Amniotic Fluid Embolism Managed with Success during Labour：Report of A Severe Clinical Case and Review of Literature
WU Si-yu
YU Fang
HOU Hai-yan
XING Jing
CHEN Ya-qiong
Abstract：Amniotic fluid embolism (AFE) is widely known as a disastrous rapid-progressing intrapartum complication. The incident ranges from 2/100 000 to 6/100 000. The mortality rate reaches 61%—86%. Neonatal survival is reported at 70%. We describe a case of severe AFE in our practice and review the relevant documents. A 33-year pluripara developed amniotic fluid embolism during labour. The mother identified as gestational anemia when came to our hospital with acute respiratory failure to be her initial symptom. A forceps delivery was performed. She showed extreme blood loss complicated by disseminated coagulopathy. A subtotal hysterectomy was performed due to approximately 3000 mL bleeding. Aggressive management was practiced with continuous transfusion of blood products. Haemodialysis was performed because of chronic renal failure after her being transmitted to ICU. The patient had been treated for 3 months and discharged from hospital with an improved condition and a survived baby without neurological damage. The patient receives dialysis regularly due to chronic renal failure.
Keywords：Embolismamniotic fluidCaesarean sectionCardiopulmonary resuscitationRenal failure
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 384-386 )