Introduction:

Trauma in pregnancy is a complex scenario, few publications study the issues after trauma in the 3rd trimester, including indications and outcomes in emergency C-Section. Perimorten Cesarean Section, is an unusual event, when it’s performed it is the only resource for infant survival. When there is cardiac arrest, Perimortem Cesarean Section is indicated 4 to 5 minutes after cardiac arrest.

Case:

19 year old female, with recent history of gunshot injury to the chest, arrives in cardiac arrest and with CPR and a 36 week pregnancy. 4 cycles of Cardiopulmonary resuscitation where performed without reversion to spontaneous circulation, then we decide to perform a Perimortem Cesarean Section by General Surgeon in the trauma room.

Infant alive t is obtained, death of the mother is reported minutes later. The infant is transferred to NICU, 5 days after the procedure, it is reported without neurological sequelae.

Conclusion:

The first reason to perform a perimortem cesarean section is the survival of the mother, because it’s an emergency, it’s not necessary to lose time in verifying the infant’s vitals. In special cases, in which there are few possibilities of mother survival, the perimortem cesarean section is performed for infant survival.

Performing this procedure requires a very important decision making and in a quick way, it’s very important to remark that this procedure was performed in a Trauma Center, which has the facilities as a trauma room, where we can do emergency procedures faster, and with the trained medical staff to do it, with no need to move to an operating room to perform it, obtaining successful outcomes.