Amniotic fluid embolism risk period

Amniotic fluid embolism is a serious syndrome in which the amniotic fluid and its contents enter the maternal blood circulation during delivery, causing pulmonary embolism, shock, coagulation disorders, and multiple organ failure. It is an obstetric complication with a low morbidity and a very high mortality rate, with a mortality rate of over 80% in pregnant women. Amniotic fluid embolism occurs rapidly, and often the patient has died before a large number of laboratory tests can be performed. Therefore, in order to make a diagnosis as early as possible, it is necessary to understand the cause of the disease and the underlying symptoms.

How long will it take for amniotic fluid embolism to pass the dangerous period of pregnancy?

Generally, treatment is required within 72 hours. If the time is exceeded, the lives of the pregnant woman and the child will be threatened. Pregnant women must do regular pregnancy checkups, because 90% of placenta previa can be diagnosed through ultrasound examinations, and placental abruption can be detected early using maternal labor monitoring equipment. Detect pregnancy-induced hypertension as early as possible. Once symptoms of high blood pressure, edema, and proteinuria occur, you must actively seek medical treatment to avoid the occurrence of moderate to severe pregnancy-induced hypertension.

(1) Pregnant women over 30 years old, women who are about to give birth prematurely or are about to give birth, and primiparas, especially those with placental abruption, uterine corpus or cervical hypoplasia, are very likely to develop amniotic fluid embolism and need to cooperate closely with the doctor to take appropriate measures.

(2) During labor, if you experience any discomfort such as chest tightness, shortness of breath, irritability, chills, etc., you should inform your doctor immediately so that the doctor can do his best to resolve the problem as soon as possible.

(3) Strictly control the conditions for the use of oxytocin, use oxytocin reasonably, and conduct necessary observations. During delivery, if the uterine contractions are too obvious, pregnant women should cooperate with doctors to use sedatives to weaken the contraction of the uterus and avoid uterine rupture.

(4) If amniotic fluid embolism occurs during the first stage of labor, the fetus cannot be delivered immediately. Although the condition improves after treatment, it may still become malignant because the cause of the disease has not been eliminated. Cooperate with the doctor to perform cesarean section when necessary, complete delivery as soon as possible, and avoid the risk of uterine rupture.

(5) Strictly control the conditions for artificial rupture of membranes, do not perform stripping of membranes, and do not rupture membranes during uterine contractions.

(6) Strictly grasp the indications for cesarean section and use gauze pads to protect the wound edges when breaking the amniotic fluid.

(7) If the uterine contractions are too strong during delivery, magnesium sulfate or bricanil, a uterine contraction retarder, can be used to weaken the contractions. Steady and calm.

(8) During mid-term labor induction with clamping, the membranes are ruptured first and amniotic fluid is allowed to flow out before clamping and oxytocin is administered.

(9) Pregnant women with risk factors should be more alert to the possibility of amniotic fluid embolism.