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It is important to recognise that cardiopulmonary resuscita-tion is less effective in a near term pregnant woman. To diminish the effects of right lateral uterine displacement, a pregnant woman needs to be placed in a left lateral tilt during cardiopulmonary resuscitation.5 Relieving vena cava occlusion allows chest compression to provide sufficient cardiac output to facilitate cardiopulmonary resuscitation.5 In recently described case reports,5 6 advanced cardiopulmonary resusci-tative measures were unresponsive until caesarean delivery was instituted. This implies that caesarean section might be necessary to accomplish a successful resuscitation even in case of a dead fetus. A perimortem caesarean started within four minutes of maternal cardiac arrest will yield the highest rates of maternal survival regardless of its cause.1 Electric cardioversion during pregnancy has been describe