Table 7 Third round final statements affirmed for OBLS curriculum

1. Use ‘resuscitative cesarean delivery’ (RCD) instead of ‘perimortem cesarean delivery.’

2. Providers staffing emergency departments should be trained in resuscitative cesarean delivery (RCD).

3. Perform resuscitative cesarean delivery (RCD) immediately in a pregnant patient with a fundus height at or above the umbilicus with a non-shockable rhythm.

4. The use of extracorporeal membrane oxygenation (ECMO, or eCPR) may be considered for the management of maternal cardiac arrest when there is no return of spontaneous circulation (ROSC).

5. The use of extracorporeal life support (ELS or eCPR) should be considered for organ procurement in pregnant patients post-arrest after circulatory determination of death.

6. Where available and when pregnancy stage and gestational age is uncertain, point of care ultrasound (POC-US) may be used in the management of maternal cardiac arrest for identification of an intrauterine pregnancy and quick determination of gestational age to guide decision making on resuscitative cesarean delivery (RCD).

7. In maternal cardiac arrest with return of spontaneous circulation (ROSC), consider using point of care ultrasound (POC-US) in emergency protocols for identification of potentially reversible causes of cardiac arrest.

8. Where proper training and resources are available, prehospital providers may use point of care ultrasound (POC-US) for diagnosis and management of maternal cardiac arrest.