Responding to Amniotic Fluid Embolism

ABSTRACT Amniotic fluid embolism (AFE), an uncommon disorder with a high fatality rate, is an obstetric emergency that requires swift recognition and intervention to save both the mother's life and that of her child. The high mortality rate and varying theories as to its cause make it difficult...

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Bibliographic Details
Published in:AORN journal 2009-06, Vol.89 (6), p.1079-1092
Main Author: Dobbenga-Rhodes, Yvonne A., RNC-OB, MS, CNS
Format: Article
Language:English
Subjects:
Amniotic fluid
amniotic fluid embolism
Anesthesia & Perioperative Care
Autopsies
Births
Case studies
Cause of Death
cesarean birth emergencies
Childbirth & labor
Delivery, Obstetric - methods
Delivery, Obstetric - nursing
Diagnosis, Differential
Embolism, Amniotic Fluid - diagnosis
Embolism, Amniotic Fluid - epidemiology
Embolism, Amniotic Fluid - etiology
Embolism, Amniotic Fluid - therapy
Embolisms
Emergencies
Emergencies - epidemiology
Emergencies - nursing
Family - psychology
Fatalities
Female
Humans
Hypotension
Hypoxia
Maternal mortality
Monitoring, Intraoperative
Nurse's Role
Nurses
Nursing
Nursing Diagnosis
obstetric emergencies
Obstetric Nursing - organization & administration
Obstetrics
Operating Room Nursing - organization & administration
Patient Care Planning - organization & administration
Patient Care Team
Patients
Perianesthesia
Placental abruption
Pregnancy
Pulmonary arteries
Risk Factors
Social Support
Surgery
Vagina
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Summary:ABSTRACT Amniotic fluid embolism (AFE), an uncommon disorder with a high fatality rate, is an obstetric emergency that requires swift recognition and intervention to save both the mother's life and that of her child. The high mortality rate and varying theories as to its cause make it difficult to diagnose AFE, which can occur at any point during labor and delivery, including during cesarean birth. These factors make it important for perioperative nurses to understand and recognize AFE when it occurs in the OR. Rapid delivery of the fetus is imperative for the survival of both mother and child. Monitoring and aggressively providing respiratory and circulatory support interventions are required if the mother is to survive AFE. AORN J 89 (June 2009) 1079–1088. © AORN, Inc, 2009.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2009.02.014