Quick Answer
Pregnant women do not require a change in CPR technique, but rather a slight modification in positioning. The American Heart Association recommends that pregnant women be placed in a left lateral recumbent position during CPR to reduce pressure on the inferior vena cava and maintain blood flow to the baby.
Modified CPR Positioning
During CPR on a pregnant woman, it’s essential to position her in a left lateral recumbent position, with her left side down and her right side up. This position reduces pressure on the inferior vena cava, allowing for improved blood flow to the fetus. The rescuer should also ensure that the woman’s uterus is elevated by placing a pillow or other support under her right hip.
Performing CPR on a Pregnant Woman
The CPR technique for a pregnant woman is the same as for any adult: 30 chest compressions followed by two breaths. However, the rescuer should be aware of the possibility of a pregnant woman’s uterus expanding and potentially interfering with CPR. If the woman’s uterus does expand, the rescuer should continue CPR, focusing on maintaining a steady rhythm and adequate chest compressions.
Important Considerations
It’s crucial to note that CPR on a pregnant woman is performed with the same goal as CPR on any adult: to restore blood circulation and oxygenation to vital organs. The rescuer should prioritize maintaining adequate chest compressions and a steady rhythm, even if the woman’s uterus expands during CPR. Additionally, if the pregnancy is advanced (after 20 weeks), the rescuer should be aware of the possibility of placental abruption, a condition in which the placenta separates from the uterus, which can be life-threatening for both the mother and the fetus.
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