Interesting Case: Cardiopulmonary Arrest in Pregnancy " Life After A Cardio Pulmonary Arrest in an Uncomplicated Pregnancy "
This is a case of a 33 years old, Gravida 4 Para3 (3002). Pregnancy Uterine 38 weeks, cephalic, previous Low segment cesarean section II ( 1x breech). Previous pregnancies were unremarkable, no episodes of syncope, difficulty of breathing and orthopnea. She denies having any medical problem. The patient had an unremarkable regular prenatal check-up, underwent an elective Low Segment Cesarean Section III, and after 2 hours post operatively, sudden jerky movement of the extremities were noted, followed by 3 episodes of generalized seizures with upward rolling of the eyeballs. There were no vital signs appreciated at that time. Cardiopulmonary resuscitation was done. The patient was given inotropic medications such as Epinephrine, Dopamine and Norepinephrine which improved the vital signs to blood pressure of 90/60 mmHg, Cardiac Rate 78/min, assisted respiration. Cardiopulmonary arrest in pregnancy is rare occuring in 1 in 30,000 prenancies. There are many causes of cardiac arrest in the general population; pregnancy increases the risks to both the mother and the fetus. Trauma, pulmonary embolism, hemorrhage, hypertension, and infection are the leading causes of maternal death in pregnancy.