Resuscitative hysterotomy

[1] Combined with a laparotomy, the procedure results in a Caesarean section that removes the fetus, thereby abolishing the aortocaval compression caused by the pregnant uterus.

[3] Potential structures that may be damaged during the procedure are as for Caesarean section, including the fetus itself and the maternal bowel, bladder, uterus and uterine blood vessels.

[5] Once the decision to operate has been made, the procedure should be performed immediately at the site where cardiac arrest has taken place and standard basic and advanced life support resuscitation methods should continue throughout.

[2] If the arrest occurs in a healthcare facility that has staff on site who are capable of performing a resuscitative hysterotomy (such as at a hospital), the patient should not be moved to an operating theatre as this will delay the procedure.

[3] The American Heart Association recommends that healthcare facilities that may be required to treat a case of maternal cardiac arrest should keep in stock an emergency equipment tray for the purpose, including a scalpel with a No.

[3] Basic aseptic measures, such as pouring antiseptic solution over the woman's abdomen prior to incision, may be considered as long as this adds no delay.