Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement
Objective: Amniotic fluid embolism is one of the most serious pregnancy complications. It can cause sudden maternal collapse with high mortality and morbidity. We present a case report regarding the important of prompt decision making and multidisciplinary team work for management of amniotic fluid...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455923002553 |
| _version_ | 1797454329465012224 |
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| author | Caroline Lim Charles Tsung-Che Hsieh Siew Yen Lai Yi-Tzu Chu Ming Chen Hsin-Hung Wu |
| author_facet | Caroline Lim Charles Tsung-Che Hsieh Siew Yen Lai Yi-Tzu Chu Ming Chen Hsin-Hung Wu |
| author_sort | Caroline Lim |
| collection | DOAJ |
| description | Objective: Amniotic fluid embolism is one of the most serious pregnancy complications. It can cause sudden maternal collapse with high mortality and morbidity. We present a case report regarding the important of prompt decision making and multidisciplinary team work for management of amniotic fluid embolism to yield favorable maternal and neonatal outcome. Case report: This is a 35-year-old, gravida 2, para 1, woman underwent labor induction at gestational age of 37 + 6 weeks due to elective induction. She had sudden facial cyanosis and shortness of breath right after artificial rupture of membrane. Prompt decision of urgent cesarean section, aggressive and timely massive blood transfusion and multidisciplinary team work had spared patient from extracorporeal membrane oxygenation placement and prolonged hospitalization. A male infant was born with Apgar score 3’ -> 5’ with estimate body weight of 2958 gm; he was hospitalized for 10 days and no other complications was found at follow up pediatric outpatient clinic. Conclusion: One of the most dreadful, but rare pregnancy complications is amniotic fluid embolism (AFE). It can cause serious maternal and neonatal morbidity and mortality. Rapid recognition and multidisciplinary team management are essential to maternal and neonatal prognosis. |
| first_indexed | 2024-03-09T15:35:42Z |
| format | Article |
| id | doaj.art-15206e928e674f8490a5fea37cb368e4 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-03-09T15:35:42Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-15206e928e674f8490a5fea37cb368e42023-11-26T05:12:03ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-11-01626921924Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvementCaroline Lim0Charles Tsung-Che Hsieh1Siew Yen Lai2Yi-Tzu Chu3Ming Chen4Hsin-Hung Wu5Department of Obstetrics and Gynecology, Changhua Christian Hospital, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Taiwan; Department of Genomic Medicine, Changhua Christian Hospital, Changhua 50046, Taiwan; Department of Research, Changhua Christian Hospital, Changhua 50006, Taiwan; Department of Obstetrics and Gynecology, College of Medicine and Hospital, National Taiwan University, Taipei 100225, Taiwan; Department of Biomedical Science, Dayeh University, Changhua 515006, Taiwan; Department of Medical Sciences, National Tsing Hua University, Hsinchu 300044, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Taiwan; Medical College, National Chung Hsing University, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Changhua Christian Hospital, 135 Nan-Hsioa Street, Changhua 500, Taiwan.Objective: Amniotic fluid embolism is one of the most serious pregnancy complications. It can cause sudden maternal collapse with high mortality and morbidity. We present a case report regarding the important of prompt decision making and multidisciplinary team work for management of amniotic fluid embolism to yield favorable maternal and neonatal outcome. Case report: This is a 35-year-old, gravida 2, para 1, woman underwent labor induction at gestational age of 37 + 6 weeks due to elective induction. She had sudden facial cyanosis and shortness of breath right after artificial rupture of membrane. Prompt decision of urgent cesarean section, aggressive and timely massive blood transfusion and multidisciplinary team work had spared patient from extracorporeal membrane oxygenation placement and prolonged hospitalization. A male infant was born with Apgar score 3’ -> 5’ with estimate body weight of 2958 gm; he was hospitalized for 10 days and no other complications was found at follow up pediatric outpatient clinic. Conclusion: One of the most dreadful, but rare pregnancy complications is amniotic fluid embolism (AFE). It can cause serious maternal and neonatal morbidity and mortality. Rapid recognition and multidisciplinary team management are essential to maternal and neonatal prognosis.http://www.sciencedirect.com/science/article/pii/S1028455923002553Amniotic fluid embolismCardiovascular collapseDisseminated intravascular coagulationMultidisciplinary teamMaternal mortality and morbidity |
| spellingShingle | Caroline Lim Charles Tsung-Che Hsieh Siew Yen Lai Yi-Tzu Chu Ming Chen Hsin-Hung Wu Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement Taiwanese Journal of Obstetrics & Gynecology Amniotic fluid embolism Cardiovascular collapse Disseminated intravascular coagulation Multidisciplinary team Maternal mortality and morbidity |
| title | Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement |
| title_full | Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement |
| title_fullStr | Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement |
| title_full_unstemmed | Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement |
| title_short | Amniotic fluid embolism: A case report of good outcome with timely intensive multidisciplinary team involvement |
| title_sort | amniotic fluid embolism a case report of good outcome with timely intensive multidisciplinary team involvement |
| topic | Amniotic fluid embolism Cardiovascular collapse Disseminated intravascular coagulation Multidisciplinary team Maternal mortality and morbidity |
| url | http://www.sciencedirect.com/science/article/pii/S1028455923002553 |
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