ABSTRACT
This chapter discusses the 2020 AHA guidelines for immediate post-arrest care in addition to recommendations specific to pregnant or postpartum patients. Continuation of effective post-arrest care can lead to an improved likelihood of survival to discharge; therefore, it is critical for practitioners to know the immediate next steps after ROSC or death. The chapter reviews factors to consider when deciding to stop resuscitation efforts during a maternal code and the recommended steps to take after a maternal death. It describes appropriate indication for extracorporeal cardiopulmonary resuscitation and organ transplantation with determination of circulatory death. The chapter explains appropriate timing and criteria for targeted temperature management. It focuses on appropriate timing, criteria, and steps to ensure maternal hemodynamic stability immediately following ROSC, and also reviews the Post-ROSC Checklist. It is reasonable to apply nonpregnant post-arrest checklist therapies to a patient who has undergone an RCD and achieves ROSC.
