Amniotic Fluid Embolism Pulmonary Embolism

Age and Sex 20-34 yrs old1 60-702

OB History -multipara CS5
-rupture of membranes Parity >35
Preterm delivery5
Hematopoeitic
-anisocytosis Check3
-hypochromic anemia
Pulmo
-dyspnea Check4
-pulmonary edema Check4
-respiratory acidosis Check4
-metabolic acidosis Check4
-hypoxemia Check4
Renal (Urinalysis)
-hematuria
-proteinuria
-leukocytosis
-epithelial cells: 3+
Bradycardia (50s)
Hypotension Check6

1. Josie
2. Torbicki A, Perrier A, Konstantidines S, et al. Guidelines on the diagnosis and management of acute
pulmonary embolism. Eur Heart J. 2008;29:2276–315.
3. Sundin, CS., Mazac, LB. 2017. Amniotic Fluid Embolism.MCN, The American Journal of Maternal/Child
Nursing. Volume 42 Number 1 , p 29 – 35
4. Lee, J. H., Yang, H. J., Kim, J.-H., Lee, S.-Y., Gill, H. J., Kim, B.-K., & Kim, M. G. (2010). Amniotic fluid
embolism that took place during an emergent Cesarean section -A case report-. Korean Journal of
Anesthesiology, 59(Suppl), S158–S162. http://doi.org/10.4097/kjae.2010.59.S.S158
5. Morris JM, Algert CS, Roberts CL. Incidence and risk factors for pulmonary embolism in the postpartum
period. J Thromb Haemost 2010; 8: 998–1003.
6. Conde-Agudelo, A., & Romero, R. (2009). AMNIOTIC FLUID EMBOLISM: AN EVIDENCE-BASED REVIEW.
American Journal of Obstetrics and Gynecology, 201(5), 445.e1–445.13.
http://doi.org/10.1016/j.ajog.2009.04.052