A case of amniotic fluid embolism successfully treated by multidisciplinary treatment

• Main Authors: Yuki Kinishi, Chiyo Ootaki, Takeshi Iritakenishi, Yuji Fujino
• Format: Article
• Language: English
• Published: SpringerOpen 2019-11-01
• Series: JA Clinical Reports
• Subjects: Labor; Epidural; Advanced maternal age
• Online Access: https://doi.org/10.1186/s40981-019-0296-0

Abstract Background Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by multidisciplinary treatment. Case presentation A 39-year-old woman with fetal congenital heart anomaly and polyhydramnios was scheduled for induction of delivery at 37 weeks of gestation with labor epidural analgesia. Uncontrollable bleeding occurred 30 min after vaginal delivery. Based on the clinical diagnosis of AFE, massive blood transfusion, insertion of an aortic occlusion balloon catheter, and hysterectomy was performed. Total blood loss was 12,000 mL. The diagnosis of AFE was confirmed by pathological examination. She was discharged with no complications. Conclusion We report a case of AFE who were rescued by prompt diagnosis and treatment.