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Chapter 21 - Amniotic Fluid Embolism and Disseminated Intravascular Coagulation

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Roupen Hatzakorzian  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During an obstetrics call duty in your tertiary center, you are called urgently to assist in a Cesarean section of a 42-year-old with sudden intraoperative maternal collapse. Your surgical colleague followed her prenatal care.

Keywords

Intrapartum maternal collapseInvestigationsBlood product replacementAmniotic fluid embolismRisk factorsDiagnostic criteriaDisseminated intravascular coagulationScoring systemDocumentationDebriefing
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 285 - 295
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Chu, J, Johnston, TA, Geoghegan, J. Royal College of Obstetricians and Gynaecologists. Maternal collapse in pregnancy and the puerperium: Green-Top Guideline No. 56. BJOG. 2020;127(5):e14–e52.CrossRefGoogle ScholarPubMed
Clark, SL, Romero, R, Dildy, GA, et al. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies. Am J Obstet Gynecol. 2016 Oct;215(4):408–412.Google Scholar
Lipman, S, Cohen, S, Einav, S, et al. The Society for Obstetric Anesthesia and Perinatology consensus statement on the management of cardiac arrest in pregnancy. Anesth Analg. 2014 May;118(5):1003–1016.Google Scholar
Pacheco, LD, Clark, SL, Klassen, M, et al. Amniotic fluid embolism: principles of early clinical management. Am J Obstet Gynecol. 2020 Jan;222(1):48–52.CrossRefGoogle ScholarPubMed
Pacheco, LD, Saade, GR, Costantine, MM, et al. An update on the use of massive transfusion protocols in obstetrics. Am J Obstet Gynecol. 2016 Mar;214(3):340–344. [Erratum in Am J Obstet Gynecol. 2017 Jan;216(1):76]CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists (RCOG) Green-Top Guideline No. 47: Blood transfusion in obstetrics, May 2015. Available at www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg47/. Accessed November 22, 2020.Google Scholar
Shamshirsaz, AA, Clark, SL. Amniotic fluid embolism. Obstet Gynecol Clin N Am. 2016; 43:779–790.CrossRefGoogle ScholarPubMed
Society for Maternal-Fetal Medicine (SMFM) Clinical Guideline No. 9, with the assistance of Pacheco, LD, Saade, G, Hankins, GD, et al. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol. 2016 Aug;215(2):B16–24.CrossRefGoogle ScholarPubMed
Sultan, P, Seligman, K, Carvalho, B. Amniotic fluid embolism: update and review. Curr Opin Anesthesiol. 2016; 29:288–296.CrossRefGoogle ScholarPubMed
Wada, H, Matsumoto, T, Yamashita, Y. Diagnosis and treatment of disseminated intravascular coagulation (DIC) according to four DIC guidelines. J Intensive Care 2014; 2(15):1–8.Google Scholar

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