Perimortem Cesarean Section in a Patient with Intrapartum
                    Cardiorespiratory Arrest Due to a Massive Amniotic Fluid
                    Embolism

Habek, Dubravko; Márton, Ingrid; Prka, Matija; Luetić, AnaTikvica; Šklebar, Ivan; Habek, Jasna Čerkez

doi:10.1055/a-1735-4038

Z Geburtshilfe Neonatol

2022

DOI: 10.1055/a-1735-4038

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Perimortem Cesarean Section in a Patient with Intrapartum Cardiorespiratory Arrest Due to a Massive Amniotic Fluid Embolism

Dubravko Habek

Ingrid Márton

Matija Prka

et al.

Abstract: We report and discuss the case of a 29-year-old tercigravida with intrapartum cardiorespiratory arrest due to a massive amniotic fluid embolism and disseminated intravascular coagulopathy. Perimortem caesarean section with B-Lynch compression uterine suture with simultaneous fetal and maternal resuscitation were performed with a favorable outcome for both the mother and the child.

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Amniotic fluid embolism: a reappraisal

Young,

Florine Magdelijns,

Chervenak

et al. 2023

Journal of Perinatal Medicine

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Objectives Using cases from our own experience and from the published literature on amniotic fluid embolism (AFE), we seek to improve on existing criteria for diagnosis and discern associated risk factors. Additionally, we propose a novel theory of pathophysiology. Methods This retrospective case review includes eight cases of AFE from two hospital systems and 21 from the published literature. All cases were evaluated using the modified criteria for research reporting of AFE by Clark et al. in Am J Obstet Gynecol, 2016;215:408–12 as well as our proposed criteria for diagnosis. Additional clinical and demographic characteristics potentially correlated with a risk of AFE were included and analyzed using descriptive analysis. Results The incidence of AFE was 2.9 per 100,000 births, with five maternal deaths in 29 cases (17.2 %) in our series. None of the cases met Clark’s criteria while all met our criteria. 62.1 % of patients were over the age of 32 years and two out of 29 women (6.9 %) conceived through in-vitro fertilization. 6.5 % of cases were complicated by fetal death. Placenta previa occurred in 13.8 %. 86.2 % of women had cesarean sections of which 52.0 % had no acute maternal indication. Conclusions Our criteria identify more patients with AFE than others with a low likelihood of false positives. Clinical and demographic associations in our review are consistent with those previously reported. A possible relationship between cesarean birth and risk of AFE was identified using our criteria. Additionally, we propose a new hypothesis of pathophysiology.

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Amniotic fluid embolism: a reappraisal

Young,

Florine Magdelijns,

Chervenak

et al. 2023

Journal of Perinatal Medicine

View full text Add to dashboard Cite

show abstract

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Perimortem Cesarean Section in a Patient with Intrapartum Cardiorespiratory Arrest Due to a Massive Amniotic Fluid Embolism

Cited by 1 publication

References 10 publications

Amniotic fluid embolism: a reappraisal

Amniotic fluid embolism: a reappraisal

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