![]() Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations. Amniotic fluid embolism: incidence, risk factors, and impact on perinatal outcome. Am J Obstet Gynecol 2008 199(01):49.e1-49.e8 7 7 Kramer MS, Rouleau J, Liu S, Bartholomew S, Joseph KS Maternal Health Study Group of the Canadian Perinatal Surveillance System. ![]() Incidence and risk factors of amniotic fluid embolisms: a population-based study on 3 million births in the United States. United kingdom amniotic fluid embolism register. Amniotic fluid embolism: an evidence-based review. Squamous cells in the maternal pulmonary circulation. 3 3 Clark SL, Pavlova Z, Greenspoon J, Horenstein J, Phelan JP. Its incidence is difficult to determine, with data ranging from 1 in 12,953 deliveries in the United States to 1 in 56,500 in the United Kingdom. JAMA 1986 255(16):2187-2203 reported a series of 8 cases of autopsy with fetal mucin and squamous cells in the pulmonary vasculature of women who had died in a sudden chock during labor. 1941: Maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics. Bras Med 1926 40(02):301-303, but only recognized in 1941, when Steiner and Lushbaugh 2 2 Steiner PE, Lushbaugh CC. ![]() Os autores apresentam um caso clínico de uma mulher que sobreviveu a um quadro de embolia de líquido amniótico na sua gravidez prévia, e que teve uma gravidez subsequente sem recorrência do quadro, contribuindo com mais um testemunho clínico do baixo risco na gravidez pós-ELA.Įmbolia do líquido amniótico colapso cardiovascular coagulação intravascular disseminada morte maternaĪmniotic fluid embolism (AFE) is a rare obstetric condition, first described in 1926 by Meyer 1 1 Meyer JR. Nenhum teste de diagnóstico é recomendado até o momento, embora vários marcadores do sangue periférico se encontrem em estudo. A embolia do líquido amniótico tem um carácter imprevisível, e o seu diagnóstico é exclusivamente clínico, sendo o tratamento sobretudo de suporte respiratório e cardiovascular, com a concomitante administração de derivados do sangue para corrigir a CID. Mais recentemente, a visão tradicional de obstrução dos capilares pulmonares por êmbolo de líquido amniótico, como explicação principal para a etiologia desta síndrome, tem sido desconsiderada, assumindo os fatores imunológicos e a ativação das cascatas de resposta inflamatória um papel importante. A sua patogênese ainda não é totalmente compreendida. The authors present a case report of a woman who had survived AFE in her previous pregnancy and had a subsequent pregnancy without recurrence, providing one more clinical testimony of the low risks for the pregnancy after AFE.Īmniotic fluid embolism cardiovascular collapse intravascular disseminated coagulation maternal deathĪ embolia do liquido amniótico (ELA) é uma situação clínica rara, mas potencialmente catastrófica, que se caracteriza por uma combinação de sinais e sintomas clínicos que refletem insuficiência respiratória aguda, colapso cardiovascular e coagulação intravascular disseminada (CID). No diagnostic test is recommended until now, though multiple blood markers are currently being studied. Amniotic fluid embolism has an unpredictable character, its diagnosis is exclusively clinical, and the treatment consists mainly of cardiovascular support and administration of blood products to correct the DIC. ![]() More recently, the traditional view of obstruction of pulmonary capillary vessels by amniotic fluid emboli as the main explanation for the etiology has been ruled out, and immunologic factors and the activation of the inflammatory cascade took on an important role. Amniotic fluid embolism (AFE) is a rare but potentially catastrophic clinical condition, characterized by a combination of signs and symptoms that reflect respiratory distress, cardiovascular collapse and disseminated intravascular coagulation (DIC).
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