MATERNAL

CARDIAC
ARREST

VICKA & TRUELLY

Pembimbing:
Dr. Satrio Adi Wicaksono, Sp.An
 chronic kidney
disease

Chronic Health Neurologic

Problems That Exist disorders such as
Before Pregnancy epilepsy
Risk Factors
Lung diseases such
Obesity
as asthma
A-Anesthetic Complications

High
Neuraxial The innervation
paralyze the Sympathectomy
to the diaphragm
Block and diaphragm  hypotension
is C3, C4, and C5
Hypotension

increased
Loss of increased decreased
edema and
Physiology of acidity of lower
Airway and pregnancy 
friability of the
gastric esophageal
Aspiration oropharyngeal
contents sphincter tone
mucosa

respiratory
Respiratory
Depression OPIOID arrest and
apnea
Local Anesthetic Systemic Toxicity
Pregnancy sensitivity to local anesthetics
LAST  induced cardiac toxicity  resistant to conventional resuscitative
interventions.
B-Bleeding
 Myocardial
Infarction

ICD
Implantation Aortic
in High-Risk Dissection
Patients

C
High-Risk Cardiovascular
Cardiac Cardio
Arrhythmia
Causes
myopathy
Substrate

Congenital Mechanical
Heart Valve
Disease Prostheses
 hypotension

Oksitosin tachycardia

myocardial
ischemia
D
Drugs mild generalized
vasodilator

a tocolytic
Magnesium (depresses smooth
muscle contraction)

central nervous
system depressant.
 • pulmonary vasospasm
Amniotic
• hypertension
Fluid
Embolism • right-sided heart failure --
later left-sided

E - Thrombo • pulmonary embolism

embolism • central vein thrombosis
EMBOLI

• air that is released from

ruptured  central
Venous Air
venous system 
Embolism
embolizes into the
pulmonary artery
F - FEVER
Influenza/Acute
Sepsis Respiratory
Distress Syndrome

Septic shock (refractory

hypotension and
inadequate delivery of
oxygen, producing end-
organ hypoperfusion and
lactic acidosis)
pregnant woman’s
immune system
downregulation of cell-
mediated immunity

increeased circulating
Myocardial ischemia 
blood volume and
Cardiac arrest
hypoalbuminemia  ARDS
 H hypoxia,
hypovolemia,
hydrogen ion
(acidosis),
hypo/hyperkalemia
,hypothermia

G-
GENERAL
T toxins,
tamponade
(cardiac), tension
pneumothorax,thro
mbosis
(pulmonary), and
thrombosis
(coronary)
 cerebral
hemorrhage;

hypoxia or
stroke;

H
Hypertension
thrombocytope
pulmonary
nia and DIC
edema
massive
hypoxia
hemorrhage
hepatic failure
or rupture
leading 
profound
hemorrhage.