Case Presentation:

This is a 20 year old woman who was 20 weeks pregnant and had am OHCA . She was resuscitated and had return of spontaneous circulation although with a Glasgow coma Scale of 3 upon arrival to the emergency department. After adequate discussion with the family explaining the risks and benefits of therapeutic hypothermia, a decision was made to initiate therapeutic hypothermia per established protocol for 24hrs. She was successfully cooled and rewarmed with complete neurological recovery apart from retrograde amnesia. She subsequently delivered vaginally at 40 weeks. The baby was a 7 pound 3 ounce female with Apgar scores of 8 and 9 at 1 and 5 minutes respectively.

Discussion:

Background: Out –of‐ hospital cardiac arrest (OHCA) is a leading cause of death in the United States. Unfortunately, pregnant women are not immune to cardiac arrests. Pregnancy is a relative contraindication to the use of therapeutic hypothermia after cardiac arrest. Conclusion: This is the third reported case of therapeutic hypothermia initiated for OHCA in a pregnant woman with a subsequent successful delivery. One of the most important things in to ensure a successful outcome is a multi‐disciplinary approach involving Cardiology, Emergency Medicine, Obstetrician, and Neurology.

Conclusions:

Therefore it is our opinion based on previous reports that hypothermic protocol should be heavily considered as standard of care in the pregnant population.