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- Title
Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis.
- Authors
Crissman, Halley P.; Loder, Charisse; Pancaro, Carlo; Bell, Jason
- Abstract
<bold>Background: </bold>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.<bold>Case Presentation: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
AMNIOTIC fluid embolism; ABORTION; VISCOELASTICITY; POINT-of-care testing; BLOOD coagulation
- Publication
BMC Pregnancy & Childbirth, 2020, Vol 20, Issue 1, p1
- ISSN
1471-2393
- Publication type
journal article
- DOI
10.1186/s12884-019-2680-1