Early recognition and mobilization of resources in managing amniotic fluid embolism for a high-risk obstetric patient: A case report

Abstract

A 33-year-old woman, gravida 3 para 2, at 39 weeks of gestation, undergoing induction of labor, had a seizure. She was transferred to the operating room and underwent a cesarean delivery for non-reassuring fetal status. An amniotic fluid embolism (AFE) was suspected given her cardiovascular collapse, disseminated intravascular coagulation, and early right heart failure. Early mobilization of resources (e.g., blood bank, gynecology oncology, extracorporeal membrane oxygenation) was necessary as the hospital was in a stand-alone building. Biomarkers were sent during the acute event. The creation of an AFE order set is discussed.

Keywords

• Amniotic fluid embolism
• Venoarterial extracorporeal membrane oxygenation
• Point-of-care
• Cesarean delivery
• Obstetric