RT Journal Article
SR Electronic
T1 Resuscitative hysterotomy for maternal collapse in a triplet pregnancy
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e235328
DO 10.1136/bcr-2020-235328
VO 13
IS 7
A1 Tambawala, Zenab Yusuf
A1 Cherawala, Masuma
A1 Maqbool, Sadia
A1 Hamza, Lama Khalid
YR 2020
UL http://casereports.bmj.com/content/13/7/e235328.abstract
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.