PT  - JOURNAL ARTICLE
AU  - Tambawala, Zenab Yusuf
AU  - Cherawala, Masuma
AU  - Maqbool, Sadia
AU  - Hamza, Lama Khalid
TI  - Resuscitative hysterotomy for maternal collapse in a triplet pregnancy
AID  - 10.1136/bcr-2020-235328
DP  - 2020 Jul 01
TA  - BMJ Case Reports
PG  - e235328
VI  - 13
IP  - 7
4099  - http://casereports.bmj.com/content/13/7/e235328.short
4100  - http://casereports.bmj.com/content/13/7/e235328.full
SO  - BMJ Case Reports2020 Jul 01; 13
AB  - We encountered a 47-year-old woman, at 35 weeks of gestation, carrying triplets, who attended the hospital with severe pre-eclampsia and at admission had eclamptic fit followed by cardiac arrest. Cardiopulmonary resuscitation was started when she did not respond to initial measures; resuscitative hysterotomy was started on the site of collapse immediately, within 4 min postarrest, to deliver the triplets within 5 min postmaternal cardiac arrest. Timely decision of resuscitative hysterotomy done primarily to restore maternal cardiac output due to a grossly gravid uterus saved the mother and the triplets. With increasing maternal age and use of in vitro fertilisation resulting in multiple pregnancies, maternal comorbidities are more likely. These could result in maternal collapse in which case timely resorting to resuscitative hysterotomy can make survival of mother and feti more likely.