The Prevalence and outcomes of perimortem cesarean delivery among pregnant cardiac arrests: A systematic review and meta-analysis Prevalence and outcomes of perimortem cesarean section among pregnant cardiac arrests: A systematic review and meta-analysis
Keywords:
perimortem cesarean delivery, pregnancy, cardiac arrestAbstract
Introduction : Currently, the American Heart Association/ American Stroke Association (AHAV/ASA) included perimortem cesarean delivery (PMCD) as a part cardiopulmonary resuscitation (CPR) in pregnancy. But the number of maternal and fetal survival after PMCD remained unclear.
Objectives : The objectives were to conduct a systematic review and meta-analysis for determining prevalence of PMCD, maternal and fetal survival rates, and sequelae after PMCD among cardiac arrest in pregnant women. The secondary objective was to study the factors associated with outcomes after PMCD.
Methods : Medline and Scopus databases were searched to locate relevant studies from conception to september 2019. Studies were selected and extracted data by two independent reviewers. Prevalence of PMCD and survival rate of mother and fetus were pooled using random effect model.
Results : Of total 645 studies, 6 studies were included in final analysis. Four studies were in Europe and 2 studies were in Asia. The pooled prevalence of PMCD among cardiac arrest in pregnancy was 53% (95% CI: 2196, 84%6). The pooled maternal and fetal survival rate after PMCD were 379 (9596 Cl: 1896, 5696) and 54% (9596 CI: 2496, 84%), respectively. One study indicated higher maternal survival rate after receiving PMCD but there was no significant.
Conclusion : Half of CA in pregnant women received PMCD. Of those, 379 of pregnant women and 54% of their infants survived after resuscitation. However, there was no different maternal survival between receiving and do not receiving PMCD.
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