Resuscitative Hysterotomy 101

Resuscitative HysterotomyDr. Sara Gray

Code OB

Neonatal MD

Neonatal RN x 2

Baby gear

OB MD x 2

RT x 2

Airway gear

Code OB

Neonatal MD

Neonatal RN x 2

Baby gear

OB MD x 2

RT x 2

Airway gear

“Won’t this hurt Mom?”

Resuscitative hysterotomygives Mom a chance

Relieves aorto-caval

compression

Reduces oxygen

demand

Improves pulmonary mechanics

32%

50%

“But isn’t it too late?”

TOTAL MYTH

? minutes

16 minutes

Scalpel #10Scissors

Clamps x 2

Cut skin, fundus to symphysis

Small opening of uterus

Extend uterine incision

Deliver baby then placenta

With ongoing ACLS

Cut skin, fundus to symphysis

Small opening of uterus

Extend uterine incision

Deliver baby then placenta

With ongoing ACLS

Resuscitative Hysterotomy

You can do this.

Are you preparing?

42 seconds

Call a Code OB

Choose a room with 2 beds

RH helps Mom

Prep for RH before Mom arrives

Do it ASAP

Scalpel, scissors, clamps

Mentally prepare right now

You can do this

Resuscitative Hysterotomy

www.saragray.org@EmICUcanada