Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review
Authors' conclusion
There are low rates of maternal survival following resuscitative hysterotomy for OHCA. There are documented neonatal survivors after extended periods of maternal resuscitation, and at extremely preterm gestations (<28 weeks).
Study context
- Population
- Pregnant women with of hospital cardiac arrest (OHCA) undergoing resuscitative hysterotomy (any setting) during cardiac arrest42 publications
- Participants
- 66 women
- Outcome
- Maternal and neonatal outcomes following resuscitative hysterotomy, compared with timing from cardiac arrest to delivery
Methodological detailsnarrative synthesis, Included 1 cohort study, 3 case series, 38 case reports, Searched MEDLINE, EMBASE, CENTRAL from inception to 25th May 2024
- Narrative synthesis
- Included 1 cohort study, 3 case series, 38 case reports
- Searched MEDLINE, EMBASE, CENTRAL from inception to 25th May 2024
Pooled result
As reported in the abstract
Survival to hospital discharge and collapse-to-hysterotomy time
Maternal survival to hospital discharge
4.5%
Newborn survival to hospital discharge
45.0%
Longest collapse-to-hysterotomy time with maternal survival with normal neurological function
29 min
Longest collapse-to-hysterotomy time with neonatal survival
47 min
Further pooled results
Neonatal survival at low gestation
- Neonatal survivors born at 26 weeks gestation with good outcomes reported
Original publication
Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review. Resuscitation. Published 29 December 2024. doi:10.
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