As the fibrinogen level decreases early in atonic bleeding, early administration of FFP may be important as an initial approach to treat atonic bleeding. Amniotic fluid embolism is classified into 2 types, conventional type and uterus-type.

INTRODUCTION Respiratory failure may develop during the later stages of pregnancy and is usually associated with tocolysis or other co-existing conditions such as pneumonia, sepsis, pre-eclampsia or amniotic fluid embolism syndrome. CASE PRESENTATION We present the case of a 34-year-old healthy woman with a twin pregnancy at 31 weeks and 6 days who experienced acute respiratory failure, a few...

Amniotic fluid embolism was first recognized in 1926, in a Brazilian journal case report, on the basis of large amounts of fetal material in the maternal pulmonary vasculature at autopsy. The first English language description appeared in 1941 and consisted of eight parturients dying suddenly in which, once again, fetal material was seen in the pulmonary vasculature. A control group of 34 pregn...

Aim: The objective of this study is to review all the reported outcomes of heparin application in amniotic fluid embolism (AFE) so far and to find out why, when and how heparin or other anticoagulants should be used in AFE. Material and methods: We searched Medline (from 1969 to 2011), using two key words: 1) amniotic fluid embolism; 2) amniotic fluid embolism and heparin. The search for the fo...

OBJECTIVE To determine the incidence, etiology and outcome of treatment in obstetric patients complicated by overt disseminated intravascular coagulation (DIC). MATERIAL AND METHOD Medical records of 25 obstetric patients with a diagnosis of DIC in Songklanagarind University Hospital from January 1993 to December 2005 were reviewed RESULTS The incidence of overt DIC was I per 1,355 deliveri...

amniotic fluid volume (afv) is one of the important parameters in the assessment of fetal well-being. the ability of ultrasound measurements to represent the actual afv is unproven. this study was undertaken to compare correlation of conventional amniotic fluid index (afi) and radial amniotic fluid index (rafi) as a new method with actual fluid volume on phantom. as an experimental study, 10 to...

Amniotic fluid embolism (AFE) is a rare event, but one that is responsible for approximately 10% of all maternal deaths (1). Regardless of treatment, it is associated with a very high mortality rate (2). While approximately 70% of maternal deaths caused by AFE are a result of cardiopulmonary collapse (3), the pathophysiology of the cardiopulmonary disturbance is not clearly understood. Almost a...

BACKGROUND Amniotic fluid embolism (AFE) is a rare but severe complication of pregnancy. A recent systematic review highlighted apparent differences in the incidence, with studies estimating the incidence of AFE to be more than three times higher in North America than Europe. The aim of this study was to examine population-based regional or national data from five high-resource countries in ord...

BACKGROUND Obstetric crises are unexpected and random. Traditionally, medical training for these acute events has included lectures combined with arbitrary clinical experiences. This educational paradigm has inherent limitations. During actual crises insufficient time exists for discussion and analysis of patient care. Our objective was to create a simulation program to fill this experiential g...

UNLABELLED The Thrombelastograph((R)) test (TEG; Haemoscope Corporation, Skokie, IL) was used to assess the effects of midtrimester and final-trimester amniotic fluid (AF) on whole blood coagulation. Different volumes of midtrimester and final-trimester AF were added to whole blood from nonpregnant volunteers in a series of TEG tests. The addition of both midtrimester and final-trimester AF res...