[Amniotic fluid embolism during labor].
Amniotic fluid embolism is an unpredictable but dramatical complication of pregnancy that occurs when amniotic fluid enter into the maternal circulation. The classical clinical feature is acute respiratory distress, circulatory distress, seizures and coagulopathy. However there is no routine laboratory diagnosis, so that is a diagnosis of exclusion. We report here the case of a patient, on labor with an epidural analgesia who suddenly suffered from seizures, circulatory arrest, and haemorrhage. A symptomatic management was instituted and a caesarean section was performed. An haemostatic hysterectomy was required. The patient survived without any sequelae. Neurological outcome of the child is still reserved.
Morau
E
E
Service d'anesthésie réanimation D, CHU Arnaud-de-Villeneuve, 34295 Montpellier, France. e.morau@chu-montpellier.fr
Valette
S
S
Pirat
P
P
Mottais
F
F
Colson
P
P
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D002585:Cesarean Section; D004619:Embolism, Amniotic Fluid / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D011247:Pregnancy; D011256:Pregnancy Outcome; D012640:Seizures / Q000209:etiology