Successful Management and Birth After Perimortem Cesarean Delivery and Stillbirth Due to Anaphylaxis

Kurume Med J. 2023 Nov 30;69(1.2):115-117. doi: 10.2739/kurumemedj.MS6912005. Epub 2023 Aug 7.

Abstract

Perimortem cesarean delivery is an effective procedure for cardiopulmonary resuscitation during pregnancy. However, there are no reports documenting long-term outcomes in perimortem cesarean delivery survivors. This may be the first report of a successful live birth, occurring two years after perimortem cesarean delivery. A 29-year-old primipara was transferred to the emergency center on account of cardiopulmonary arrest, at 33 weeks of gestation. She was resuscitated 47 min after cardiopulmonary arrest by perimortem cesarean delivery amongst other treatment modalities, although the fetus died. Two months later, she was discharged with a preserved uterus, and no neurological damage. The couple suffered from posttraumatic stress disorder, which they overcame with the support of the multidisciplinary team, then gave birth to a healthy baby 2 years later. To overcome cardiopulmonary arrest during pregnancy, a seamless approach by a multidisciplinary team is essential for a good patient outcome.

Keywords: anaphylaxis; long-term outcome; multidisciplinary team support; perimortem cesarean delivery; posttraumatic stress disorder.

MeSH terms

  • Adult
  • Anaphylaxis*
  • Cardiopulmonary Resuscitation* / methods
  • Female
  • Heart Arrest* / etiology
  • Heart Arrest* / therapy
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / therapy
  • Stillbirth