![]() ![]() Fitzpatrick, KE, Tuffnell, D, Kurinczuk, JJ, Knight, M. Amniotic fluid embolism: incidence, risk factors, and impact on perinatal outcome. For the maternal health study group of the Canadian Perinatal surveillance system. Kramer, M, Rouleau, J, Liu, S, Bartholomew, S, Joseph, K. Amniotic fluid embolism in an Australian population-based cohort. Roberts, C, Algert, C, Knight, M, Morris, J. The amniotic fluid embolism syndrome: 10 years’ experience at a major teaching hospital. Approval was granted by the Ethics Committee of Sheba medical Center (no. ![]() Subsequent pregnancies were not associated with AFE recurrence.Īuthor contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.Ĭompeting interests: Authors state no conflict of interest.Įthical approval: This study was performed in line with the principles of the Declaration of Helsinki. Nevertheless, the accuracy of clinical diagnosis is still high. Use of a diagnostic criterion for diagnosis of AFE results in a more precise diagnosis of AFE. Six pregnancies resulted in a term delivery. Pregnant women were followed by a high-risk pregnancy specialist and multidisciplinary team if pregnancy continued beyond the early second trimester. 11 subsequent pregnancies occurred in four AFE survivors. Composite maternal morbidity was 5/12 (41.66%), without cases of maternal mortality. Heart failure of varying severity was diagnosed in 75% (9/12) cases. Clinical presentation included cardiovascular collapse, respiratory distress and disseminated intravascular coagulopathy (DIC). Of the antepartum cases, mode of delivery was cesarean delivery or vacuum extraction for expedited delivery due to presentation of AFE in 8/9 cases (88.88%). Three cases occurred during midtrimester dilation and evacuation procedures, and the remaining occurred in the antepartum period. Resultsīetween 20 14 women were clinically suspected with AFE and 12 of them (85.71%) met the diagnostic criteria for AFE. Pregnancy outcomes in subsequent pregnancies in AFE survivors detailed. Clinical presentation, treatment, and outcomes described. Cases meeting the diagnostic criteria for AFE were included. MethodsĪ case series of all suspected AFE cases at a tertiary medical center between 20 is presented. ![]() We sought to implement recent diagnostic criteria and detail subsequent pregnancies in survivors. Data regarding subsequent pregnancies is scarce. An international diagnostic criterion for amniotic fluid embolism (AFE) diagnosis has recently been published. ![]()
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