Society for Maternal-Fetal Medicine Special Statement: Checklist for initial management of amniotic fluid embolism

Abstract

Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Because of its rarity, many obstetrical providers have no experience in managing amniotic fluid embolism and may therefore benefit from a cognitive aid such as a checklist. We present a sample checklist for the initial management of amniotic fluid embolism based on standard management guidelines. We also suggest steps that each facility can take to implement the checklist effectively.

Keywords: cardiac arrest; cardiopulmonary resuscitation; critical care; implementation; perimortem cesarean delivery; pulmonary hypertension; resuscitative hysterotomy; right heart failure.