A case of amniotic fluid embolism successfully treated by multidisciplinary treatment

Background Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by m...

Full description

Saved in:
Bibliographic Details
Published in:JA clinical reports 2019-11, Vol.5 (1), p.79-79, Article 79
Main Authors: Kinishi, Yuki, Ootaki, Chiyo, Iritakenishi, Takeshi, Fujino, Yuji
Format: Article
Language:English
Subjects:
Advanced maternal age
Anesthesiology
Blood pressure
Case Report
Catheters
Childbirth & labor
Critical Care Medicine
Embolisms
Emergency medical care
Emergency Medicine
Epidural
Health risk assessment
Intensive
Labor
Laboratories
Maternal mortality
Medicine
Medicine & Public Health
Obstetrics
Pain Medicine
Pregnancy
Veins & arteries
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by multidisciplinary treatment. Case presentation A 39-year-old woman with fetal congenital heart anomaly and polyhydramnios was scheduled for induction of delivery at 37 weeks of gestation with labor epidural analgesia. Uncontrollable bleeding occurred 30 min after vaginal delivery. Based on the clinical diagnosis of AFE, massive blood transfusion, insertion of an aortic occlusion balloon catheter, and hysterectomy was performed. Total blood loss was 12,000 mL. The diagnosis of AFE was confirmed by pathological examination. She was discharged with no complications. Conclusion We report a case of AFE who were rescued by prompt diagnosis and treatment.
ISSN:2363-9024
2363-9024
DOI:10.1186/s40981-019-0296-0