A trauma patient at 36 weeks’ gestation suffers a cardiopulmonary arrest in the operating room. Return of spontaneous circulation does not occur after 5 minutes of effective cardiac compressions. Which of the following is most likely true concerning perimortem cesarean delivery?

Perimortem cesarean section is rare and has the potential to improve the survival of both the mother and the neonate. The term cesarean, when referring to delivery of a fetus, comes from ab matris cesare, or “to cut from the mother.” In Roman times, Numa Pompilius decreed that the fetus must be removed before the burial of a pregnant woman was allowed.

Removal of the fetus during cardiopulmonary resuscitation of the pregnant patient relieves aortocaval compression, restores functional residual capacity, and eliminates the proportion of cardiac output going to the uterus. The fetus should be delivered...

You do not currently have access to this content.