[Clinical aspects and therapy of amniotic fluid embolism. Illustration based on a case report].

Abstract

A case of amniotic fluid embolism during the delivery of an at term pregnancy is reported. The 34-year old primipara with an unremarkable medical history suddenly suffered from a seizure in the second stage of labor. Shortly prior to this event, a prolonged fetal bradycardia was recorded. After forceps delivery a massive postpartum haemorrhage as the result of a consumption coagulopathy occurred. Immediate resuscitation with artificial ventilation improved the condition of mother and child. The substitution of packed red cells and platelets, fresh frozen plasma and other blood derivates was necessary. Mother and child survived without any physical damage or neurological deficit. Because of the clinical pattern we diagnosed an amniotic fluid embolism.

• Authors: S Bussen, G Schwarzmann, T Steck
• Journal: Zeitschrift fur Geburtshilfe und Neonatologie (Z Geburtshilfe Neonatol) 1997 May-Jun Vol. 201 Issue 3 Pg. 95-8 ISSN: 0948-2393 [Print] Germany
• Vernacular Title: Klinik und Therapie der Fruchtwasserembolie. Darstellung anhand einer Kasuistik.
• PMID: 9303789 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Adult
• Asphyxia Neonatorum (diagnosis, therapy)
• Blood Transfusion
• Critical Care
• Disseminated Intravascular Coagulation (therapy)
• Embolism, Amniotic Fluid (diagnosis, therapy)
• Female
• Humans
• Infant, Newborn
• Obstetric Labor Complications (diagnosis, therapy)
• Obstetrical Forceps
• Postpartum Hemorrhage (therapy)
• Pregnancy
• Resuscitation