DELIVERY OF AN ALIVE FOETUS THROUGH CAESAREAN SECTION IN A CASE OF DECLARED MATERNAL DEATH
AbstractA 25 years old multipara having full term pregnancywas being treated at Civil Hospital Haripur, for septicmeningitis while she suddenly went into cardiac arrest.Resuscitation was started immediately by intubation,ventilation and external cardiac massage and thepatient was shifted to CCU of DHQ (Teaching)Hospital, Abbottabad, where she was declared deadhowever Fetal Heart Sound (FHS) was still audible ata rate of 40/min. She was shifted to Women andChildren Hospital, Abbottabad for furthermanagement of the foetus while keeping the deadbody on positive pressure ventilation (total duration oftransfer time was not less than 44 minutes). Theobstetrician found no heart sounds and fixed dilatedpupils in the mother while the FHS were present at arate of 35/min. Decision to carry out postmartal Csection was made. An alive baby with apgor score of1/10 was delivered through midline lower abdominalincision of abdominal wall and a vertical uterineincision in a bloodless field. While suturing theincisions, bleeding started from the wounds and ahectic effort was, than, made to resuscitate the patient.Her heart rhythm came back and it started beating at asteady rate of 80/min while her systolic blood pressurewas raised to 80 mm Hg. However, she still remaineddeeply comatose and without sings of spontaneousrespiration. She eventually died 48 hours later. Foetuswas resuscitated successfully and on follow upremains healthy and without any neurological deficit.
Manley L, Santanello S. Trauma in pregnancy:
uterine rupture. J Emery and Vari. 1991 Oct;
T.W.K. Ritchie. Obstetric operations and
procedure. Denhurst’s Text book of Obstetrics
and Gynaecology for post-graduates (fifth
Patterson RM. Trauma in pregnancy. Clin Obstet
Gynaecol 1984 Mar; 27(1): 32.8.
Ammad JT, Azar GB, Aovad AT, Raad J, Karam
KS. Post mortem caesarean section following
maternal blast injury: case report. J. Trauma:
Feb. 36(2): 260-1.
Copez Zeno JA. Carlo WA, O Grady JP, Janaroff
AA. Infant survival following delayed post
mortem caesarean delivery. Department of
Obstetrics and Gynaecology, MacDonald
Hospital for Women, Cleveland, Ohio. Obstet
Gynaecol 1990: Nov;76(5pt.2):991-2
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.