In the third trimester of pregnancy, performing CPR on a gravid patient requires some modifications to the standard technique in order to ensure the safety of both the mother and the fetus.
The recommended position for CPR on a third trimester gravid patient is left lateral tilt, in which the patient is placed on her left side. This position helps to prevent the compression of the inferior vena cava, which can reduce blood flow to the heart and brain. It also helps to minimize the risk of compressing the uterus and potentially harming the fetus.
When performing chest compressions on a third trimester gravid patient, it is important to place the hands slightly higher on the sternum than usual, to account for the upward displacement of the diaphragm due to the enlarged uterus. The compressions should be done with slightly less force than usual, to reduce the risk of causing injury to the fetus.
It is important to continue providing adequate CPR to the mother, while also considering the well-being of the fetus. If possible, have someone call for emergency medical assistance as soon as possible, so that further help can be provided to both the mother and the fetus.
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