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Re: amniotic emboliFrom: Serge Guichard (sguich@transnethaiti.com)Fri Aug 9 11:49:42 2002
Hi Lynne, The AF emboi is very rare but one of the most frightening and devastating complications of the pregnancy.It happens during vaginal delivery or cesarean. Most of the cases are fatal. The entrance of amniotic fluid into the maternal circulation results in a sudden,profound cardiorespiratory failure. If the patient survive that first stage after intensive cardiorespiratory support,she will bleed to death by disseminated intravascular coagulation that consumes all the coag.factors.The presence of several particles in the AF ( grease,hairs..et.c) and other coagulation factors from the placenta induce the process of coag.in all the vessels.After couples of hours the fibrinogen drops and the patient bleeds from everywhere. I personally had a case last year during a C.section and the patient didn't survive. Unfortunately there is no prevention.
-- Serge Guichard M.D, Ob-Gyn Petion-Ville,Haiti sguich@transnethaiti.com
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