The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Jul 2014
Multicenter StudyClinical characteristics of amniotic fluid embolism: an experience of 29 years.
The aim of this study was to elucidate the clinical characteristics and risk factors for amniotic fluid embolism (AFE). ⋯ AFE patients were classified into two types based on presenting signs and symptoms. Knowledge of the various initial symptoms of AFE enables a correct diagnosis.
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J. Obstet. Gynaecol. Res. · Jul 2014
Case ReportsExtracorporeal membrane oxygenation saved a mother and her son from fulminant peripartum cardiomyopathy.
A 34-year-old full-term pregnant woman presented with abruptly aggravating dyspnea. A chest X-ray showed pulmonary edema, and an echocardiogram revealed a left ventricular ejection fraction of 39%. Despite conventional medical treatment for acute heart failure and mechanical ventilation, hypoxia and metabolic acidosis were aggravated, and the fetal heart rate decreased to 90 b.p.m., suggestive of fetal distress. ⋯ The patient was weaned from ECMO 6 days after delivery and was extubated 1 day after discontinuation of ECMO. Left ventricular systolic function had completely recovered at this time. This is the first report of a patient with peripartum cardiomyopathy who had a successful delivery with the support of ECMO, demonstrating that ECMO can serve as a rescue therapy, not only treating peripartum cardiomyopathy but also permitting a safe delivery.