Amniotic Fluid Embolism (AFE)

When amniotic fluid/fetal cells enter the mother’s bloodstream.

Risks factors

• Abortion
• Amniocentesis
• Amnioinfusion
• Hyperstimulation of the uterus during labor
  • With pitocin & Cytotec (misoprostol)
• Women with uterine scarring
  • Previous cesarean section

Associated

• Preeclampsia
• Placental abruption
• Placenta previa

Clinical Manifestations

• Early signs: chest pain, pink, frothy sputum and diaphoresis
• Shortness of breath
• Gasping for air
• Drop in blood pressure
• Depressed cardiac function
• Hypoxia
• Seizures
• DIC (disseminated intravascular Coagulation)