How to prevent amniotic fluid embolism in pregnant women?

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Amniotic fluid embolism refers to the serious complications of acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death caused by amniotic fluid suddenly entering maternal blood circulation during delivery. The incidence rate is 4/10 to 6/10 million. Amniotic fluid embolism is caused by contamination of the visible material in amniotic fluid (fetal hair, keratinized epithelium, fetal fat, meconium) and procoagulant substances into maternal circulation. How to prevent amniotic fluid embolism in pregnant women? Next, I'd like to share my views with you.

How to prevent amniotic fluid embolism in pregnant women?

Choose professional, well-equipped, high credibility hospital production. The occurrence of amniotic fluid embolism is often unexpected. If it occurs in a hospital with sufficient equipment and professionals, it can be rescued in time. In addition to oxygen and drip, medical staff will also intubate and CPR as soon as possible. In addition to saving the mother's life, if necessary, the baby can be rescued by cesarean section as soon as possible.

Regular prenatal examination, active treatment of complications. Through ultrasonic examination, 90% of placenta previa can be diagnosed, placental abruption can be found early, and pregnancy induced hypertension can be found early. Once there are symptoms of hypertension, edema and proteinuria, active treatment should be taken to avoid the occurrence of severe pregnancy induced hypertension. Pay attention to the prevention and treatment of gestational diabetes mellitus, reduce the incidence of fetal macrosomia. If the gestation period is more than 40 weeks, the fetal condition should be checked in time to decide whether to terminate the pregnancy. The stillbirth should be induced in time to reduce the risk of amniotic fluid embolism.

Amniotic fluid embolism is more likely to occur in puerpera over 30 years old, premature delivery or overdue delivery and multipara, especially in those with premature rupture of membranes, uterine body or cervical dysplasia. It is necessary to actively cooperate with the correct treatment of doctors. Clinical data showed that the main causes of premature rupture of membranes were reproductive tract infection, acute labor, polyhydramnios and cephalopelvic disproportion. Therefore, the key to prevent premature rupture of membranes is to prevent genital tract infection; Sexual intercourse should be forbidden in late pregnancy to avoid weight-bearing and abdominal impact; These measures can reduce the incidence of premature rupture of membranes and reduce the risk of amniotic fluid embolism.

matters needing attention

In order to prevent dic (disseminated intravascular coagulation) caused by delayed amniotic fluid embolism, the parturients and their families should closely observe the uterine contraction and vaginal bleeding after natural or cesarean section, as well as the color of drained urine. If vaginal bleeding increases, the outflow of blood does not coagulate, gross hematuria, etc., should promptly inform the doctor and treatment.