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KMID : 1101620180290020089
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Perinatology
2018 Volume.29 No. 2 p.89 ~ p.96
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Amniotic Fluid Embolism: Maternal Disseminated Intravascular Coagulation, Cardiovascular Collapse, and Acute Hypoxic Cases Shortly after Delivery
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Jo Eun-Ae
Jung Su-Keong
Lee Jung-Hoon
Kim Jeong-Ok
Choi Heaong-Eun
Joo Hae-Sun
Choi Hoa-Yeon
Jang Shin-A
Hwang Sung-Ook
Choi Soo-Ran
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Abstract
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Amniotic fluid embolism (AFE) is a fatal disease in only pregnant woman during labor and delivery. The pathologic findings that have demonstrated fetal squamous cells in the pulmonary circulation are no more specific. Then, clinically characteristic signs and symptoms, such as cardiovascular collapse, acute hypoxia, disseminated intravascular coagulation, mental change and laboratory findings are the key points for diagnosis. Having a doubt on those sign and symptoms is the beginning of diagnosis and promptly multidisciplinary management is required. Korean National Registry for AFE must be established and we have to find out the diagnostic criteria, possible etiology, pathophysiology, management and treatment for AFE.
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KEYWORD
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Pregnancy, Amniotic fluid embolism, Shock, Disseminated intravascular coagulation, Hypoxia
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