Resuscitative cesarean delivery is a time-critical intervention in maternal cardiac arrest, with evidence supporting initiation within 4 minutes of arrest to relieve aortocaval compression, improve venous return and cardiac output, and enhance the likelihood of return of spontaneous circulation and fetal survival. This review outlines the physiological rationale, indications (generally ≥20 weeks’ gestation), and surgical approach, highlighting rapid bedside execution and coordinated multidisciplinary response to optimize maternal and neonatal outcomes in an increasingly prevalent clinical scenario.

Source: American Journal of Obstetrics & Gynecology