Debbie Sibley, RN, MSN
Clinical Nurse Specialist: Women’s Services @MCCG
©2007 debbie.sibley@gmail.com
Cardiac Arrest and Pregnancy
Financial Conflicts Disclosure:
• No commercial support has been granted in the presentation
of this course. No conflicts of interest apply for author,
speaker or planners of this course.
Discussion of Unapproved Medications:
• All medications discussed have received FDA approval for
specific use. No off-label use of medications will be
discussed.
Attendance at entire event is essential for completion.
• Award: 2.0 Georgia Nurses Association contact hours will
be awarded to each participant competing this course.
Goals and Objectives
Adapt performance of basic life support (BLS)
and advanced cardiovascular life support
(ACLS) for pregnant victims
• Airway Management
• Uterine Displacement
• Deeper Chest Compressions
• Deliver within 5 minutes if viable fetus
2005 AHA Guidelines for CPR and ECC
Part 10.8: Cardiac Arrest Associated With Pregnancy
“Successful resuscitation
of a pregnant woman
and survival of the fetus
require prompt and
excellent CPR with
some modifications in
basic and advanced
cardiovascular life
support techniques.”
CCOB: Critical Care Obstetrics
“…Collaboration between perinatal, neonatal,
and critical care personnel must occur.”
AACN Clinical Issues. Preface. Kiehl, 1997
“…Cardiopulmonary arrest beyond the stage
of viability. . . the 4-minute limit to initiate
delivery is advocated.”
Critical Care Obstetrics. Clark, et al. 1991.
Role Of Electronic Fetal Monitoring
“Fetal monitoring during resuscitation of the
mother would be of little value. Successful
resuscitation will be the most effective
treatment for the fetus.”
Martin, 2003
“The most apparent difference” of other authors
from our 1999 Johnson, Luppi and Over
protocol “is the lack of fetal monitoring.”
Luppi,1999
Modifications in Resuscitation for the
Pregnant Woman
• Airway Management
• Uterine Displacement
• Deeper Chest Compressions
• Deliver within 5 minutes if viable fetus