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Re: Amnio infusionFrom: Mats Bergstrom (matsb@sos.sll.se)Thu Jul 4 15:23:56 1996
On Thu, 4 Jul 1996, Dr Vivienne Souter wrote:
> Do you have any published references about maternal deaths associated This is an article presenting two fatal cases and with references to earlier case reports of near fatal cases: Mahler JE, Wenstrom KD (who has written more on the subject) et al. Amniotic fluid embolism after saline amnioinfusion. Two cases and review of the literature. Obstet Gynecol 1994;83:851-4. (If you or your colleague has a Microsoft-compatible mailer I could send you a copy of a case report, that I co-authored, as a MS-Word 6 attached document: Wegnelius et al. A case of life-threatening pulmonary edema associated with amnioinfusion during labor. European J Obstet Gynecol 1996;65:237-9. This patient had moderate precclampsia and amniotic fluid fluid embolism might not be involved.) Amniotic fluid embolism is hard to prove, or not properly defined. The finding of amniotic debris at microscopy of maternal blood is not sufficient since this can be found in obstetric patients with other (severe) diagnoses.
-- Mats Bergstrom, MD Ob Gyn South Hospital Stockholm
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