduate Student, Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Haryana, India.
4. Assistant Professor, Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Haryana, India.
5. Assistant Professor, Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Haryana, India.
Correspondence Address :
Vartika Pathak,
I Block, Room Number 239, Mullana, Haryana, India.
E-mail: vartika.pathak.1609@gmail.com
Abstract
Cardiac arrest in a term pregnancy is rare with a survival rate of 15-20% and mortality rate as high as 42%. Eclampsia, amniotic fluid embolism, haemorrhagic shock, sepsis, pulmonary thromboembolic events, and anaesthetic complications are significant causes of cardiac arrest. We report a rarest case of a young 26-year-old unbooked primigravida, 38+4 weeks gestation with eclampsia, HELLP syndrome, thrombocytopenia with sudden cardiac arrest-A Maternal Near Miss. Prompt resuscitation with obstetric, and anaesthetist specialist team, paved the journey to safe motherhood. An emergency Lower Segment Caesarean Section (LSCS) immediately after Cardiopulmonary Resuscitation (CPR) was performed. Ventilator support was continued for 72 hours. Successful CPR and immediate caesarean section paved the way to safe motherhood with discharge of healthy mother and baby on 12th post LSCS day. With increasing trends towards high-risk pregnancy and maternal near miss cases, a thorough knowledge in the management of cardiac arrest in pregnancy with advanced resuscitation skills among obstetricians, anaesthetists, and nursing staff is need of the millennium. Repeated simulation learning and mock drills in CPR in pregnancy should be advocated.
Keywords
Caesarean section, Cardiac arrest, Cardiopulmonary resuscitation
DOI: 10.7860/JCDR/2020/45297.14210
Date of Submission: Jun 01, 2020
Date of Peer Review: Jun 22, 2020
Date of Acceptance: Sep 19, 2020
Date of Publishing: Nov 01, 2020
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 02, 2020
• Manual Googling: Sep 19, 2020
• iThenticate Software: Oct 24, 2020 (10%)
ETYMOLOGY: Author Origin
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