Different outcome in two case reports of births showing symptoms of amniotic fluid embolism in the years 2002 and 2012 in the district hospital of Decin

Česká verzia

Authors: D. Žáková ¹; L. Trudáková ¹; F. S. Farhat ¹; Ž. Kalixová ²; I. Náhlík ²; J. Rejholec ²; R. Lejčková ³; S. Bareš ³; Z. Hankeová-Bonhome ³; R. Reicho ³; J. Paličková ³; J. Ullrychová ⁴
Authors place of work: Gynekologicko-porodnické oddělení Krajské zdravotní, a. s., Nemocnice Děčín ¹; Chirurgie, JIP Krajské zdravotní, a. s., Nemocnice Děčín ²; ARO Krajské zdravotní, a. s., Nemocnice Děčín ³; Hematologické oddělení Krajské zdravotní, a. s., Nemocnice Děčín ⁴
Published in the journal: Ceska Gynekol 2015; 80(4): 302-308

Summary

This paper presents two case reports of amniotic fluid embolism quite identical in the onset of symptoms, 1,20 hr, respectively 1,40 hr after extraction of the fetus during delivery by caesarean section, both births were induced by prostaglandins. Both newborns were male. One patient died with autopsy providing evidence of massive pulmonary embolism, laboratory findings showed hemolysis. The second patient survived with neurological disorders, laboratory findings temporarily showed nonspecific antibodies. Both patients were subdued to hysterectomy, no trace of amniotic fluid components were found in the uterine vessels in either one of them.

Keywords:
amniotic fluid embolism, cardiac arrest, disseminated intravascular coagulation, maternal morbidity, maternal mortality, pregnancy, haemolysis, nonspecific antibodies

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