How To Perform CPR On a Pregnant Woman?

Table Of Content(s)

1. How to perform CPR on a pregnant woman?
2. What are the signs of cardiac arrest in a pregnant woman?
3. Conclusion

Cardiac arrest in pregnancy, although rare, has its own challenges and complications. One in every 36,000 pregnancies, the mother loses their life due to sudden collapse stemming from heart issues. When a pregnant woman suffers cardiac arrest, it is important to deliver prompt and effective action. 

Prompt actions ensure the wellbeing of both the mother and the child. Due to physiological changes during pregnancy, it is important to know how to perform CPR on a pregnant woman.
In this blog, we will recognize the signs of cardiac arrest in pregnant women. We will also go through the step by step process of performing CPR. Additionally we will also provide safety tips to protect both the mother and baby during CPR. So let’s begin!

Steps To Perform CPR On a Pregnant Woman

Performing CPR on a pregnant woman requires specific modifications, well suited to the changing physiology of the mother. This adjustment is made keeping the baby’s safety in mind. Below are the steps designed to address the unique changes that occur during pregnancy. Follow these steps to perform CPR on a pregnant woman effectively:

1. Assess the Situation:

• Ensure the scene is safe for both you and the victim.
• Check for responsiveness by gently tapping and shouting.

2. Call for Help:

• Dial emergency services immediately or ask someone nearby to call.
• Inform the dispatcher that the victim is pregnant.

3. Check for Breathing:

• Look for signs of normal breathing for no more than 10 seconds.
• If the woman is not breathing or only gasping, begin CPR.

4. Positioning:

• If possible, place the woman on her back on a firm, flat surface.
• Tilt the pelvis to the left by placing a rolled towel or blanket under her right hip to relieve pressure on the inferior vena cava.

5. Chest Compressions:

• Place the heel of your hand on the center of the chest, between the nipples.
• Place your other hand on top and interlock your fingers.
• Perform chest compressions at a depth of at least 2 inches (5 cm) and a rate of 100-120 compressions per minute.
• Allow the chest to recoil fully between compressions.

6. Rescue Breaths:

• After 30 compressions, give 2 rescue breaths.
• Tilt the head back slightly and lift the chin.
• Pinch the nose shut and cover the mouth with yours, ensuring a good seal.
• Give each breath over 1 second, watching for chest rise.

7. Continue CPR:

• Alternate between 30 compressions and 2 breaths.
• Continue until emergency personnel arrive or the woman shows signs of life.

8. Advanced Interventions:

• If available and trained, use an automated external defibrillator (AED).
• Follow the AED prompts and ensure the pelvis tilt is maintained.

9. Monitor and Adjust:

• Continuously monitor the mother’s condition.
• Adjust positioning as needed to ensure effective compressions and breaths.

Read More: Implications of CPR: Can You Get Sued for Performing CPR?

How Common is Maternal Cardiac Arrest?

Maternal cardiac arrest is relatively rare but serious when it occurs. The incidence can vary depending on various factors, including the mother’s health, access to medical care, and the quality of prenatal care.

Key factors contributing to maternal cardiac arrest include:

1. Pre-existing Conditions: Heart disease, hypertension, or preeclampsia can increase the risk.
2. Complications During Pregnancy: Severe bleeding, embolism, or infection can contribute to cardiac arrest.
3. Labor and Delivery Complications: Prolonged labor, severe trauma, or complications related to anesthesia may play a role.

How is CPR on a pregnant woman different?

CPR on a pregnant woman differs primarily in positioning. She should be placed on her back with a slight tilt to the left. Additionally, considerations may include the need to prepare for potential emergency delivery. 

What are the signs of cardiac arrest in a pregnant woman?

Recognizing the signs of cardiac arrest in a pregnant woman is crucial for prompt and effective intervention. Cardiac arrest occurs when the heart suddenly stops pumping blood. This leads to a loss of consciousness and an absence of pulse. Here are the key signs to look for:

• Sudden Collapse: The woman may suddenly fall or collapse without warning.
• Unresponsiveness: No response to verbal commands or physical stimuli.
• No Breathing or Abnormal Breathing: Absence of breathing or gasping breaths (agonal respiration).
• No Pulse: No detectable pulse when checking the carotid or femoral artery.
• Pale or Bluish Skin: Skin may appear pale, bluish, or ashen, particularly around the lips and extremities.
• Loss of Consciousness: The woman may lose consciousness and not respond to attempts to awaken her.

Read More: The Ultimate Guide to CPR Certification for Non-Medical Professionals.

Conclusion

To perform CPR on a pregnant woman, it is important to tailor the CPR specifications based on the changing physiology of mothers. Understanding these considerations is critical for anyone who wishes to provide emergency care. It is also important to use an Automated External Defibrillator (AED), if available. 

Keep making necessary changes to maintain effective resuscitation. The ultimate goal is to maximize the chances of survival for both the mother and the baby. 

By knowing the steps to perform CPR on a pregnant woman, you can be prepared to deliver the best care, when needed. Your knowledge can make a lifesaving difference and save lives in an hour of crisis.