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    Cesarean Section, Emergency

    Cesarean Section, Emergency is a topic covered in the 5-Minute Emergency Consult.

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    Emergency Central

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    Basics

    ALERT
    • The sole indication for ED physician to perform emergency perimortem cesarean section is a gravid female (>24 wk gestation) in cardiopulmonary arrest who has not responded to initial resuscitative measures, regardless of cause
    • The most important predictor of fetal survival is length of time between maternal cardiac arrest and cesarean delivery:
      • Cesarean section should begin within 4 min of maternal arrest
      • Goal is delivering fetus within 1 min
    • Obtain immediate consultations from obstetrics, pediatrics (and surgery, if trauma related):
      • Do not defer or delay performing procedure until arrival of consultants
    • Do not perform emergent cesarean section if patient is <24 wk gestation

    Etiology

    • Trauma (penetrating or blunt):
      • Major cause of maternal mortality
    • Pulmonary embolus:
      • Thromboembolism is most common cause of nontraumatic maternal mortality
    • Cerebral vascular accident
    • Amniotic fluid embolism
    • DIC
    • Placenta previa
    • Eclampsia
    • Miscellaneous medical disorders:
      • Asthma
      • CHF
      • MI
      • Drug overdose

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    Citation

    Rosen, Peter, et al., editors. "Cesarean Section, Emergency." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307371/all/Cesarean_Section__Emergency.
    Cesarean Section, Emergency. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307371/all/Cesarean_Section__Emergency. Accessed April 26, 2019.
    Cesarean Section, Emergency. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307371/all/Cesarean_Section__Emergency
    Cesarean Section, Emergency [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 26]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307371/all/Cesarean_Section__Emergency.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - Cesarean Section, Emergency ID - 307371 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307371/all/Cesarean_Section__Emergency PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -