Amniotic Fluid Embolism: A Case Report

In obstetrics, an amniotic fluid embolism (AFE) is a rare and highly devastating event. This case highlights the presentation of an amniotic fluid embolism and its treatments. A 35-year-old G1P0 became pulseless shortly after her cesarean section and was successfully resuscitated with high-quality CPR, fluid administration, and a regimen of atropine, ondansetron, and ketorolac. She was under general anesthesia for her cesarean due to non-reassuring heart tones and remained intubated when transferred to the intensive care unit. Due to the rapid responsiveness of treatment, she had a favorable outcome unlike a majority of AFEs. This case highlights the presentation of AFE and importance of prompt treatment. While there are specific diagnostic criteria atypical AFEs are not uncommon, and the threshold should be low for the initiation of treatment. The article reviews the most recent standards of care put forth by the Society for Maternal Fetal Medicine. It also adds to the data that supports the use of various experimental treatments to prevent morbidity and mortality.