15 - Obs - Obs Emergencies - Amniotic Fluid Embolism Flashcards
1
Q
When ? enters maternal ?
-> ? and sudden dyspnea, ?
and hypotension, accom by ? and ? arrest. Acute ??. V rare but important cause of maternal mort as many die, 13 deaths in UK in 3yrs. If woman survives 30 mins rapidly devs ???, pulm ? and ARDS. ? from DIC may be first presx.
A
liquor circulation anaphylaxis hypoxia seizures cardiac HF DIC oedema Haemorrhage
2
Q
Risk Factors
When ? ?, but may be during ?, at C sec and even ???. Many mild RFs: v strong ? in presence of ?. Prevention impossible.
A
membranes rupture labour TOP contractions polyhydramnios
3
Q
Management
Diagnosis confused w ?, usually only at PM. ? and ? trt as for any collapse. ?? and fluid under ? ? monitoring. Blood for ?, ???, electrolytes and ? match. Blood and ???
req. ICU.
A
eclampsia supportive and resus O2 central venous clotting FBC cross FFP
