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Intensive Care Medicine

Tutorial 197

Amniotic Fluid Embolism

Dr Angela Tan

Dr Nolan McDonnell

King Edward Memorial Hospital for Women, Perth, Australia

Correspondence to Nolan.McDonnell@health.wa.gov.au

20TH SEPTEMBER 2010

Abstract

Amniotic Fluid Embolism is a condition unique to pregnancy and a leading cause of maternal death.

With modern resuscitation techniques and intensive care treatment survival is much improved such that AFE is no longer a post mortem diagnosis.

Aggressive and early resuscitation of parturients with AFE is frequently associated with good long term maternal and neonatal outcomes.

Atypical presentations occur so the diagnosis of AFE should always be considered in acutely unwell parturients.