Amniotic Fluid Embolism

Question 1

Amniotic Fluid Embolism

Answer 1

Rare condition where amniotic fluid passes into the mother’s blood

Question 2

When does amniotic fluid embolism occur

Answer 2

Occurs around labour and delivery

Question 3

Problem with amniotic fluid embolism

Answer 3

Amniotic fluid contains fetal tissue, triggering an immune reaction from the mother

Triggers systemic symptoms similar to anaphylaxis

Question 4

Risk factors for amniotic fluid embolism

Answer 4

Increasing maternal age
Induction of labour
Caesarean section
Multiple pregnancy

Question 5

Presentation of amniotic fluid embolism

Answer 5

Shortness of breath
Hypoxia
Hypotension
Coagulopathy
Haemorrhage
Tachycardia
Confusion
Seizures
Cardiac arrest

Question 6

Differentials for amniotic fluid embolism

Answer 6

Sepsis
Pulmonary embolism
Anaphylaxis

Question 7

Management of an amniotic fluid embolism

Answer 7

A-E
Get help from experienced obstetrician
Supportive management

Cardiopulmonary resuscitation and immediate caesarean section are required if cardiac arrest occurs