Amniotic fluid embolism

Research Article


Abstract views: 140 / PDF downloads: 93

Authors

  • Felis S

DOI:

https://doi.org/10.58372/2835-6276.1053

Keywords:

Amniotic fluid embolism, Cardiorespiratory arrest, Disseminated intravascular coagulopathy, Maternal death, Pregnancy

Abstract

Amniotic fluid embolism remains one of the most devastating conditions in obstetric practice with an incidence of approximately 1 in 40,000 deliveries and a reported mortality rate ranging from 20% to 60%. The pathophysiology involves an abnormal maternal response to fetal tissue exposure associated with breaches of the maternal-fetal physiologic barrier during parturition. This abnormal response triggers a cascade of events similar to the systemic inflammatory response syndrome, involving the activation of proinflammatory mediators. Maternal treatment in cases of cardiopulmonary arrest is mainly supportive, focusing on resuscitation efforts and stabilizing the mother's condition. However, it is crucial to prioritize prompt delivery in order to improve the newborn's outcome.

References

Clark SL., Belfort MA., Dildy GA., Herbst MA., Meyers JA., Hankins GD.: Maternal death in the 21st century. Prevention and relationship to cesarean delivery. Am J Obstet Gynecol 2008;199; 36.e1-5

Chang J., Elam-Evans LD., Berg CJ., Hendon J., Flowers L., Seed KA., et al.: Pregnancy related mortality surveillance -United States, 1991-1999. MMWR Surveill Summ 2003; 52;1-8

Knight M., Tuffnell D., Brocklehurst P., Spark P., Kurinczuk JJ.: UK Obstetric Surveillance System: Incidence and risk factors for amniotic -fluid embolism. Obstet Gynecol 2010; 115 :910-7

Stolk KH., Zwart JJ., Schutte J., VAN Roosmalen J.: Severe maternal morbidity from amniotic fluid embolism in the Netherlands. Acta Obstet Gynecol Scand 2012 ; 91: 991-5

Roberts CL., Algert CS., Knight M., Morris JM.: Amniotic fluid embolism in an Australian population -based cohort. BJOG 2010;117: 1417-21

Clark SL.: New concepts of amniotic fluid embolism: a review. Obstet Gynecol Surv . 1990 ;45: 360-8

Dildy GA., Belfort MA., Clark SL.: Anaphylactoid syndrome of pregnancy (amniotic fluid embolism) . In: Belfort M., Saade G., Foley M., Phelan J., Dildy GA. Editors. Critical care obstetrics. 5th ed. Oxford (UK) : Wiley-Blackwell ;2010.p. 466-74

Meyer JR.: Embolia pulmonary amniocaseosa. Bras /Med 1926; 1:301-3

Sinicina, I., et al. "Forensic aspects of post-mortem histological detection of amniotic fluid embolism." International journal of legal medicine 124.1 (2010): 55-62.).

L. Pacheco, et al. "Amniotic fluid embolism: diagnosis and management." American journal of obstetrics and gynecology 215.2 B16-B24; 2016).

Tuffnell, Derek J., and Elizabeth Slemeck. "Amnioticfluidembolism." Obstetrics, Gynaecology & Reproductive Medicine 2017).

Clark SL., Pavlova Z., Horenstein J., Phelan JP.: Squamous cells in the maternal pulmonary circulation. Am J Obstet Gynecol 1986; 154 :104-6

Stolte L., van Kessel H., Seelen J., Eskes T., Wagatsuma T.: Failure to produce the syndrome of amniotic fluid embolism by infusion of amniotic fluid and meconium into monkeys. Am J Obstet Gynecol. 1967; 98: 694 -7

Adamsons K., Mueller -Heubach E., Myer RE.: The innocuousness of amniotic fluid infusion in the pregnant rhesus monkey. Am J Obstet Gynecol 1971; 109: 977-84

Sparr RA., Pritchard JA.: Studies to detect the escape of amniotic fluid into the maternal circulation during parturition. Surg Gynecol Obstet 1958; 107:560-4

Hankins GD., Snyder RR., Clark SL., Schwartz L., Patterson WR., Butzin CA.: Acute hemodynamic and respiratory effects of amniotic fluid embolism in the pregnant goat model. Am J Obstet Gynecol 1993 ;168 :1113-29

Clark SL., Hankins GDV., Dudley DA., Dildy GA., Porter TF.: Amniotic fluid embolism: analysis of the national registry. Am J. Obstet Gynecol 1995 ;172 :1158-67

Towell ME.: Fetal acid-base physiology and intrauterine asphyxia. In Goodwin JW, Godden JO., Chance GW, editors. Perinatal medicine. Baltimore (MD): Williams &Wilkins; 1976. p 200

Clark SL., Cotton DB., Gonik B., Greenspoon J., Phelan JP.: Central hemodynamic alterations in amniotic fluid embolism. Am J Obstet Gynecol 1988; 158 :1124-6

Clark SL., Montz FJ., Phelan JP.: Hemodynamic alterations in amniotic fluid embolism: a reappraisal. Am J Obstet Gynecol 1985; 151:617-21

Richards DS., Carter LS., Corke B., Spielman F., Cefalo RC.: the effects of human amniotic fluid on the isolated perfused rat heart. Am J Obstet Gynecol 1988; 158:210-8

Lockwood CJ., Bach R., Guha A., Zhou XD., Miller WA., Nemerson Y.: Amniotic fluid contains tissue factor, a potent inhibitor of coagulation. Am J Obstet Gynecol 1991; 165: 1335-41

Romero R., Kadar N., Vaisbuch E., Hassan SS.: Maternal death following cardiopulmonary collapse after delivery: amniotic fluid embolism or septic shock due to intrauterine infection? . Am J Reprod Immunol 2010 ;64 :113-25

Rangel-Fausto MS., Pittet D., Costigan M., Hwang T., Davis CS., Wenzel RP.: The natural history of the systemic inflammatory response syndrome (SIRS). A prospective study. JAMA 1995; 273:117-23

Morgan M.: Amniotic fluid embolism. Anaesthesia 1979; 34:20-32

Tuffnell DJ., Johnson H.: Amniotic fluid embolism: the UK registry. Hosp Med 2000; 61: 532-4

Kramer MS., Rouleau J., Baskett TF., Joseph KS.: Maternal Health Study Group of the Canadian Perinatal Surveillance System. Amniotic fluid embolism and medical induction of labour : a retrospective population -based cohort study . Lancet 2006: 368:1444-8

Abenhaim HA., Azoulay L., Kramer MS., Leduc L.: Incidence and risks factors of amniotic fluid embolisms: a population-based study on 3 million births in the United States. Am J Obstet Gynecol 2008; 199: 49.e1-8

Knight M., Berg C., Brocklehurst P., Kramer M., Lewis G., Oats J., et al.: Amniotic fluid embolism incidence, risks factors and outcomes: a review and recommendations. BMC Pregnancy Childbirth 2012; 12:7

Kramer MS., Rouleau J., Baskett TF., Joseph KS.: Maternal Health Study Group of the Canadian Perinatal Surveillance System. Amniotic fluid embolism and medical induction of labour : a retrospective population -based cohort study . Lancet 2006: 368:1444-8

Conde-Aguledo A., Romero R.: Amniotic fluid embolism: an evidence -based review. Am J Obstet Gynecol 2009; 201: 445.e1-13

American College of Obstetricians and Gynecologists. Prologue obstetrics. In: Amniotic fluid embolism. 3rd ed. Washington (DC) 1993. P 94

Benson MD.: Current concepts of immunology and diagnosis in amniotic fluid embolism: Clin Dev Immunol 2012; 2012:946576

Leighton BL., Wall MH., Lockhart EM., Phillips LE., Zatta AJ.: Use of recombinant factor VIIa in patients with amniotic fluid embolism: a systematic review of case reports: Anesthesiology 2011;115:1201-20

Katz VJ., Balderston K., DeFreest M.: Perimortem cesarean delivery: were our assumptions correct ? . Am J Obstet Gynecol 2005; 192:1916-20

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Published

2023-08-11

How to Cite

Felis S. (2023). Amniotic fluid embolism : Research Article. American Journal of Medical and Clinical Research & Reviews, 2(7), 1–16. https://doi.org/10.58372/2835-6276.1053

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