Perimortem Cesarean Delivery or PMCD is an integral part of the gynecological studies, whereby a surgery is done mostly in an emergency situation to protect the life of both the mother and the child. It is significant to note that, Perimortem Cesarean Delivery is one such gynecological surgery which dates back to historic times. Since, the ancient ages, PMCD has been practiced, especially to check on the morbidity rates of the mother. It is generally performed, when the delivering mother experiences a cardiac arrest. It has been observed by medical practitioners that, the rate of fetal death is pretty high in case of a Perimortem Cesarean Delivery. As a result this kind of a surgery is not that widely prevalent.
According to medical studies, Uteroplacental blood flow needs up to 30% of a woman's cardiac output, a decrease of which leads to a cardiac arrest. This improves to a near 80% providing a better circulatory regulation. It is in this case, that Perimortem Cesarean Delivery, becomes instrumental in saving the life of both the mother and the child. On a closer look you will see that, this kind of a surgery is more rampant in the older women, who are experiencing pregnancy. However, the rate of fetal survival is not 100% in case of a PMCD, though there is hassle in taking care of the mother's life.
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Doctors consider several factors before pinning down on a Perimortem Cesarean Delivery. These include the weight of the woman, the estimated gestational age of the fetus, span of time between cardiac arrest and delivery and availability of other resuscitative efforts in the patient. There are several diagnostic tests that have to be performed before a Perimortem Cesarean Delivery. One of them is ultrasound of the lower abdomen. According to doctors, PMCD can be undergone only when the gestational age of the fetus is between 23-28 weeks, according to the ultrasound reports. However in case of an underweight pregnant woman, the estimated gestational age should be higher. It is also important to perform the surgery within 5 minutes of maternal cardiac arrest. This ensures the higher success of PMCD.
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A variation of the surgery is , which is indeed a rare and special gynecological emergency. In such a case, the surgery is done on a pregnant woman who has slipped into coma, and whose brain is in a morbid state.
Browse through our pages on pregnancyxl.com to know in details about the various facets of Obstetrical Complications, and other important aspects of pregnancy.
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