First of all, let me talk about the definition of amniotic fluid embolism. Amniotic fluid embolism refers to acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death caused by amniotic fluid suddenly entering maternal blood circulation during delivery. The latest research believes that amniotic fluid embolism is an allergic reaction. Amniotic fluid embolism is a unique and rare complication during pregnancy, which will lead to disastrous consequences once it occurs. But the incidence rate is low and the mortality rate is high, almost as high as 80%. Some doctors may never meet them, but the prognosis is very poor. Even if they save lives, they will leave serious sequelae. The news has also reported many cases, among which amniotic fluid embolism in a hospital is the most famous.
Secondly, talk about the high risk factors of amniotic fluid embolism. For example, premature rupture of membranes, multipara, placenta previa, placental abruption, polyhydramnios, pregnancy-induced hypertension, induced labor by acupuncture, stillbirth and so on. The probability of amniotic fluid embolism caused by cesarean section is higher than that caused by vaginal delivery, and the probability of amniotic fluid embolism caused by puerpera is higher than that of primipara.
Next, talk about the clinical manifestations of amniotic fluid embolism. The typical manifestations of amniotic fluid embolism include three aspects: sudden hypoxemia and hypotension, coagulation dysfunction in many cases, and severe cardiac arrest, all of which are related to delivery. Next, I will talk about the amniotic fluid embolism that happened around me. I remember it was August, and it was still a little hot and dry. We are still as busy as usual, running back and forth in the delivery room, ward and operating room, killing ourselves. This sentence can't be wrong There was a sudden scream in the delivery room, so for a while, the pregnant woman didn't have a heartbeat to breathe, which was 10 second. In the case of diagnosed amniotic fluid embolism, in the end, it was not rescued. Fortunately, the child is still alive. After all, there is still hope. The best autopsy result is amniotic fluid embolism. Another example is my classmate's hospital. The situation is similar, the symptoms are different, and they are all convulsions. Fortunately, he was rescued in time and saved his life, but eventually he died of sequelae after no more than 1 year.
How to prevent amniotic fluid embolism?
Physical examination on time. 90% placenta previa can be diagnosed by B-ultrasound, and placental abruption can be found early by using delivery monitoring device, which may be the cause of amniotic fluid embolism. Prenatal research. Prenatal education is to let every parturient have a bottom of complications, so as to always pay attention to their physical condition. Tell the doctor in time. In the process of delivery, if you feel chest tightness, irritability, chills and other discomfort, you should inform the doctor in time so that the doctor can deal with it in time.