Title |
Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis
|
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Published in |
BMC Pregnancy and Childbirth, January 2020
|
DOI | 10.1186/s12884-019-2680-1 |
Pubmed ID | |
Authors |
Halley P. Crissman, Charisse Loder, Carlo Pancaro, Jason Bell |
Abstract |
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. 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. 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. |
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