Amniotic Fluid Embolism

Sisodia, Shantilal M; Bendale, Kiran; Khan, Wasif Ali Z. A.

doi:10.1097/paf.0b013e31825fb201

Cited by 7 publications

(1 citation statement)

References 34 publications

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“…To our knowledge, it is the first nationwide investigation of all cases of MSD over a given period. Previous studies have reported on subgroups of maternal sudden deaths due to one specific cause (such as cardiac conditions 8 or amniotic fluid 11 ), whereas our study included all sudden deaths. Data were collected from the confidential enquiry into maternal deaths database, enabling full identification and expertise of deaths associated with pregnancies, thus ensuring the accuracy and completeness of case identification.…”

Section: Discussionmentioning

confidence: 99%

Maternal sudden death: A nationwide retrospective study

Braund

Leviel

Morau

et al. 2022

BJOG

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Objective To determine the prevalence of maternal sudden death (MSD) and to compare the characteristics of death between women with explained and unexplained sudden death. Design A national retrospective study in France. Population Maternal deaths related to an unexpected sudden cardiac arrest were extracted from the French National Confidential Enquiry into Maternal Deaths database for 2007–2012. Methods Maternal, pregnancy, sudden death characteristics and maternal investigations were compared between women with explained and unexplained cause of death. Results A total of 83 maternal sudden deaths and 4 949 890 live births occurred over the period studied, thus accounting for 16% of all maternal deaths (n = 510). Death was explained in 51 (61%) women and unexplained in 32 women (39%). Compared with women with unexplained death, women with explained death were more often found to have in‐hospital cardiac arrest (47% versus 12%, P < 0.01), witnessed cardiac arrest (86% versus 62%, P = 0.03) and in‐hospital death (82% versus 47%, P < 0.01). Postmortem investigations such as autopsy and/or CT scan (65% versus 31%, P < 0.01) were also more often carried out in women with explained death. The proportion of deaths for which the preventability factors could not be assessed was 58% among unexplained MSD and 7% among explained MSD. Conclusion Maternal sudden death is a rare event but accounts for a high proportion of all maternal deaths. This highlights the importance of providing training in diagnostic and management strategy for care providers. Systematic postmortem investigations are required to help understand causes and improve practices.

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Section: Discussionmentioning

confidence: 99%