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Review
. 2023 Jan;49(1):54-67.
doi: 10.1111/jog.15466. Epub 2022 Oct 18.

Maternal cardiopulmonary resuscitation

Hiroaki Tanaka  1 , Shigetaka Matsunaga  1 , Marie Furuta  1 , Rie Kato  1 , Shinji Takahashi  1 , Jun Takeda  1 , Masahiro Nakao  1 , Eishin Nakamura  1 , Masafumi Nii  1 , Tomoyuki Yamashita  1 , Yoshihiro Yamahata  1 , Naosuke Enomoto  1 , Makoto Tsuji  1 , Shiniji Baba  1 , Yuki Hosokawa  1 , Takahide Maenaka  1 , Atsushi Sakurai  1
Affiliations
Review

Maternal cardiopulmonary resuscitation

Hiroaki Tanaka et al. J Obstet Gynaecol Res. 2023 Jan.

Abstract

The perinatal resuscitation history in Japan is short, with the earliest efforts in the field of neonatology. In contrast, the standardization and dissemination of maternal resuscitation is lagging. With the establishment of the Maternal Death Reporting Project and the Maternal Death Case Review and Evaluation Committee in 2010, with the aim of reducing maternal deaths, the true situation of maternal deaths came to light. Subsequently, in 2015, the Japan Council for the Dissemination of Maternal Emergency Life Support Systems (J-CIMELS) was established to educate and disseminate simulations in maternal emergency care; training sessions on maternal resuscitation are now conducted in all prefectures. Since the launch of the project and council, the maternal mortality rate in Japan (especially due to obstetric critical hemorrhage) has gradually decreased. This has been probably achieved due to the tireless efforts of medical personnel involved in perinatal care, as well as the various activities conducted so far. However, there are no standardized guidelines for maternal resuscitation yet. Therefore, a committee was set up within the Japan Resuscitation Council to develop a maternal resuscitation protocol, and the Guidelines for Maternal Resuscitation 2020 was created in 2021. These guidelines are expected to make the use of high-quality resuscitation methods more widespread than ever before. This presentation will provide an overview of the Guidelines for Maternal Resuscitation 2020.

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