Obstetric Emergencies 2025-Maternal Arrest

Video Transcription

Video Summary

In this lecture, Tom Mangus discusses the critical topic of maternal cardiac arrest, focusing on anesthesia considerations. The presentation covers maternal mortality definitions by the WHO, national statistics, and common causes of maternal arrest, primarily occurring postpartum. Factors contributing to maternal mortality include mental health conditions, excessive bleeding, and hypertensive disorders, often exacerbated by comorbidities. Mangus emphasizes the importance of early recognition and intervention, with organizations like the California Maternal Quality Care Collaboration advocating for proactive measures. For maternal cardiac arrest, rapid decision-making and treatment are necessary, including perimortem C-sections to improve outcomes. The lecture explores amniotic fluid embolism (AFE), noting the unclear etiology and recommending supportive care. Strategies like the AOK protocol (Atropine, Ondansetron, Ketorolac) are emerging but lack widespread endorsement. Overall, prevention, early recognition, and a structured response are pivotal in managing these emergencies.

Keywords

maternal cardiac arrest

anesthesia considerations

maternal mortality

perimortem C-sections

amniotic fluid embolism

AOK protocol