Amniotic fluid embolism

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Risk factors

  • Advanced maternal age
  • Gravida >5
  • Surgical delivery
  • Placenta previa/abruption
  • Pre-eclampsia

Presentation

  • Labor or immediately post-partum
  • Cardiogenic shock
  • Respiratory failure
  • DIC
  • Coma/seizures

Treatment

  • Respiratory and hemodynamic support
  • ± transfusion