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Amniotic Fluid Embolism

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  • Amniotic fluid embolism

     Amniotic fluid embolism (AFE) is a rare obstetric emergency in which amniotic fluid, fetal cells, hair, or other debris enters the mother's blood stream via the placental bed of the uterus and trigger an allergic reaction. This reaction then results in cardiorespiratory (heart and lung) collapse and coagulopathy. Amniotic fluid embolism (AFE) is a pregnancy complication that causes life-threatening conditions, such as heart failure. It can affect you, your baby, or both of you.

  • Amniotic fluid embolism

     The first stage of AFE usually includes cardiac arrest and rapid respiratory failure. Cardiac arrest occurs when your heart stops working and you lose consciousness and stop breathing. Rapid respiratory failure occurs when your lungs cannot supply enough oxygen to your blood or remove enough carbon dioxide from it.In many cases, several blood, platelet, and plasma transfusions are needed to replace the blood lost during the hemorrhagic phase. Infant Your doctor will monitor your baby and watch for signs of distress. Your baby will most likely be delivered as soon as your condition is stabilized. This increases your baby’s chances of survival. In most cases, babies end up in the intensive care unit for close observation.

  • Amniotic fluid embolism

     The estimated incidence of AFE is 1:15,200 and 1:53,800 deliveries in North America and Europe, respectively. The case fatality rate and perinatal mortality associated with AFE are 13–30% and 9–44%, respectively. Risk factors associated with an increased risk of AFE include advanced maternal age, placental abnormalities, operative deliveries, eclampsia, polyhydramnios, cervical lacerations, and uterine rupture

     

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