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Resuscitative hysterotomy is the emergent delivery of a foetus from a mother in cardiac arrest to improve the outcomes of both the mother and foetus.

Questions covered include:

• Is the 4 minute rule really valid?
• What are the technical steps in performing the procedure?

Join us at The Procedures Course in Melbourne to practice this and other life and limb saving procedures.

 

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Further Reading »

American Heart Association (2015) Cardiac Arrest in Pregnancy – A Scientific Statement from the American Heart Association. 132; 1747 – 1773 (free access)

Katz VK, Balderston K, DeFreest M (2005) Peri mortem caesarean section: Were our assumptions correct. American Journal Obstetrics and Gynaecology, 192, 1916-1921

Rose CH, Fakash A, Traynor KD, Cabrera D, Arendt K and Brost BC (2016). Challenging the 4- to 5- minute rule: from peri mortem caesarean section to resuscitative hysterotomy. American Journal Obstetrics and Gynaecology, 215 (1), 129-131

Dijkman A, Huisman CMA, Smit M, Schutte JM, Zwart JJ, Van Roosmalen JJ and Oepkes D (2010). Cardiac arrest in pregnancy: increasing use of peri mortem caesarean section due to emergency skills training. British Journal of Obstetrics and Gynaecology, 111 (3), 282-287 (free access)

Einav S, Kaufamn N and Sela HY (2012). Maternal cardiac arrest and peri mortem caesarean delivery: Evidence or expert-based? Resuscitation, 83, 1191 - 1200

EMUpdates - Perimortem Cesarean Section in the Emergency Department

EMCrit Wee - Perimortem C-Section