9.16 Amniotic Fluid Embolisation Flashcards
1
Q
How common is amniotic fluid embolisation?
A
occurs in about 2 in 100,000 deliveries
2
Q
What is the main pathophysiology in amniotic fluid embolisation?
A
amniotic fluid contains fetal tissue and triggers and IMMUNE REACTION in mum. (More like anaphylaxis than a VTE).
3
Q
What is the mortality from amniotic fluid embolisation?
A
about 20%
4
Q
What are the main risk factors for amniotic fluid embolisation?
A
- Increasing maternal age
- Induction of labour
- Caesarean section
- Multiple pregnancy
5
Q
How does amniotic fluid embolisation present?
A
Around labour, similar to sepsis / PE / anaphylaxis, act onset of:
- Shortness of breath
- Hypoxia
- Hypotension
- Coagulopathy
- Haemorrhage
- Tachycardia
- Confusion
- Seizures
- Cardiac arrest
6
Q
What is the management of amniotic fluid embolisation?
A
Supportive, no specific treatments. Initial ABCDE
Emergency, get help: experienced obstetricians, medics, anaesthetics, intensive care teams and haematologists
Transfer to ICU
