CPR in pregnancy
Deana Slovjaková
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Learning objectives
Student will learn how to identify a pregnant woman.
Student will learn the CPR specifics in pregnancy.
Student will know how to prevent an aortocaval compression.
https://www.yalemedicine.org/stories/pregnancy-and-covid/
https://www.researchgate.net/figure/1-Aortocaval-compression-From-Chestnut-8-Used-with-permission-from-Elsevier_fig1_2267769003
Specifics of the pregnant woman
find out a pregnancy by asking or examination
from 20 weeks gestation, the uterus can compress both the
inferior vena cava and aorta, impending venous return and cardiac
output of the pregnant woman.
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Basic life support
SSS ABC
Start providing CPR when the pregnant woman is:
- unconscious and not breathing
- unconscious and not breathing normally (gasping)
Basic life support:
- chest compressions: freqv. 100-120/ min, depth 5-6 cm
- ratio compressions : breaths – 30:2
- use AED if available
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CPR specifics in pregnancy
try to prevent aortocaval compression manually by displacing the uterus to
the left (2 rescuers) or underlaying the right hip
in case of any doctor on the scene – caesarean section should be provided
within 5 min. after cardiac arrest
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Learning outcomes
Student can identify the pregnant woman.
Student knows an aortocaval compression should be avoided
during CPR in pregnancy.
Student knows that it is safe to use AED on the pregnant woman.
Zápatí prezentace7
Resources
̶ AUSTIN, Margaret, Rudy CRAWFORD a Barry KLAASSEN. First aid manual:
the Authorised Manual of St John Ambulance, St Andrew's First Aid and the
British Red Cross. Revised 10th edition. London: DK, 2016. ISBN 978-0-
2412-4123-3.
̶ ŠEBLOVÁ, Jana a Jiří KNOR. Urgentní medicína v klinické praxi lékaře. 2.,
doplněné a aktualizované vydání. Praha: Grada, 2018. ISBN 978-80-271-
0596-0.
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Thank you for your attention.
Simulation Centre, Faculty of Medicine, Masaryk University
2020