Successful Outcome of Cardiac Arrest Management in a Morbidly Obese Parturient Woman During Caesarean Section Delivery: A Case Report

• Main Authors: Gamal A.M. Ejaimi, Sittelnissa S. Ahmed
• Format: Article
• Language: English
• Published: European Medical Journal 2020-06-01
• Series: European Medical Journal Reproductive Health
• Subjects: aortocaval compression; cardiac arrest (ca); caesarean section (cs); morbidly obese parturient; spinal anaesthesia
• Online Access: https://www.emjreviews.com/reproductive-health/article/successful-outcome-of-cardiac-arrest-management-in-a-morbidly-obese-parturient-woman-during-caesarean-section-delivery-a-case-report/

During a caesarean section (CS), severe hypotension following spinal anaesthesia, aortocaval compression, and morbid obesity may cause a decrease in cardiac output resulting in cardiac arrest. Cardiopulmonary resuscitation during CS is stressful for all the attending team, which mandates the importance of a high level of skill and readiness to perform perimortem CS. Reported here is a case of 36-year-old, full-term, morbidly obese parturient female who developed cardiac arrest during an emergency CS under spinal anaesthesia before delivery of the baby. Cardiopulmonary resuscitation was performed and enhanced with resuming of left lateral tilt and completion of perimortem CS. A healthy baby was delivered, and the operation was completed with good homeostasis.