Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis
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Authors
Crissman, Halley P.
Loder, Charisse
Pancaro, Carlo
Bell, Jason
Issue Date
2020-01-03
Type
Article
Language
en_US
Keywords
Abortion , Amniotic Fluid Embolism , Viscoelastic Point-of-Care Analysis , Thromboelastography , Coagulopathy , Case Report
Alternative Title
Abstract
Background:
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.
Case presentation:
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.
Conclusion:
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.
Description
Citation
Crissman, H.P., Loder, C., Pancaro, C. et al. Case report of amniotic fluid embolism coagulopathy following abortion; use of viscoelastic point-of-care analysis. BMC Pregnancy Childbirth 20, 9 (2020). https://doi.org/10.1186/s12884-019-2680-1
Publisher
BMC Pregnancy and Childbirth