Maternal cardiac arrest: a retrospective analysis.

OBJECTIVES

To describe the characteristics and factors which may influence the maternal outcomes of maternal cardiac arrest (MCA).

DESIGN

Retrospective analysis of cases.

SETTING

China.

POPULATION OR SAMPLE: A total of 61 MCA patients admitted or transferred to The Third Affiliated Hospital of Guangzhou Medical University from January 2000 to December 2019.

METHODS

Clinical data for MCA were analysed retrospectively. The indicators included maternal age; BMI; gestational age; antenatal examination; income; MCA cause and place; cardiopulmonary resuscitation (CPR); mode of delivery; maternal prognosis; and neonatal outcome.

MAIN OUTCOME MEASURES: The impact of case characteristics on maternal prognosis of MCA.

RESULTS

The hospital received 61 patients with MCA, 36 of whom died (mortality 59.0%, 95% CI 46.3-71.7%). MCA was predominantly caused by treatable complications. Those who died were more likely to have collapsed in the ICU.

CONCLUSIONS

Regular antenatal examination and early intervention can reduce the incidence of adverse pregnancy outcomes. The location of MCA occurred may be related to maternal prognosis. The leading causes of MCA were postpartum haemorrhage and amniotic fluid embolism.

TWEETABLE ABSTRACT: A retrospective analysis describes the correlation between case characteristics of MCA and maternal outcomes.