Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 38

The number of deaths from amniotic fluid embolism has remained constant for 30 years. The condition is not always fatal, and useful information may be gained when the woman survives. All cases, whether fatal or not, should be reported to the UK Obstetric Surveillance System (UKOSS) at the National Perinatal Epidemiology Unit in Oxford.

Most recently the CEMD has highlighted the dangers of hyperstimulation of the uterus as a cause of amniotic fluid embolism and in particular the excessive use of misoprostol for induction with intrauterine deaths. In terms of responding to collapse in the peripartum period (which is how women with this condition present), the take home messages, in addition to rapid response and resuscitation, are of anticipating the massive haemorrhage which will follow and putting out a major obstetric haemorrhage (MOH) call.