Amniotic Fluid Embolism Flashcards
Amniotic fluid embolism
A rare life-threatening condition caused by the entry of fetal cells and debris (from amniotic fluid) into maternal circulation
AFEclassic triad
AFE typically manifests with a classic triad of sudden hypoxia and hypotension followed by coagulopathy.
Diagnosis of amniotic fluid embolism
Pulmonary artery blood sample: presence of squamous cells, hair, or other fetal debris in maternal blood
A rare cause of pph
Uterine inversion
Oxytocin should be discontinued and crystalloids and blood products administered as needed. If the uterus cannot be repositioned manually even after administration of a uterine relaxant (e.g., nitroglycerine), surgical repair becomes necessary.
The first stage of management in uterine atony is?
Bimanual uterine massage
Genital tract injury as a cause of pph present as
Patients with cervical or vaginal lacerations present with a well-contracted uterus and active vaginal bleeding without visible injuries of the vulva or perineum.
First step of management in pph is
Uterine inversion