Management of Critical Obstetric Events: Amniotic Fluid Embolism Presented Through Case Studies
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Management of Critical Obstetric Events: Amniotic Fluid Embolism Presented Through Case Studies
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Rachel Price is creating an educational podcast about the obstetric emergency amniotic fluid embolism (AFE). AFE is a clinical diagnosis of exclusion with a reported incidence of 1 in 40,000 births and a mortality rate ranging from 20 to 60 percent. It is the second leading cause of maternal death on the day of delivery in the US. Diagnosis and management of AFE is challenging due to its rapidly evolving nature and limited research opportunities. Early recognition and management are crucial for a positive outcome. Key diagnostic factors include maternal cardiovascular collapse, respiratory compromise, and fulminant disseminated intravascular coagulation (DIC). The cause of AFE is the maternal immune response to embolized fetal tissue. The renaming of AFE to anaphylactoid syndrome of pregnancy has been recommended by the American College of Obstetrics and Gynecology.