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KMID : 0606620080040010003
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Korean Journal of Fetal Medicine
2008 Volume.4 No. 1 p.3 ~ p.12
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Postmortem Cesarean Section
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Seo Yong-Soo
Han Du-Young
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Abstract
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Many obstetrician might be reluctant to deliver a fetus when there has been prolonged maternal cardiac arrest, with the prospect of the double tragedy of the remaining partner being left to bring up a severely handicapped child. In previous centuries low infant survival rates led to negative opinions regarding the operation’s usefulness. But a review of the recent past centuries’ cases and a review of fetal physiology suggest that to obtain optimum infant survival, cesarean delivery should be initiated within four minutes of maternal cardiac arrest. The physiology of cardiopulmonary resuscitation during pregnancy is analyzed, and recent cases of maternal cardiac arrest with successful maternal resuscitation are reviewed. This data suggests that postmortem or perimortem cesarean delivery initiated within four minutes of maternal cardiac arrest will yield the highest rates of fetal and maternal survival. Legal liability from the operation is minimal.
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KEYWORD
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Cesarean section, Postmortem
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