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Maternal Cardiac Arrest is on the Rise!

Maternal Cardiac Arrest An Increasing American Trend Overview Expecting sudden cardiac arrest most likely falls at the end of our list of worries. More specifically, unexpecting moth- ers; inundated with other concerns like pregnancy loss, preeclampsia, or gestational diabetes, cardiac arrest is probably one of the more unanticipated complications during pregnancy. Maternal Mortality Ratio 282 26 A report explained that "while the global maternal mortality ratio (maternal deaths/100,000 live births) USA has decreased in the last 25 years from 281.5-195.7, the maternal mortality ratio has actually increased from 16.9- 26.4 in the United States 17 Global 196 2000 2017 modeled estimate, per 100,000 live births Rate of Receiving Bystander CPR Men receive CPR 30% more often than women Women receive CPR 30% less often than men Pregnant woman receive CPR less frequently Mer Women Pregnant Maternal Cardic Arrest Rate 1/12,000 Cardiac Arrest 1 in 12,000 women admitted for delivery in America experi- encing cardiac arrest. That number is potentially underre- ported, because of maternal cardiac arrest incidents that occur out of the hospital setting. Reasons for Cardiac Arrest Obstetric Non-obstetric latrogenic Obstetric causes include hemorrhage, eclampsia, and amniot- iƧ fluid embolism. Some prominent non-obstetric causes are sepsis pulmonary embolism, preexisting cardiovascular disease Anesthetic complica- tions during delivery or testing is a prominent iatrogenic cause. obstetric anesthesia cause one in four cardi- ac arrests that happen in pregnant women. and stroke, Physiological Changes 20% increase in 40% increase in cardio- oxygen consumption vascular metabolism How to Perform CPR Upon observing maternal cardiac arrest, a responder should immediately call 911 then lay the mother on her back, open her airway, check for the absence of breathing and perform CPR with 30 chest compressions and 2 rescue breaths. A responder should then continue by using an AED and continuing CPR until emer- gency services arrive. CALL PUSH SHOCK AED Algorithm for Maternal Resuscitation Maternal Cardiaa Amrest No pulse, no respiration Cal lor help (Maternal code blue) Call lor defibrilator Start immediote chest compression Bog-mask ventilation Manual left uterine displacement & insert Immediate intubation (if skilled provider available) back board Defibrillator Arrives Analyze rythm Pulses electrial Ventricular tahyoordia (pulseless/ Venticular fibrillation) acivity/Asylole Defibrilator Resume chest compression, Erinephrine IV/IO Q3-5min Resume chest compression, Erinephrine V/IO a3-Smin IV Amiodarone 300mg (after 2nd shock) Source: www.ajog.org/article/so002-9378(17)32806-5/abstract References > Avive- www.avive.life/post/saving-lives-equally-gender-disparities-in-cpr > NCBI- www.ncbi.nlm.nih.gov/pubmed/22551858 > AJOG- www.ajog.org/article/So0002-9378(17)32806-5/pdf > Ahajournals- www.ahajournals.org/doi/full/10.1161/cir.0000000000000300 AHA Statement on Cardiac Arrest in Pregnancy https:www.acc.org/latest-in-cardiology ten-points-to-remember/2015/11/04/16/24/cardiac-amest-in-pregnancy-a-scientific-statement-trom-the-aha

Maternal Cardiac Arrest is on the Rise!

shared by micah11 on Apr 23
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Did you know that 1 in 12,000 pregnant women go into sudden cardiac arrest in the United States? And, the trend is INCREASING? Avive.life shares everything you need to know and what you can do to help!

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