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AMNIOTIC FLUID EMBOLISM: A CASE REPORT

Abstract

Amniotic fluid embolism (EAF) is a critical condition in pregnant women, parturients and puerperas, provoked by the release of amniotic fluid into the maternal bloodstream and resulting in acute hypotension, respiratory failure or sudden cardiac arrest all accompanied by a coagulopathy. The frequency of EAF considerably varies across different countries, occurring on average in 1 per 20,000 deliveries. Risk factors include maternal age > 35 years, polyhydramnios, intense labor, abdominal trauma, cesarean section, labor induction, abnormal uterine activity, placenta previa, eclampsia, multiple pregnancy, uterine rupture, placental abruption, diabetes mellitus, fetal macrosomia, acute fetal distress, antenatal or intrapartum death, and male fetus. EAF is characterized by acute hypotension (systolic blood pressure < 90 mmHg), maternal hypoxia (shortness of breath, cyanosis, or peripheral oxygen saturation < 90%), fetal hypoxia, coagulopathy, disseminated intravascular coagulation, shock, and cardiac arrest. Early onset of appropriate treatment is a key factor determining the favorable outcome.

About the Authors

ELENA V. Rudaeva
Kemerovo State Medical University
Russian Federation


VADIM G. Mozes
Kemerovo State Medical University
Russian Federation


IGOR S. Zakharov
Kemerovo State Medical University
Russian Federation


SVETLANA I. Yelgina
Kemerovo State Medical University
Russian Federation


YULIA V. Vasyutinskaya
Podgorbunskiy Regional Clinical Emergency Hospital
Russian Federation


ELENA G. Rudaeva
Kemerovo State Medical University
Russian Federation


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Review

For citations:


Rudaeva E.V., Mozes V.G., Zakharov I.S., Yelgina S.I., Vasyutinskaya Yu.V., Rudaeva E.G. AMNIOTIC FLUID EMBOLISM: A CASE REPORT. Fundamental and Clinical Medicine. 2018;3(4):107-112. (In Russ.)

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ISSN 2500-0764 (Print)
ISSN 2542-0941 (Online)