CLINICAL SYMPTOMS AND MANAGEMENT OF AMNIO TIC-FLUID EMBOLISM - AN OVERVIEW AND CASE-REPORT

A case of amniotic fluid embolism during the delivery of an at term pr egnancy is reported. The 34-year old primipara with an unremarkable me dical history suddenly suffered from a seizure in the second stage of labor. Shortly prior to this event, a prolonged fetal bradycardia was recorded. After forceps delivery a massive postpartum haemorrhage as t he result of a consumption coagulopathy occured. Immediate resuscitati on with arteficial ventilation improved the condition of mother and ch ild. The substitution of packed red cells and platelets, fresh frozen plasma and other blood derivates was necessary. Mother and child survi ved without any physical damage or neurological deficit. Because of th e clinical pattern we diagnosted an amniotic fluid embolism.