<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412020001000700</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i10.3451</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Código azul, histerotomía de reanimación en embarazo de término: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Blue Code, resuscitative hysterotomy on a term pregnancy: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuesta-Galindo]]></surname>
<given-names><![CDATA[Mayela Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruvalcaba-Carrillo]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colín-Cortes]]></surname>
<given-names><![CDATA[Héctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yáñez-Torres]]></surname>
<given-names><![CDATA[José de Jesús Oswaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarillo-Contreras]]></surname>
<given-names><![CDATA[Omar Oswaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-Aguirre]]></surname>
<given-names><![CDATA[Daniel Ely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 13 ]]></institution>
<addr-line><![CDATA[Matamoros Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 13 ]]></institution>
<addr-line><![CDATA[Matamoros Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 13 ]]></institution>
<addr-line><![CDATA[Matamoros Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 13 ]]></institution>
<addr-line><![CDATA[Matamoros Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de la Mujer de Aguascalientes  ]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital de la Mujer de Aguascalientes  ]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>10</numero>
<fpage>700</fpage>
<lpage>706</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020001000700&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020001000700&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020001000700&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: El paro cardiorrespiratorio durante el embarazo es un evento poco común, ocurre en 1 de cada 12,500 a 30,000 gestaciones, con una tasa de supervivencia de 17-59%.  CASO CLÍNICO:  Paciente de 23 años, con evolución normal del embarazo de 41.2 semanas; acudió a la consulta de Urgencias por actividad uterina irregular. Durante la conducción del trabajo de parto, y después de la analgesia espinal, tuvo un paro cardiorrespiratorio. Se le aplicaron las maniobras de reanimación básicas y monitoreo de la asistolia; a los 4 minutos se le practicaron: histerotomía de reanimación y retorno espontáneo de la circulación. La paciente requirió cuidados inmediatos, con seguimiento y tratamiento en terapia intensiva obstétrica durante 1 mes; fue dada de alta con mínimo daño de las funciones mentales, con restablecimiento íntegro de las mismas a los 3 meses de seguimiento.  CONCLUSIONES:  Debido a las implicaciones éticas y características de la enfermedad, no existe un modelo experimental para establecer las medidas durante la reanimación cardiopulmonar en el embarazo; por tanto, se implementan con base en la revisión de casos y estudios de la fisiología cardiovascular en esta etapa fisiológica de la vida. El apego y seguimiento de las recomendaciones establecidas se asocian con buen desenlace y pronóstico para la madre y su hijo, como sucedió en el caso aquí reportado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Cardiorespiratory arrest during pregnancy is a rare event that occurs in 1 in 12,500 to 30,000 pregnancies, with a survival rate of 17-59%.  CLINICAL CASE:  We report the case of a 23-year-old female patient, late-term pregnancy and labor. During labor conduction and after spinal analgesia, she presented cardiorespiratory arrest. After the start of basic resuscitation maneuvers, monitoring, and confirmed asystole, advanced maneuvers were started, culminating at 4 minutes with resuscitation hysterotomy and a subsequent spontaneous return of circulation. The patient required immediate post-arrest cares with follow-up and management in the intensive obstetric care unit for one month, after which the patient was discharged with minimal compromise of her superior mental functions; after 3 months of out clinic follow-up, the patient was healthy and her superior functions deemed to have been fully restored.  CONCLUSIONS:  Due to the ethical implications and characteristics of the pathology, there are no experimental models to establish measures during cardiopulmonary resuscitation in pregnancy, they are developed based on the review of clinical cases and the study of cardiovascular physiology during pregnancy. In this case report, we conclude that adhering to the established recommendations were associated with a good outcome and prognosis for both mother and child.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Paro cardiorrespiratorio]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[anestésico]]></kwd>
<kwd lng="es"><![CDATA[histerotomía]]></kwd>
<kwd lng="es"><![CDATA[reanimación cardiopulmonar]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="en"><![CDATA[Cardiorespiratory arrest]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Analgesia]]></kwd>
<kwd lng="en"><![CDATA[Hysterotomy]]></kwd>
<kwd lng="en"><![CDATA[Cardiopulmonary resuscitation]]></kwd>
<kwd lng="en"><![CDATA[Pronostic]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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