Clinical and morphological characteristics of amniotic fluid
https://doi.org/10.36604/1998-5029-2019-73-76-79
Abstract
Amniotic fluid embolism (ICD-10 code - O88) is one of the direct causes of maternal mortality. It occurs as a result of ingress of components of the amniotic fluid into the bloodstream of the mother. It requires a quick diagnosis and a complex interdisciplinary approach to treatment. The absence of special diagnostic tests leads to a sudden and unexplained death of a pregnant woman, a woman in labor or a puerperal. The early beginning of intensive care may determine a favorable outcome. A clinical case of amniotic embolism during pregnancy with a fatal outcome and morphological verification of the diagnosis is presented.
About the Authors
T. S. BystritskayaRussian Federation
Tamara S. Bystritskaya - MD, PhD, D.Sc. (Med.), Professor, Head of Department of Obstetrics and Gynecology.
95 Gorkogo Str., Blagoveshchensk, 675000
D. S. Lysyak
Russian Federation
Denis S. Lysyak - MD, PhD, D.Sc. (Med.), Associate Professor of Department of Obstetrics and Gynecology.
95 Gor'kogo Str., Blagoveshchensk, 675000
E. V. Dubyaga
Russian Federation
Evgeniy V. Dubyaga - MD, PhD (Med.), Pathologist.
26 Voronkova Str., Blagoveshchensk, 675028
E. V. Arutyunyan
Russian Federation
Elena V. Arutyunyan - MD, Head of Department of Gynecology.
26 Voronkova Str., Blagoveshchensk, 675028
References
1. Adamyan L.V., Artymuk N.V., Barinov S.V, Belokrinitskaya T.E., Drobinskaya A.N., Zhilin A.V., Kulikov A.V., Marshalov D.V., Milovanov A.P., Ovezov A.M., Protsenko D.N., Filippov O.S., Shifman E.M. Amniotic fluid embolism: intensive care and obstetric tactics. Clinical guidelines (treatment protocol). Moscow; 2017 (in Russian).
2. Makatzaria A.D., Panfilova O.J. Amniotic fluid embolism or anaphylactoid syndrome of pregnancy. Prakticheskaya meditsina 2010; (4): 13-19 (in Russian).
3. Nadeev A.P., Zhukova VA, Ageeva T.A., Drobinskaya A.N., Travin M.A, Karpov M.A, Savchenko S.V., Chikinev Yu.V., Polyakevich A.S. Amniotic fluid embolism as a cause of maternal death. Forensic Medical Expertise = Sudebno-meditsinskaya ekspertiza. 2015; 58(6):44-45 (in Russian). https://doi.org/10.17116/sudmed201558644-45
4. Rudaeva E.V, Mozes VG., Zakharov I.S., Yelgina S.I., Vasyutinskaya Yu.V, Rudaeva E.G. Amniotic fluid embolism: a case report. Fundamental and Clinical Medicine 2018; 3(4):107-112 (in Russian). doi: 10.23946/2500-0764-2018-3-4-107-112
5. Hession P.M., Millward C.J., Gottesfeld J.E., Rehring T.F., Miller K.B., Chetham P.M., Muckleroy S.K., Bates C.A., Hollis H.W. Amniotic fluid embolism: using the medical staff process to facilitate streamlined care. Perm. J. 2016; 20(4):15-248. https://doi.org/10.7812/TPP/15-248
6. Kanayama N., Tamura N. Amniotic fluid embolism: Pathophysiology and new strategies for management. J. Obstet. Gynaecol. Res. 2014; 40(6):1507-1517. doi:10.1111/jog.l2428
7. Kaur K., Bhardwaj M., Kumar P., Singhal S., Singh T., Hooda S. Amniotic fluid embolism. J. Anaesthesiol. Clin. Pharmacol. 2016; 32(2):153-159. doi: 10.4103/0970-9185.173356
8. Rath W.H., Hoferr S., Sinicina I. Amniotic fluid embolism: an interdisciplinary challenge: epidemiology, diagnosis and treatment. Dtsch. Arztebl. Int. 2014; 111(8):126—132. doi: 10.3238/arztebl.2014.0126.
9. Stolk K.H., Zwart J.J., Schutte J., van Roosmalen J. Severe maternal morbidity and mortality from amniotic fluid embolism in the Netherlands. Acta Obstet. Gynecol. Scand. 2012; 91(8):991-995. doi: 10.1111/j.1600-0412.2012.01442.x
10. Stafford I., Sheffield J. Amniotic fluid embolism. Obstet. Gynecol. Clin. North Am. 2007; 34(3):545-553.
11. Yang J.S., Kim H.S., Chang K.H., Ryu H.S., Joo H.J. Amniotic fluid embolism with isolated coagulopathy: a case report. J. Reprod. Med. 2006; 51(1):64-66.
Review
For citations:
Bystritskaya T.S., Lysyak D.S., Dubyaga E.V., Arutyunyan E.V. Clinical and morphological characteristics of amniotic fluid. Bulletin Physiology and Pathology of Respiration. 2019;(73):76-79. (In Russ.) https://doi.org/10.36604/1998-5029-2019-73-76-79