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#Amniotic fluid embolism occurrence manual

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Other studies suggested the importance of high-quality cardiopulmonary resuscitation correction of coagulopathy, including tranexamic acid use and extracorporeal membrane oxygenation use for AFE management, but these procedures were not assessed in this study Learn More – Primary Sources:Īssociation of Pregnancy Characteristics and Maternal Mortality With Amniotic Fluid Embolism It is unknown whether adherence to the Society for Maternal-Fetal Medicine checklist for initial management of AFE is associated with improved maternal outcome

This rate increased if AFE co-occurred with other maternal morbidity indicators or placental pathology.

Maternal mortality after AFE was high at 17.0%.

Placenta accreta spectrum had the largest association with AFE.

Risk factors associated with AFE were identified.

In this population, AFE occurred in 6.0 of every 100,000 deliveries.

The maternal mortality rate also exceeded 30% when AFE occurred in the setting of placental pathology.

AFE, cardiac arrest, coagulopathy, and shock: 38.6%.

AFE, shock, and cardiac rhythm conversion: 43.2%.

AFE, cardiac arrest, and coagulopathy: 45.8%.

This rate exceeded 30% when AFE co-occurred with other severe maternal morbidity indicators.

The maternal mortality rate after AFE: 17.0%.

Patients who had AFE were more likely to experience.

When stratified by the PAS subtypes, more severe forms of PAS had a greater association with AFE.

Among these, placental accreta spectrum had the largest association with AFE.

#Amniotic fluid embolism occurrence manual

Early gestational age | Cervical ripening | Cesarean delivery | Operative delivery | Manual removal.Placental accreta spectrum (PAS) | Placental abruption | Uterine rupture | Polyhydramnios | Chorioamnionitis | Preeclampsia | Fetal growth restriction | Fetal demise.Older age | Asian and Black race | Western US region | Pregestational hypertension | Asthma | Illicit substance use | Grand multiparity.In the multivariable analysis the following factors were associated with AFE.Incidence rate: 6.0 per 100,000 deliveries.Maternal mortality per clinical and pregnancy characteristics.Clinical, pregnancy and delivery characteristics of AFE.The role of AFE on outcomes was assessed using a logistic regression model.NIS represents hospital discharge data for more than 90% of the US population | Survey weights based on a random sampling of 20% of hospitalized patients annually.Data obtained from the Healthcare Cost and Utilization Project’s National Inpatient Sample (NIS).Vaginal or cesarean deliveries from January 2016, to December 2019.(JAMA Network Open, 2022) examined the clinical, pregnancy, and delivery characteristics and maternal outcomes related to amniotic fluid embolism (AFE)