Quality in maternal cardiopulmonary resuscitation in supine and left-lateral tilt position
What is it about?
CPR in a pregnant woman: What’s the best position? Studying critical medical events occurring during pregnancy is difficult. Therefore, no definitive protocol is available for treating maternal cardiac arrest with cardiopulmonary resuscitation (CPR). Some studies suggest placing an obstetric patient on her left side improves blood flow and therefore this position is recommended during chest compressions. We used a novel method for analyzing the effects of maternal positioning during CPR. Fetal mannequins were placed inside swine models to simulate the pressure exerted by a pregnant uterus on a mother’s inferior vena cava, the largest vein leading to the heart. Skilled first responders then conducted CPR in four different positions.
Why is it important?
Our findings showed placing the patient supine on a firm surface, preferably with some displacement of the uterus to the left side, yields the highest CPP and is therefore the optimal maternal CPR position.
The following have contributed to this page: Satoshi Dohi