Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Amniotic fluid embolism in progress: a management dilemma!

J Gogola1, G D Hankins

  • 1Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston, 77555-0587, USA.

American Journal of Perinatology
|October 27, 1998
PubMed
Summary

A rare pregnancy complication, amniotic fluid embolism, was potentially averted by surgically containing debris in maternal uterine veins during cesarean delivery. This novel approach managed a critical case, preserving fertility.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

"Doing something" about the cesarean delivery rate.

American journal of obstetrics and gynecology·2018
Same author

Correlation of the Digene HPV Assay Hybrid Capture System with Colposcopically Guided Biopsy Results.

Journal of lower genital tract disease·2015
Same author

Human papillomavirus testing for triage in a referral population.

Journal of lower genital tract disease·2006
Same author

Cardiac disease and pregnancy.

Obstetrics and gynecology clinics of North America·2001
Same author

Teaching the Laufe-Piper forceps technique at cesarean delivery.

The Journal of reproductive medicine·2001
Same author

Prospective study of IgM to Toxoplasma gondii on Beckman Coulter's Access(TM) immunoassay system and comparison with Zeus ELISA and gull IFA assays.

Diagnostic microbiology and infectious disease·2000

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Innovation

Background:

  • Amniotic fluid embolism (AFE) is a rare, life-threatening obstetric emergency.
  • Early identification and management are critical for maternal and fetal outcomes.
  • Massive hydramnios can increase the risk of AFE during delivery.

Observation:

  • During cesarean delivery for fetal distress and massive hydramnios, maternal uterine veins showed air bubbles and vernix.
  • A Couvelaire uterus appearance indicated a potential source of embolism.
  • The patient was clinically stable with a desire for future fertility.

Findings:

  • Surgical containment of debris within the uterine vasculature was performed.
  • Ligation of the infundibulopelvic ligament and uterine arteries, along with oversewing the Couvelaire uterus, was successful.

Related Experiment Videos

  • The patient experienced mild coagulopathy but otherwise recovered well.

    • Implications:

    • The Couvelaire uterus may serve as a portal for amniotic fluid embolism debris.
    • Surgical containment of embolic material in uterine veins may prevent AFE syndrome.
    • This case highlights a potential fertility-sparing intervention for AFE risk.