Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis.

Abstract:

BACKGROUND:Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. CASE PRESENTATION:A 29-year-old previously healthy woman, gravida 1 para 0, presented for a scheduled second trimester induced abortion via dilation and evacuation at 22-weeks gestation. The case was complicated by a suspected AFE with associated profound coagulopathy. Viscoelastic point-of-care coagulation analysis was used to successfully and swiftly guide management of her coagulopathy. CONCLUSION:AFE can occur in the setting of induced abortion. This case report suggests viscoelastic point-of-care coagulation analyzers may aid in the management of pregnancy-related coagulopathy by providing faster coagulation assessment than laboratory testing, and facilitating timely, targeted management of coagulopathy.

authors

Crissman HP,Loder C,Pancaro C,Bell J

doi

10.1186/s12884-019-2680-1

subject

Has Abstract

pub_date

2020-01-03 00:00:00

pages

9

issue

1

issn

1471-2393

pii

10.1186/s12884-019-2680-1

journal_volume

20

pub_type

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