Amniotic fluid embolism during caesarean section

Int J Obstet Anesth. 2004 Oct;13(4):271-4. doi: 10.1016/j.ijoa.2004.03.002.

Abstract

Amniotic fluid embolism occurs rarely but is a leading cause of maternal mortality. A high index of clinical suspicion is necessary to make an early diagnosis to reduce morbidity and mortality. We report a non-fatal case of amniotic fluid embolism occurring during a caesarean section, with special emphasis on the mode of development and diagnosis. The initial presentation of this syndrome was a coagulopathy, followed by the usual complications of massive bleeding. Although non-specific, the diagnosis of amniotic fluid embolism was supported by the observation of amniotic fluid in the central venous blood as well as in the broncho-alveolar fluid.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amnion / cytology
  • Anesthesia, Epidural
  • Anesthesia, Obstetrical
  • Blood Coagulation Disorders / blood
  • Blood Coagulation Disorders / complications
  • Bronchoalveolar Lavage Fluid / cytology
  • Cesarean Section*
  • Embolism, Amniotic Fluid / complications*
  • Embolism, Amniotic Fluid / diagnosis
  • Female
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Prothrombin Time
  • Respiration, Artificial