An interesting case of amniotic fluid embolism
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250732Keywords:
Amniotic fluid embolism, Disseminated intravascular coagulation, Cardiorespiratory arrestAbstract
Amniotic fluid embolism is a rare condition. It is one of the leading causes of maternal mortality, and the overall rate has been approximately 20%. However, even those who survive have a significant morbidity, including neurologic injury due to cerebral hypoxia. If it occurs before delivery, neonatal outcomes are poor. Prompt recognition facilitates rapid initiation of potentially lifesaving therapies. This case is presented to share awareness regarding early detection and treatment of this life-threatening condition, resulting in good outcomes of both mother and baby.
Metrics
References
Gilmore DA, Wakim J, Secrest J, Rawson R. Anaphylactoid syndrome of pregnancy: a review of the literature with latest management and outcome data. AANA J. 2003;71(2):120-6.
Gist RS, Stafford IP, Leibowitz AB, Beilin Y. Amniotic fluid embolism. Anesth Analg. 2009;108:1599-602. DOI: https://doi.org/10.1213/ane.0b013e31819e43a4
Clark SL. Amniotic fluid embolism. Obstet Gynecol. 2014;123:337. DOI: https://doi.org/10.1097/AOG.0000000000000107
Clark SL, Romero R, Dildy GA, Callaghan WM, Smiley RM, Bracey AW, et al. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies. Am J Obstet Gynecol. 2016;215(4):408-12. DOI: https://doi.org/10.1016/j.ajog.2016.06.037
Knight M, Berg C, Brocklehurst P, Kramer M, Lewis G, Oats J, et al. Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations. BMC Pregnancy Childbirth. 2012;12:7. DOI: https://doi.org/10.1186/1471-2393-12-7
Sultan P, Seligman K, Carvalho B. Amniotic fluid embolismLupdate and review. Curr Opin Anesthesiol. 2016;29:288-96. DOI: https://doi.org/10.1097/ACO.0000000000000328
Society for Maternal-Fetal Medicine (SMFM), Pacheco LD, Saade G, Hankins GD, Clark SL. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol. 2016;215(2):B16-24. DOI: https://doi.org/10.1016/j.ajog.2016.03.012
Tsunemi T, Hidekazu OI, Sado T, Naruse K, Noguchi T, Kobayashi H. An overview of amniotic fluid embolism: Past, present and future directions. Open Womens Health J. 2012;6:24-9. DOI: https://doi.org/10.2174/1874291201206010024
Moore J, Baldisseri MR. Amniotic fluid embolism. Crit Care Med. 2005;33:S279-85. DOI: https://doi.org/10.1097/01.CCM.0000183158.71311.28
Steiner PE, Lushbaugh C. Maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexplained death in obstetrics. JAMA. 1941;117:1245-54. DOI: https://doi.org/10.1001/jama.1941.02820410023008
Fong A, Chau CT, Pan D, Ogunyemi DA. Amniotic fluid embolism: antepartum, intrapartum and demographic factors. J Matern Fetal Neonatal Med. 2015;28(7):793-8. DOI: https://doi.org/10.3109/14767058.2014.932766
Patient Safety and Quality Committee, Society for Maternal-Fetal Medicine. Electronic address: smfm@smfm.org; Combs CA, Montgomery DM, Toner LE, Dildy GA. Society for Maternal-Fetal Medicine Special Statement: Checklist for initial management of amniotic fluid embolism. Am J Obstet Gynecol. 2021;224(4):B29-32. DOI: https://doi.org/10.1016/j.ajog.2021.01.001
Baxter FJ. Amniotic Fluid Embolism: A Narrative Review. J Obstet Anaesth Crit Care. 2023;13(2):130-41. DOI: https://doi.org/10.4103/JOACC.JOACC_12_23
Knight M, Tuffnell D, Brocklehurst P, Spark P, Kurinczuk JJ; UK Obstetric Surveillance System. Incidence and risk factors for amniotic-fluid embolism. Obstet Gynecol. 2010;115(5):910-7. DOI: https://doi.org/10.1097/AOG.0b013e3181d9f629