{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:26:54Z","timestamp":1786663614327,"version":"build-2736575974"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The management of cardiac arrest in pregnant women requires adjustments to\n                    account for the physiology of pregnancy, the specific causes of cardiac arrest,\n                    and the potential need for a resuscitative delivery if a return of spontaneous\n                    circulation cannot be achieved. Successful resuscitation hinges upon the prompt\n                    availability and stringent coordination of a multidisciplinary specialized team.\n                    Resuscitation measures are often compromised by delays in initiating\n                    interventions (uterine lateralization; high-quality, minimally interrupted\n                    cardiopulmonary resus-citation; dealing with potentially difficult airways;\n                    resuscitative cesarean delivery). Resuscitative cesarean delivery is one of the\n                    rarest, yet physically and emotionally demanding procedures in dealing with\n                    obstetric emergencies potentially leading to the birth of a viable newborn\n                    infant in need of resuscitation itself. Timely access to the resources and\n                    personnel capable of coordinating this multidisciplinary endeavor varies based\n                    on the local environment. Therefore, unequivocal treatment recommendations are\n                    of paramount clinical importance. Despite broad consensus, differences between\n                    the current recommendations released October 2025 by the American Heart\n                    Association (AHA) and the European Resuscitation Council Guidelines (ERC) may\n                    cause confusion. Clinical implementation therefore remains a challenge,\n                    particularly when resuscitation takes place outside a hospital and\/or in the\n                    absence of a trained team. The complexity of this clinical scenario underscores\n                    the need for teams to prepare and train for these rare emergency situations.<\/jats:p>","DOI":"10.1055\/a-2892-2999","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:15:52Z","timestamp":1783984552000},"page":"291-299","source":"Crossref","is-referenced-by-count":0,"title":["Resuscitation in pregnant women \u2013 the current international\n                    guidelines under close scrutiny"],"prefix":"10.1055","volume":"230","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6943-2862","authenticated-orcid":false,"given":"Alexander","family":"Strauss","sequence":"additional","affiliation":[{"name":"Christian-Albrechts-University Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Haupt","sequence":"additional","affiliation":[{"name":"Institute for Emergency Medicine, University Hospital\n                    Schleswig-Holstein Campus Kiel and L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Thorsten","family":"Gr\u00e4sner","sequence":"additional","affiliation":[{"name":"Institute for Emergency Medicine, University Hospital\n                    Schleswig-Holstein Campus Kiel and L\u00fcbeck, Germany"},{"name":"University Hospital Schleswig-Holstein Campus\n                    Kiel, Germany","department":["Department for Anaesthesiology and Intensive Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Institute for Emergency Medicine, University Hospital\n                    Schleswig-Holstein Campus Kiel and L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"ref1","volume-title":"Reanimation der Schwangeren in Referenz Geburtshilfe und 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Heart J"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e016072","DOI":"10.1161\/JAHA.119.016072","article-title":"Extracorporeal life support in pregnancy: A\n                    systematic review","volume":"9","author":"E E Naoum","year":"2020","journal-title":"J Am Heart\n                        Assoc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/MAT.0000000000002556","article-title":"ELSO narrative guideline on pregnant and peripartum extracorporeal membrane\n                    oxygenation","volume":"71","author":"E R O\u2019Neil","year":"2025","journal-title":"ASAIO J"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1016\/j.resuscitation.2012.05.005","article-title":"Maternal cardiac arrest and perimortem caesarean delivery: evidence or\n                    expert-based?","volume":"83","author":"S Einav","year":"2012","journal-title":"Resuscitation"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"110538","DOI":"10.1016\/j.resuscitation.2025.110538","article-title":"Revisiting priorities in resuscitative hysterotomy","volume":"208","author":"J Wolff","year":"2025","journal-title":"Resuscitation"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1016\/0002-9378(89)90765-5","article-title":"Maternal hemodynamic effects of uterine contractions by M-mode and\n                    pulsed-Doppler echocardiography","volume":"161","author":"W Lee","year":"1989","journal-title":"Am J Obstet Gynecol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.ebiom.2016.02.042","article-title":"Maternal collapse: Challenging the four-minute rule","volume":"6","author":"M D Benson","year":"2016","journal-title":"EBioMedicine"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"110479","DOI":"10.1016\/j.resuscitation.2024.110479","article-title":"Maternal and neonatal outcomes following resuscitative hysterotomy for out of\n                    hospital cardiac arrest: A systematic review","volume":"207","author":"C Leech","year":"2025","journal-title":"Resuscitation"},{"key":"ref18","first-page":"850","article-title":"Resuscitative hysterotomy and maternal and neonatal mortality in maternal\n                    cardiac arrest patients \u2013 A systematic review and meta-analysis","volume":"42","author":"G Rajendran","year":"2026","journal-title":"Can J Cardiol"},{"key":"ref19","first-page":"e203","article-title":"Cardiac arrest and cardiopulmonary resuscitation outcome reports: 2024 Update of\n                    the Utstein Out-of-Hospital Cardiac Arrest Registry Template","volume":"150","author":"J E Bray","year":"2024","journal-title":"Circulation"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1136\/emermed-2025-215327","article-title":"Prehospital resuscitative hysterotomy: a practice review","volume":"43","author":"C Leech","year":"2026","journal-title":"Emerg Med J"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"110739","DOI":"10.1016\/j.resuscitation.2025.110739","article-title":"European Resuscitation Council Guidelines 2025 Education for Resuscitation","volume":"215","author":"S Nabecker","year":"2025","journal-title":"Resuscitation"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"110766","DOI":"10.1016\/j.resuscitation.2025.110766","article-title":"European Resuscitation Council Guidelines 2025 Newborn Resuscitation and Support\n                    of Transition of Infants at Birth","volume":"215","author":"M 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        Notf\u00e4lle, Teil 5","volume":"224","author":"A Strauss","year":"2020","journal-title":"Z Geburtshilfe Neonatol"},{"key":"ref26","first-page":"28","article-title":"Herzkreislaufversagen w\u00e4hrend der Schwangerschaft \u2013 situationsimmanente\n                    Kriterien der Kardiopulmonalen Reanimation","volume":"4","author":"A Strauss","year":"2016","journal-title":"CMExtra"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2025.12.071","article-title":"Resuscitative cesarean delivery: Prioritizing team preparedness for one of the\n                    most challenging obstetric emergencies","author":"A J Nieto-Calvache","year":"2026","journal-title":"Am J Obstet Gynecol"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/bja\/87.2.237","article-title":"Do physiological changes in pregnancy change defibrillation energy\n                    requirements?","volume":"87","author":"J Nanson","year":"2001","journal-title":"Br J Anaesth"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/j.1365-2044.2007.05025.x","article-title":"Manual displacement of the uterus during caesarean section","volume":"62","author":"P Kundra","year":"2007","journal-title":"Anaesthesia"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1097\/AOG.0b013e3182319a08","article-title":"Labor room setting compared with the operating room for simulated perimortem\n                    cesarean delivery: a randomized controlled trial","volume":"118","author":"S Lipman","year":"2011","journal-title":"Obstet Gynecol"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1111\/anae.13260","article-title":"Obstetric anaesthetists\u2019 association and difficult airway society guidelines for\n                    the management of difficult and failed tracheal intubation in obstetrics","volume":"70","author":"M C 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