Evidence map›Paper›PMID 40926909›Full record

ReviewCureus2025

Safety Considerations and Knowledge Gaps in Maternal Cardiopulmonary Resuscitation: A Systematic Review of Healthcare Professionals' Preparedness.

Angeliki Sarella, Panagiota Tzela, Paraskevi Giaxi, Dimitra Sarantou, Anastasia Bothou, Kleanthi Gourounti

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Angeliki SarellaMidwifery Department, Faculty of Health and Caring Sciences, University of West Attica, Athens, GRC.
Panagiota TzelaMidwifery Department, School of Health and Care Sciences, University of West Attica, Athens, GRC.
Paraskevi GiaxiMidwifery Department, University of West Attica, Athens, GRC.
Dimitra SarantouMidwifery Department, General Hospital of Messinia - Nursing Unit of Kyparissia, Kyparissia, GRC.
Anastasia BothouMidwifery Department, University of West Attica, Athens, GRC.
Kleanthi GourountiMidwifery Department, University of West Attica, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiopulmonary resuscitation (CPR) is a critical, life-saving intervention. In pregnant women, unique anatomical and physiological changes require adaptations to standard CPR protocols to ensure optimal outcomes for both mother and fetus, emphasizing the need for universal awareness and standardized training across diverse healthcare systems globally. Despite the high-risk nature of maternal cardiac arrest, evidence suggests that many healthcare professionals may not be adequately prepared to respond effectively. This systematic review followed PRISMA guidelines and included studies published between 2004 and 2024 identified through PubMed, Scopus, Web of Science, and Google Scholar. Boolean operators were used to combine keywords such as "cardiopulmonary resuscitation," "pregnancy," "knowledge," and "training." Studies assessing healthcare professionals' knowledge or training in maternal CPR were eligible, and seven cross-sectional studies conducted in hospital-based settings met the inclusion criteria. Findings across all studies revealed a consistent gap in knowledge among healthcare providers, including anesthesiologists, obstetricians, emergency physicians, midwives, and nurses. Common deficits included awareness of CPR modifications specific to pregnancy, drug dosing, maternal positioning, and perimortem cesarean protocols. Previous specialized training or real-world clinical exposure positively influenced knowledge levels. The results highlight the urgent need not only for standardized maternal CPR guidelines, but also for their global implementation through mandatory continuing education and simulation-based training. This approach aims to improve preparedness and clinical competence, ultimately enhancing outcomes for both mothers and newborns during cardiopulmonary emergencies.

Indexed as

cardiac arrestcpr traininghealthcare professionalsmaternal cardiopulmonary resuscitationmedical educationobstetric emergencyperimortem cesareanpregnancysafety considerationssimulation training

Identifiers

PMID40926909
PMCPMC12416222

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.