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RDF description of Perimortem cesarean section after severe injury: what you need to know [review] - http://repository.healthpartners.com/individual/document-rn38232
Perimortem cesarean section after severe injury: what you need to know [review]
97
10.1097/ta.0000000000004444
5
2024-12-14T22:07:15.519-06:00
Pregnancy
document-rn38232
Delivery, Obstetric
23546
Critical Care
Injuries
40732
The journal of trauma and acute care surgery
Surgery
public
<p>When pregnant patients are involved in traumatic incidents, the trauma clinician encounters two patients-both the mother and the unborn child. Advanced trauma life support dictates that the first priority is the life of the mother; however, there are rare situations where to provide the greatest chance of survival for both the mother and baby, an emergency cesarean section (perimortem cesarean delivery [PMCD]) must be performed. The decision to perform this procedure must occur quickly, and the reality is that a board-certified obstetrician is rarely present, particularly in rural areas. In this review, we provide a rationale for why trauma clinicians should be conversant with PMCDs, present the specific time limitations for performing a PMCD, and discuss the technique to perform a successful PMCD that makes it distinctly different from an elective cesarean delivery. Finally, we will discuss some things that a trauma program can do proactively in an obstetrical resource-poor area of the country to prepare for the rare instances where these procedures are necessary.<p>
review