Mortality rate of amniotic fluid embolus
60-80%
Risk factors for Amniotic fluid embolus
Placental abruption rapid labour multiparity uterine rupture uterine manipulation
Clinical features of Amniotic fluid embolus
Sudden onset of respiratory distress, cardiovascular collapse (hypotension, hypoxia) and coagulopathy
Seizure in 10%
ARDS and left ventricular dysfunction seen in survivors
Tx of amniotic
Supportive measure High flow O2 Ventilation support Fluid resuscitation Inotropic support intubation if needed ICU admission