ABSTRACT

In addition to basic and advanced resuscitation cardiopulmonary resuscitation (CPR) knowledge, obstetric life support requires familiarity with emerging techniques that may improve maternal survival and knowledge of when to apply modifications to the pregnant and postpartum population. This chapter details the indications for and methods used to perform, resuscitative cesarean delivery (RCD) and point-of-care ultrasound (POC-US) during maternal cardiac arrest and outlines the indications for ECPR during maternal resuscitation. It summarizes specific equipment and other resources needed to perform RCD. The chapter describes appropriate timing of and criteria for RCD and the benefits of RCD for pregnant patients in cardiac arrest. It explains the RCD procedure, including incision type used for different scenarios, and focuses on use of POC-US to verify pregnancy status in reproductive-age females with unknown pregnancy status and use of POC-US to determine gestational age when indicated.