1. Intubate the trachea soon after initiation of CPR, to facilitate oxygenation and ventilation and to prevent aspiration. |
2. Before 24 weeks, the rescuer should be concerned mainly to save the mother. |
3. After 24 weeks, the goals of resuscitation should be to save both the mother and the fetus. |
4. Maintain left uterine displacement during CPR. |
5. According to AHA guidelines, a resuscitative measures should be followed including a ventricular defibrillation algorithm and the use of vasopressors such as epinephrine, norepinephrine, and dopamine. |
6. If initial efforts at resuscitation are unsuccessful, consider immediate delivery of the fetus. Optimal time from arrest to delivery is under 5 minutes. Understand that cesarean delivery is to facilitate maternal resuscitation. |
7. Cesarean delivery facilitates resuscitation by restoring venous return, decreasing metabolic demand, and allowing more effective chest compression. |
8. If after delivery resuscitation is still ineffective, consider open-chest cardiac massage and cardiopulmonary bypass. |