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PMCS with Twin Pregnancy in a Non-obstetric Medical ICU- Time is Life

Asian Journal of Pharmaceutical and Health Sciences,2018,8,2,1873-1875.
Published:June 2018
Type:Case Report
Authors:
Author(s) affiliations:

Ashima. Malhotra1,*, Nikihil. Malhotra1, R. Gupta2 

1Senior consultant and Head Critical Care, Asian Vivekanand hospital, Moradabad, Uttar Pradesh, India.

2Consultant Obstetrics and Gynecology, Asian Vivekanand hospital, Moradabad, Uttar Pradesh, India.

Abstract:

Decision of perimortem caesarian section (PMCS) is always difficult specially in a non-obstetric critical care setting. A 32-year-old 2nd gravida women with EGA OF 34 Weeks and twin pregnancy was admitted to medical critical care unit of a tertiary care Centre with severe type 1 respiratory failure. Patient suffered a cardiac arrest soon after the admission. Decision of PMCS was taken after 3 min of high quality CPR with failure to achieve ROSC Return of spontaneous circulation). PMCS was done within 5 min of cardiac arrest and both the babies were delivered within one minute of incision. Both the babies were discharged after 8 days of birth. The mother however could not survive died in the second event of cardiac arrest. The challenges of performing CPR in pregnancy, facilitating a “Twin Delivery” and managing neonatal resuscitations in an adult critical care unit are discussed in this report.

PMCS with Twin Pregnancy in a Non-obstetric Medical ICU- Time is Life